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原发性先天性青光眼患者照顾者负担评估

Caregiver burden assessment in primary congenital glaucoma.

作者信息

Dada Tanuj, Aggarwal Ashutosh, Bali Shveta Jindal, Wadhwani Meenakshi, Tinwala Sana, Sagar Rajesh

机构信息

All India Institute of Medical Sciences, New Delhi, India.

出版信息

Eur J Ophthalmol. 2013 May-Jun;23(3):324-8. doi: 10.5301/ejo.5000238. Epub 2013 Jan 31.

Abstract

PURPOSE

To assess the magnitude of caregiver burden and depression in primary caregivers of patients with primary congenital glaucoma.

METHODS

Fifty-five primary caregivers of children diagnosed with primary congenital glaucoma were evaluated. The magnitude of burden on caregivers was assessed using a Caregiver Burden Questionnaire (CBQ). The overall aggregate burden and burden across 3 domains-socioeconomic, emotional, and psychological-was evaluated. Depressive symptomatology was evaluated using a Patient Health Questionnaire-9 (PHQ-9) standard questionnaire and graded from mild to severe.

RESULTS

The mean age of the presenting children was 8.11±46.71 months; all of them were male. The mean age of the study participants was 33.6±8.36 years (53 female, 2 male). Thirty-nine (71%) individuals were identified to have moderate aggregate burden and 3 (5%) had severe aggregate burden. Twelve (22%) subjects were noted to have moderate depression, while 6 of them (11%) had either severe or very severe grades of depression.

CONCLUSIONS

Caregivers of patients with primary congenital glaucoma have significant emotional and psychological burden. Moderate to severe depression may be present in one-third of individuals giving primary care to children with congenital glaucoma.

摘要

目的

评估原发性先天性青光眼患者的主要照料者的照料负担及抑郁程度。

方法

对55名被诊断为原发性先天性青光眼患儿的主要照料者进行评估。使用照料者负担问卷(CBQ)评估照料者的负担程度。评估了总体负担以及社会经济、情感和心理这3个领域的负担。使用患者健康问卷-9(PHQ-9)标准问卷评估抑郁症状,并从轻到重分级。

结果

就诊儿童的平均年龄为8.11±46.71个月;均为男性。研究参与者的平均年龄为33.6±8.36岁(53名女性,2名男性)。39人(71%)被确定有中度总体负担,3人(5%)有重度总体负担。12名(22%)受试者被发现有中度抑郁,其中6人(11%)有重度或极重度抑郁。

结论

原发性先天性青光眼患者的照料者有显著的情感和心理负担。在为先天性青光眼患儿提供主要照料的人群中,三分之一可能存在中度至重度抑郁。

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