Matsuu K, Washio M, Arai Y, Higashi H, Saku Y, Tokunaga S, Ide S
Faculty of Nursing, St. Mary's Junior College, Tsubukuhonmachi 422, Kurume City, Fukuoka Prefecture 830-8558, Japan.
Fukuoka Igaku Zasshi. 2001 Sep;92(9):319-25.
The present study was conducted to investigate depression in caregivers of elderly hemodialysis patients. Caregivers answered a self-administered questionnaire about various factors that may affect their depression, and also completed a Center for Epidemiologic Studies Depression Scale evaluation (CESD). The frail elderly who received regular nurse visits were used as controls. Compared with the caregivers of controls, those of hemodialysis patients spent less time on caregiving and had more time to go out unaccompanied by their patients. Males were numerous among hemodialysis patients than in the controls. Compared with the controls, hemodialysis patients were less likely to be older old (80 years old and more), diagnosed as demented or severely limited in activities of daily living (ADL). On the other hand, we did not find any significant difference between the two groups with regard to either the prevalence of depression, the rate of those who experienced any life event such as to cause depression within 6 months (e.g., death of family member), duration of caregiving or time looking after patients. Caregivers of hemodialyis patients may feel a heavy burden because they are obliged to play an important role in supporting patients on dialysis. They seem to need more social support regardless of whether or not their patients suffer from dementia.
本研究旨在调查老年血液透析患者照顾者的抑郁情况。照顾者回答了一份关于可能影响其抑郁的各种因素的自填式问卷，并完成了流行病学研究中心抑郁量表评估（CESD）。将接受定期护士访视的体弱老年人作为对照。与对照组的照顾者相比，血液透析患者的照顾者花费在照顾上的时间更少，有更多时间在没有患者陪伴的情况下外出。血液透析患者中男性比对照组多。与对照组相比，血液透析患者不太可能是高龄老人（80岁及以上），被诊断为痴呆或日常生活活动（ADL）严重受限。另一方面，我们发现两组在抑郁患病率、在6个月内经历任何导致抑郁的生活事件（如家庭成员死亡）的比例、照顾持续时间或照顾患者的时间方面均无显著差异。血液透析患者的照顾者可能会感到负担沉重，因为他们必须在支持透析患者方面发挥重要作用。无论其患者是否患有痴呆，他们似乎都需要更多的社会支持。
