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脑瘫患者父母的照顾时间负担和抑郁情况。

Time burden of caring and depression among parents of individuals with cerebral palsy.

机构信息

a Department of Secondary Special Education , Jeonju University , Jeonju , South Korea.

b Department of Home Economics Education , Jeonju University , Jeonju , South Korea.

出版信息

Disabil Rehabil. 2019 Jun;41(13):1508-1513. doi: 10.1080/09638288.2018.1432705. Epub 2018 Jan 30.

Abstract

PURPOSE

The presence of an individual with disability in a family affects the whole family. Families of individuals with cerebral palsy (CP) experience increased psychological anxiety and financial problems; specifically, parents tend to feel time pressure and struggle to maintain their social and cultural activities.

METHODS

t-Tests and ANOVA with post hoc Tukey tests were used to compare caregiving time, time pressure, and depression between parents. Multivariate logistic regression analysis was used to examine the effect of caregiving time and time pressure on depression in parents.

RESULTS

Regarding depression, 58 (38.2%) respondents scored ≥16 on the Center for Epidemiological Studies - Depression scale. Respondents supporting a preschool child spent more time than those supporting adults did; those supporting adults reported less time pressure than those supporting individuals of other ages. Caregiving time's effect on depression was not supported, whereas increased time pressure raised the risk of depression.

CONCLUSIONS

The frequency of depression among parents supporting individuals with CP exceeded preceding findings. Time pressure due to support appears to directly predict depression. Total time spent caring appears unrelated to depression. Implications for Rehabilitation It is necessary to prepare various community and family support systems in order to relieve parental caregivers' burden and exhaustion. Interventions should focus on parents with higher time pressure than parents with high caregiving time. Physical and psychological difficulties experienced by parents supporting a child with a disability vary with the child's life stage, meaning that families' care burden partly depends on the age of the individual with disabilities.

摘要

目的

残疾人在家庭中的存在会影响整个家庭。脑瘫患者(CP)家庭会经历更多的心理焦虑和经济问题;特别是,父母往往会感到时间压力,并努力维持他们的社会和文化活动。

方法

采用 t 检验和事后 Tukey 检验的方差分析比较了父母的照顾时间、时间压力和抑郁情况。采用多变量逻辑回归分析考察了照顾时间和时间压力对父母抑郁的影响。

结果

在抑郁方面,58 名(38.2%)受访者在流行病学研究中心抑郁量表上的得分≥16。支持学龄前儿童的受访者比支持成年人的受访者花费更多的时间;支持成年人的受访者报告的时间压力比支持其他年龄段的人的时间压力小。照顾时间对抑郁的影响没有得到支持,而时间压力的增加则增加了抑郁的风险。

结论

支持 CP 患者的父母中抑郁的发生率超过了之前的发现。由于支持而产生的时间压力似乎直接预测了抑郁。花费的总照顾时间与抑郁无关。

康复的意义

有必要准备各种社区和家庭支持系统,以减轻父母照顾者的负担和疲惫。干预措施应侧重于时间压力较大的父母,而不是照顾时间较长的父母。支持残疾儿童的父母所经历的身心困难因儿童的生命阶段而异,这意味着家庭的照顾负担部分取决于残疾人士的年龄。

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