中国心力衰竭患者家庭照顾者的抑郁症状：一项横断面研究。
Depressive symptoms in Chinese family caregivers of patients with heart failure: A cross-sectional study.
作者信息
Hu Xiaolin, Huang Wenxia, Su Yonglin, Qu Moying, Peng Xingchen
机构信息
Department of Nursing Department of Healthcare Department of Rehabilitation Department of Cardiology Department of Medical Oncology, Cancer Center, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, Sichuan, P. R. China.
出版信息
Medicine (Baltimore). 2017 Mar;96(13):e6480. doi: 10.1097/MD.0000000000006480.
Depressive symptoms are related to negative health outcomes in caregivers of patients with HF. Understanding the factors that are associated with depressive symptoms among caregivers is essential to providing appropriate interventions. Little is known about which status and factors are related to depressive symptoms among Chinese caregivers of patients with heart failure. This study aimed to investigate the status of depressive symptoms and to identify the factors that are associated with depressive symptoms in family caregivers of patients with heart failure in China.A cross-sectional design and a convenience sample were used. Participants (N = 134) from 1 hospital in Chengdu were recruited from June 2013 to June 2014. The following measurement tools were used in this study: Center for Epidemiologic Studies Depression Scale, Hospital Anxiety and Depression Scale, Coping Strategies Simplified Coping Style Questionnaire, and Zarit Burden Interview. A hierarchical multiple linear regression analysis was used to determine which factors were associated with depressive symptoms.The results showed that 31% of the caregivers experienced depressive symptoms. The type of payment for treatment (b = -0.312, P < 0.01), readmissions within the last 3 months (b = 0.397, P < 0.01), duration of caregiving (b = -0.213, P < 0.05), caregiver burden (b = 0.299, P < 0.05), active coping (b = -0.235, P < 0.01), and negative coping (b = 0.245, P < 0.05) were related to caregivers' depressive symptoms. Fifty-four percent of the variance in caregivers' depressive symptoms was explained by these factors.The caregiver depressive symptoms in China were higher than those reported in studies that were conducted in Western countries. Caregiver depressive symptoms can be improved by providing support for new caregivers (with a caregiving duration of less than 1 year), reducing readmissions, easing caregiver burden, and promoting their coping strategies.
抑郁症状与心力衰竭患者照料者的不良健康结局相关。了解照料者中与抑郁症状相关的因素对于提供适当干预措施至关重要。关于中国心力衰竭患者照料者中哪些状况和因素与抑郁症状相关，目前所知甚少。本研究旨在调查抑郁症状的状况，并确定中国心力衰竭患者家庭照料者中与抑郁症状相关的因素。
采用横断面设计和便利抽样。2013年6月至2014年6月，从成都1家医院招募了134名参与者。本研究使用了以下测量工具：流行病学研究中心抑郁量表、医院焦虑抑郁量表、应对策略简化应对方式问卷和扎里特负担访谈量表。采用分层多元线性回归分析来确定哪些因素与抑郁症状相关。
结果显示，31%的照料者有抑郁症状。治疗费用支付类型（b = -0.312，P < 0.01）、过去3个月内再次入院情况（b = 0.397，P < 0.01）、照料时长（b = -0.213，P < 0.05）、照料者负担（b = 0.299，P < 0.05）、积极应对（b = -0.235，P < 0.01）和消极应对（b = 0.245，P < 0.05）与照料者的抑郁症状相关。这些因素解释了照料者抑郁症状54%的变异。
中国照料者的抑郁症状高于西方国家研究报告中的水平。通过为新照料者（照料时长少于1年）提供支持、减少再次入院、减轻照料者负担以及促进他们的应对策略，可以改善照料者的抑郁症状。
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