Noma生存者非正式照护者心理照护负担之大小与预测因子。

IF 2.4 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2026-06-01 Epub Date: 2025-12-30 DOI:10.1016/j.jormas.2025.102699

A.I. Yakubu , M. Bala , R.O. Braimah , A. Bello , A. Abubakar , A.T. Bakare , H.T. Ismail , I. Abdulfattah , I.O. Bruno , B.A. Sulaiman , J. Sarki , I.A. Hadi , Z. Umar , A.S. Inuwa , A.Y. Abbas , M.I. Gidado , A.A. Bioku , A. Abdullahi , U. Abdullahi , A.O. Taiwo

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引用次数: 0

摘要

背景：口癌是一种破坏性的口腔面部坏疽性病变，主要影响营养不良的儿童，导致面部畸形。坏疽性口炎给非正规照顾者带来了相当大的社会、心理、情感和经济负担。然而，对照顾者的这种负担的研究在很大程度上仍未得到充分研究。本研究旨在评估尼日利亚西北部Noma患者非正式照护者的心理负担水平及其预测因素。材料和方法：这是一项横断面研究，在索科托Noma儿童医院的92名Noma幸存者的非正式护理人员中进行，他们通过通用抽样方法在两年内招募。使用Zarit负担访谈（ZBI）评估照顾者负担。数据分析使用SPSS版本25，使用卡方检验确定关联，使用逻辑回归确定预测因子。p < 0.05为差异有统计学意义。结果：护理人员平均年龄38.0岁（SD±10.1）；大多数是女性（84.8%）、已婚（87.0%）和幸存者的父母。47.8%的护理人员有轻度至中度负担，47.8%的护理人员有中度至重度负担，4.4%的护理人员有重度负担。女性（p = 0.0170）和为人父母（p = 0.011）与较高的照顾者负担相关；女性仍然是高照顾者负担的唯一独立预测因子（p = 0.019）。结论：Noma幸存者的非正式照护者，尤其是女性照护者和患者父母，承受着相当大的心理负担。有针对性的社会心理支持对于减轻照护者压力和提高照护效果是必要的。

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Magnitude and predictors of psychological burden of care among informal caregivers of Noma survivors

Background

Cancrum Oris is a devastating gangrenous lesion of the orofacial regions that primarily affects the undernourished children, with consequent disfigurement of the face. Noma places a considerable social, psychological, emotional, and financial burden on their informal caregivers. However, this burden on caregivers remains largely understudied. This research aimed to assess the level and predictors of caregiver psychological burden among informal caregivers of Noma patients in Northwestern Nigeria.

Materials and methods

This was a cross-sectional study conducted among 92 informal caregivers of Noma survivors attending Noma Children’s Hospital in Sokoto, who were recruited via a universal sampling method over two years. Caregiver burden was assessed using the Zarit Burden Interview (ZBI). Data were analyzed using SPSS version 25, with Chi-square tests employed to determine associations and logistic regression used to identify predictors. Statistical significance was set at p < 0.05.

Results

The mean age of the caregivers was 38.0 years (SD ± 10.1); most were female (84.8%), married (87.0%), and parents of the survivor. The caregivers experienced a mild-to-moderate burden in 47.8% of cases, a moderate-to-severe burden in 47.8%, and a severe burden in 4.4%. Being female (p = 0.0170) and being a parent (p = 0.011) were associated with higher caregiver burden; female sex remained the only independent predictor of high caregiver burden (p = 0.019).

Conclusion

Informal caregivers of Noma survivors experience considerable psychological burden, particularly female caregivers and parents of patients. Targeted psychosocial support is necessary to alleviate caregiver strain and enhance care outcomes.

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