照顾者的抑郁症状及哮喘信念对低收入波多黎各儿童哮喘转归的作用。
The role of caregivers' depressive symptoms and asthma beliefs on asthma outcomes among low-income Puerto Rican children.
作者信息
Martínez Karen G, Pérez Edna Acosta, Ramírez Rafael, Canino Glorisa, Rand Cynthia
机构信息
Behavioral Sciences Research Institute, University of Puerto Rico, Medical Science Campus, San Juan, Puerto Rico.
出版信息
J Asthma. 2009 Mar;46(2):136-41. doi: 10.1080/02770900802492053.
OBJECTIVE
To examine the relationship between depressive symptoms and asthma beliefs (self-efficacy and empowerment), child asthma outcomes, and caregiver's quality of life among Puerto Rican caregivers of children with asthma.
METHODS
The caregivers of 221 children with persistent bronchial asthma were stratified into those with no/low or high levels of depressive symptoms. Differences between the groups in caregiver self-efficacy, family empowerment, child asthma outcomes, and quality of life were examined.
RESULTS
Caregivers with more depressive symptoms reported lower self-efficacy, less empowerment, less symptom-free days and nights for their children, and a lower quality of life compared to caregivers with no or fewer depressive symptoms.
CONCLUSIONS
Depressive symptoms among Puerto Rican caregivers were associated with asthma beliefs, children's asthma symptoms, and caregiver quality of life. Our findings reinforce the importance of physician screening skills in recognizing caregiver depression in parents of asthma patients.
目的
探讨患有哮喘儿童的波多黎各看护者的抑郁症状与哮喘信念（自我效能感和赋权）、儿童哮喘预后以及看护者生活质量之间的关系。
方法
将221名患有持续性支气管哮喘儿童的看护者分为抑郁症状水平低或无抑郁症状组以及抑郁症状水平高组。研究了两组在看护者自我效能感、家庭赋权、儿童哮喘预后和生活质量方面的差异。
结果
与抑郁症状少或无抑郁症状的看护者相比，抑郁症状较多的看护者报告的自我效能感较低、赋权较少、孩子无症状的白天和夜晚较少，且生活质量较低。
结论
波多黎各看护者的抑郁症状与哮喘信念、儿童哮喘症状及看护者生活质量相关。我们的研究结果强化了医生筛查技能在识别哮喘患者父母看护者抑郁方面的重要性。
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