Parker Oliver Debra, Washington Karla, Smith Jamie, Uraizee Aisha, Demiris George
1 Department of Family and Community Medicine, University of Missouri , Columbia, Missouri.
2 University of Missouri School of Medicine , Columbia, Missouri.
J Palliat Med. 2017 Apr;20(4):366-371. doi: 10.1089/jpm.2016.0372. Epub 2016 Dec 2.
Depression and anxiety are common concerns for hospice caregivers.
This study looked at the prevalence and variables associated with hospice caregiver depression and anxiety, as well as the relationship between the two conditions.
We did a secondary analysis of preexisting data.
Measures included the PHQ-9 and GAD-7.
Nearly one-quarter of caregivers were moderately to severely depressed, and nearly one-third reported moderate to severe symptoms of anxiety. Risk factors for both depression and anxiety included younger age and poorer self-rated global health. Depression-specific risk factors included being married and caring for a patient with a diagnosis other than cancer. The sole anxiety-specific risk factor identified was geographic location, as caregivers living in the Southeast were found to have greater anxiety than those in the Midwest.
Hospice providers' recognition of family caregivers as both coproviders and corecipients of care underscores the need to more fully assess and respond to depression and anxiety among caregivers.
抑郁和焦虑是临终关怀护理人员普遍关注的问题。
本研究探讨了临终关怀护理人员抑郁和焦虑的患病率及相关变量，以及这两种状况之间的关系。
我们对现有数据进行了二次分析。
测量工具包括患者健康问卷-9（PHQ-9）和广泛性焦虑障碍量表-7（GAD-7）。
近四分之一的护理人员有中度至重度抑郁，近三分之一报告有中度至重度焦虑症状。抑郁和焦虑的风险因素包括年龄较小和自我评定的整体健康状况较差。抑郁特有的风险因素包括已婚以及照顾患有非癌症诊断疾病的患者。唯一确定的焦虑特有的风险因素是地理位置，因为发现居住在东南部的护理人员比中西部的护理人员有更严重的焦虑。
临终关怀提供者将家庭护理人员视为护理的共同提供者和共同接受者，这凸显了更全面评估和应对护理人员抑郁和焦虑的必要性。
