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一项关于中风患者照顾者焦虑和抑郁预测因素的研究。

A study of predictors of anxiety and depression among stroke patient-caregivers.

作者信息

Balhara Yatan Pal Singh, Verma Rohit, Sharma Srikant, Mathur Shachi

机构信息

National Drug Dependence Treatment Centre (NDDTC), All India Institute of Medical Sciences (AIIMS), New Delhi, India.

出版信息

J Midlife Health. 2012 Jan;3(1):31-5. doi: 10.4103/0976-7800.98815.

Abstract

CONTEXT

Caregivers play an important role in supporting people with illness either acute or chronic. It is important to explore caregiver's emotional turmoil as it helps in exploring their burden which can have impact on the patient's illness and functioning apart from their own.

AIMS

The current study aimed at assessing the predictors of anxiety and depression among caregivers of patients with stroke.

SETTINGS AND DESIGN

Seventy-five consecutive patient-caregiver dyads were recruited in the study.

MATERIALS AND METHODS

Patients and caregivers were assessed using a semi-structured proforma for the sociodemographic details. Subsequently these dyads were assessed for anxiety and depression levels using the Hospital Anxiety and Depression Scale.

STATISTICAL ANALYSIS USED

Chi-square tests (for categorical variables) were used to find difference between the patients and the caregivers on different variables. Additionally Cramer's V-test and phi test were used for 2*4 contingency tables. Linear regression model was used.

RESULTS

Linear regression revealed that anxiety level in caregivers was predicted by the sex of care giver.

CONCLUSIONS

Caring for the patients with stroke presents increased burden to the care givers which manifests as increased rate of anxiety and depression among them. It is important to assess the care givers along with the patients for emergence of these negative affective states. One needs to be extra cautious if the patient happens to be the primary earning member of the family.

摘要

背景

照顾者在支持患有急性或慢性疾病的人方面发挥着重要作用。探究照顾者的情绪波动很重要,因为这有助于了解他们的负担,而这种负担除了会影响照顾者自身外,还会对患者的疾病和功能产生影响。

目的

本研究旨在评估中风患者照顾者焦虑和抑郁的预测因素。

设置与设计

本研究招募了75对连续的患者-照顾者二元组。

材料与方法

使用半结构化表格对患者和照顾者的社会人口学细节进行评估。随后,使用医院焦虑抑郁量表对这些二元组的焦虑和抑郁水平进行评估。

所用统计分析方法

使用卡方检验(用于分类变量)来发现患者和照顾者在不同变量上的差异。此外,对于2×4列联表,使用了克莱默V检验和phi检验。使用线性回归模型。

结果

线性回归显示,照顾者的焦虑水平可由照顾者的性别预测。

结论

照顾中风患者给照顾者带来了更大的负担,表现为他们中焦虑和抑郁发生率的增加。在评估患者时同时评估照顾者是否出现这些负面情绪状态很重要。如果患者恰好是家庭的主要经济支柱,就需要格外谨慎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c86/3425146/5c6b74e041d4/JMH-3-31-g002.jpg

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