住院患者亲属的心理负担：医疗管理中被遗忘的一面。

Psychological burden in inpatient relatives: the forgotten side of medical management.

机构信息

Medical Emergency Department, Ibn Sina University Hospital, 10000, Agdal-Rabat, Morocco; Faculté de Médecine et de Pharmacie - Université Mohamed V Souissi, Avenue Mohamed Belarbi El Alaoui, BP 6203, Rabat Institut, 10000, Morocco. Tel: +21261224739; Fax: +21237672558;

出版信息

QJM. 2014 Feb;107(2):115-22. doi: 10.1093/qjmed/hct210. Epub 2013 Oct 22.

DOI:10.1093/qjmed/hct210

PMID:24149282

Abstract

BACKGROUND

The burden of the hospital experience is a broad issue that has been evaluated in a particular context of intensive care unit (ICU). It is likely, however, that the load is heavy on families even in other hospital wards and not just in the ICU. The present study was designed to assess the prevalence of anxiety and depression in family members of patients admitted in a general medicine department, and to identify associated factors with those symptoms.

METHODS

Patients' and relatives' socio-demographic data and information pertaining to the patients' health characteristics were collected. Family members completed the Arabic version of Hospital Anxiety and Depression Scale (HADS). Associations between anxiety or depression and covariates of interest were investigated using generalized estimating equations, for univariate and multivariate logistic regression analysis.

RESULTS

The prevalence of anxiety (55.6%) and depression (41.1%) in family members remains high. The multivariate model identified three groups of factors associated with these symptoms: (i) Patient related: a short length of hospital stay is associated with depression (OR 1.04, 95% CI 1.01-1.08; P = 0.02); (ii) Family related: rural residence is associated with depression (OR 2.56, 95% CI 1.01-6.74; P = 0.04), and female gender is associated with anxiety and depression (OR 2.60, 95% CI 1.41-4.81; P = 0.002), (OR 3.04, 95% CI 1.62-5.70; P = 0.01), respectively; and (iii) Caregiver related: short length of visit (OR 1.08, 95% CI 1.03-1.13; P = 0.002) is associated with anxiety, admission to a share room (OR 2.56, 95% CI 1.25-5.23; P = 0.01) is associated with depression and a need for more information is associated with anxiety and depression (OR 1.78, 95% CI 1.02-3.10; P = 0.04),(OR 1.77, 95% CI 1.01-3.11; P = 0.04), respectively.

CONCLUSION

The prevalence of symptoms of anxiety and depression in family members remains high at the end of acute health care. It is hoped that improving the provision of information will decrease the risk of psychological distress.

摘要

背景

医院体验的负担是一个广泛的问题，已经在重症监护病房（ICU）的特定环境中进行了评估。然而，即使在其他病房，而不仅仅是在 ICU，家庭成员的负担也可能很重。本研究旨在评估普通内科病房患者家属的焦虑和抑郁发生率，并确定与这些症状相关的因素。

方法

收集患者和亲属的社会人口统计学数据以及患者健康特征信息。家庭成员完成了阿拉伯语版的医院焦虑和抑郁量表（HADS）。使用广义估计方程对焦虑或抑郁与感兴趣的协变量之间的关联进行了单变量和多变量逻辑回归分析。

结果

家庭成员中焦虑（55.6%）和抑郁（41.1%）的患病率仍然很高。多变量模型确定了与这些症状相关的三组因素：（i）患者相关：住院时间短与抑郁有关（OR 1.04，95%CI 1.01-1.08；P=0.02）；（ii）家庭相关：农村居住与抑郁有关（OR 2.56，95%CI 1.01-6.74；P=0.04），女性与焦虑和抑郁有关（OR 2.60，95%CI 1.41-4.81；P=0.002），（OR 3.04，95%CI 1.62-5.70；P=0.01），分别；（iii）照顾者相关：访问时间短（OR 1.08，95%CI 1.03-1.13；P=0.002）与焦虑有关，入住共享病房（OR 2.56，95%CI 1.25-5.23；P=0.01）与抑郁有关，需要更多信息与焦虑和抑郁有关（OR 1.78，95%CI 1.02-3.10；P=0.04），（OR 1.77，95%CI 1.01-3.11；P=0.04），分别。