Objective:To explore the anxiety state of the main caregivers of dementia patients and analyze its influencing factors.Methods:The convenient sampling method was adopted to select 220 main caregivers of dementia patients who were outpatients and inpatients in a ClassⅢ Grade A specialty hospital in Jiangsu province from January to October 2019. The self-developed General Information Questionnaire was used to collect demographic data and disease-related data of caregivers and patients. Hamilton Anxiety Rating Scale (HAMA) , Eysenck Personality Questionnaire (EPQ) , Mini-Mental State Examination (MMSE) and Activity of Daily Living (ADL) were used to measure the anxiety status of the main caregivers and its influencing factors.Results:220 questionnaires were distributed, and valid questionnaires were 212. HAMA score of 212 main caregivers was (7.45±2.86) , and the incidence of anxiety was 55.19% (117/212) . The results of multiple regression analysis showed that the seven independent variables entered the regression equation. According to the regression coefficients in descending order, they were the medical payment method (self-pay, medical insurance) , whether the patient had mental symptoms, whether the main caregivers had support, the education level of the main caregivers, the neurotic personality characteristics of the main caregivers, the total score of MMSE and the total score of ADL. All of them were independent influencing factors of the anxiety of main caregivers, explaining 33.3% variation of the anxiety of the main caregivers ( F=8.512, P<0.001) . Conclusions:There is a high incidence of anxiety among caregivers of dementia patients. In the process of clinical nursing, nurses should focus on caregivers who have neurotic tendency and high education level and has no social support. They should pay attention to the independent influencing factors such as the medical expenses of the caregivers who are mainly paid at their own expense, the impaired ADL ability of patients, lower total score of MMSE and patients accompanied with mental symptoms, and take active interventions to improve the anxiety of caregivers.

Objective:To explore the relationship between stigma, psychological resilience and quality of life in patients with stable schizophrenia.Methods:This study is a cross-sectional study. From January to December 2021, 305 patients with stable schizophrenia who were treated in the Outpatient Department of the Affiliated Brain Hospital of Nanjing Medical University were selected by convenient sampling. The survey was carried out by using the General Information Questionnaire, the World Health Organization Quality of Life-Brief Form (WHOQOL-BREF) , the Connor-Davison Resilience Scale (CD-RISC) , and the Perceived Devaluation Discrimination (PDD) . Pearson correlation analysis was used to analyze the relationship between quality of life, stigma and psychological resilience of schizophrenia patients. The structural equation model was established using AMOS 25.0 and the intermediary effect was verified. A total of 305 questionnaires were distributed and 286 valid questionnaires were recovered, with an effective recovery rate of 93.8% (286/305) .Results:Among 286 patients with stable schizophrenia, the scores of psychological resilience, stigma and quality of life were (56.49±14.28) , (29.62±5.70) and (63.15±11.67) respectively. There was a positive correlation between the psychological resilience and the quality of life ( r=0.461, P<0.01) , a negative correlation between the stigma and the quality of life ( r=-0.328, P<0.01) , and a negative correlation between the stigma and the psychological resilience ( r=-0.309, P<0.01) . The results of intermediary effect analysis showed that psychological resilience played a part of intermediary role between the stigma and the quality of life, and the indirect effect was statistically significant (β=- 0.167, P<0.001) , the intermediary effect accounted for 32.2% of the total effect. Conclusions:Psychological resilience is an intermediary variable between the stigma and the quality of life in patients with stable schizophrenia. Nurses should carry out intervention strategies based on the impact of psychological resilience path to reduce the patients' stigma and improve their quality of life.