Liang Yao-Dan, Wang Ya-Li, Li Zhi, He Li, Xu Ying, Zhang Qing, You Gui-Ying, Mi Xu-Hua
Department of Cardiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Department of Nephrology, West China Hospital, Sichuan University, No. 37, Guo Xue Xiang, Chengdu, Sichuan, 610041, China.
BMC Public Health. 2017 Jul 25;18(1):53. doi: 10.1186/s12889-017-4563-6.
Caregiving burden and depression in family caregivers have been investigated, but little is known about how they affect paid caregivers. The aim of this study was to investigate caregiving burden and depression in paid caregivers of hospitalized patients.
A cross-sectional survey study was conducted in a tertiary referral hospital (Chengdu, China) that enrolled 108 paid caregivers who worked in the inpatient department. The Caregiver Burden Inventory (CBI) and the Center for Epidemiologic Studies Depression (CES-D) scale were incorporated into a self-developed questionnaire to gather demographic information on the following four aspects: general, work, income, and family.
The mean total CBI score was 29.7 ± 12.5. The time-dependence burden had the highest score of 15.3 ± 4.0, which was followed by the physical burden score of 6.5 ± 4.6, developmental burden score of 3.7 ± 4.0, social burden score of 3.2 ± 4.0, and emotional burden score of 2.4 ± 3.1. Multiple linear regression analysis showed that a higher CBI was associated with a longer time as a paid caregiver [β=7.041, 95% Confidence Interval (CI):1.935 to 12.974, p = 0.009], lower income satisfaction (β= - 6.573, 95% CI: -11.248 to -3.020, p = 0.001), and higher frequency of meeting with their relatives (β=7.125, 95% CI: 2.019 to 12.456, p = 0.006). The mean CES-D score was 11.9 ± 8.7, and significant depression was found in 28 (25.9%) paid caregivers according to the CES-D score ≥ 16 cut-off. There was a moderate positive correlation between the CBI and CES-D scores (Pearson's r = 0.452, p < 0.001).
A high caregiving burden was commonly observed in paid caregivers of hospitalized patients in China, as was a high prevalence of depression symptoms. Several associated factors were identified that could be areas for future interventions.
家庭照顾者的照顾负担和抑郁情况已得到研究，但对于这些因素如何影响有偿照顾者却知之甚少。本研究旨在调查住院患者的有偿照顾者的照顾负担和抑郁情况。
在一家三级转诊医院（中国成都）开展了一项横断面调查研究，纳入了108名在住院部工作的有偿照顾者。将照顾者负担量表（CBI）和流行病学研究中心抑郁量表（CES-D）纳入一份自行编制的问卷，以收集以下四个方面的人口统计学信息：一般情况、工作、收入和家庭。
CBI总分的平均值为29.7±12.5。时间依赖性负担得分最高，为15.3±4.0，其次是身体负担得分6.5±4.6、发展性负担得分3.7±4.0、社会负担得分3.2±4.0和情感负担得分2.4±3.1。多元线性回归分析显示，CBI得分较高与作为有偿照顾者的时间较长[β=7.041，95%置信区间（CI）：1.935至12.974，p=0.009]、收入满意度较低（β=-6.573，95%CI：-11.248至-3.020，p=0.001）以及与亲属见面的频率较高（β=7.125，95%CI：2.019至12.456，p=0.006）相关。CES-D得分的平均值为11.9±8.7，根据CES-D得分≥16的临界值，28名（25.9%）有偿照顾者存在明显抑郁。CBI和CES-D得分之间存在中度正相关（Pearson相关系数r=0.452，p<0.001）。
在中国，住院患者的有偿照顾者普遍存在较高的照顾负担，抑郁症状的患病率也较高。确定了几个相关因素，可作为未来干预的方向。
