Factors associated with worst quality of life assessment among family caregivers of users from Psychosocial Care Centers

Abstract Introduction The identification of the factors associated with a worse assessment of the quality of life among family caregivers in mental health can be an important strategy for establishing follow-up and support actions to the subjects. Objective This study aims to identify the factors associated with worse assessment of quality of life among 1242 family caregivers of users from 40 Psychosocial Care Centers located in southern Brazil. Methods We used a logistic regression analysis based in a hierarchical theoretical model to calculate the adjusted odds ratios. Results Factors associated with worse assessment of quality of life were: education; access the Psychosocial Care Center; effectiveness of Psychosocial Care Center; Psychosocial Care Center support in cases of burden; share of care activities; health problem; family relationship and feeling of burden. Conclusion Considering the range of issues related to service that were associated with the outcome, this study highlight the prospect that the Psychosocial Care Centers play an important role in the lives of family caregivers, significantly influencing their quality of life.

摘要
## 引言
识别精神卫生领域家庭照护者生活质量评估欠佳的相关影响因素，可为制定针对该群体的后续随访与支持措施提供重要依据。
## 研究目的
本研究旨在明确巴西南部40所精神社会照护中心（Psychosocial Care Center）的1242名服务使用者的家庭照护者中，与其生活质量评估欠佳相关的影响因素。
## 研究方法
本研究采用基于层级理论模型的逻辑回归分析，计算校正后的优势比。
## 研究结果
与生活质量评估欠佳相关的影响因素包括：受教育程度、精神社会照护中心就诊情况、精神社会照护中心服务有效性、精神社会照护中心针对照料负担的支持措施、照料活动分担情况、健康问题、家庭关系及照料负担感。
## 研究结论
鉴于诸多与服务相关的因素均与该研究结局存在关联，本研究表明，精神社会照护中心可在家庭照护者的生活中发挥重要作用，并对其生活质量产生显著影响。