Omranifard Victoria, Haghighizadeh Ebrahim, Akouchekian Shahla
Department of Psychiatry, Noor Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
Medical Student, Medical School, Isfahan University of Medical Sciences, Isfahan, Iran.
Adv Biomed Res. 2018 Feb 21;7:34. doi: 10.4103/2277-9175.225924. eCollection 2018.
The most common neurodegenerative disease is dementia. Family of dementia patients says that their lives have been changed extensively after happening of dementia to their patients. One of the problems of family and caregivers is depression of the caregiver. In this study, we aimed to find the prevalence of depression and factors can affect depression in the dementia caregivers.
This study was cross-sectional study with convenient sampling method. Our society was 96 main caregivers of dementia patients in the year 2015 in Iran. We had two questionnaires, a demographic and Beck Depression Inventory (BDI). BDI Cronbach's alpha is 0.86 for psychiatric patients and 0.81 for nonpsychiatric persons, and Beck's scores are between 0 and 64. We used SPSS version 22 for statistical analysis.
According to Beck depression test, 69.8% ( = 67 out of 96) of all caregivers had scores in the range of depression. In bivariate analysis, we found higher dementia severity and lower support of other family members from the caregiver can predict higher depression in the caregiver. As well, in regression analysis using GLM model, we found higher age and lower educational level of the caregiver can predict higher depression in the caregiver. Moreover, regression analysis approved findings about severity and support of other family members in bivariate analysis.
High-level depression is found in caregivers of dementia patients. It needs special attention from healthcare managers, clinicians and all of health-care personnel who deals with dementia patients and their caregivers.
最常见的神经退行性疾病是痴呆症。痴呆症患者的家属表示,自患者患上痴呆症后,他们的生活发生了巨大变化。家属和护理人员面临的问题之一是护理人员的抑郁情绪。在本研究中,我们旨在找出痴呆症护理人员中抑郁症的患病率以及可能影响抑郁症的因素。
本研究采用方便抽样法进行横断面研究。我们的研究对象是2015年伊朗96名痴呆症患者的主要护理人员。我们使用了两份问卷,一份是人口统计学问卷,另一份是贝克抑郁量表(BDI)。BDI在精神病患者中的克朗巴哈系数为0.86,在非精神病患者中为0.81,贝克评分在0至64分之间。我们使用SPSS 22版进行统计分析。
根据贝克抑郁测试,所有护理人员中有69.8%(96人中67人)的抑郁得分在该范围内。在双变量分析中,我们发现痴呆症严重程度越高以及护理人员从其他家庭成员获得的支持越少,可预测护理人员的抑郁程度越高。同样,在使用广义线性模型(GLM)的回归分析中,我们发现护理人员年龄越大、教育水平越低,可预测护理人员的抑郁程度越高。此外,回归分析证实了双变量分析中关于痴呆症严重程度和其他家庭成员支持情况的研究结果。
在痴呆症患者的护理人员中发现了高水平的抑郁。这需要医疗保健管理人员、临床医生以及所有与痴呆症患者及其护理人员打交道的医护人员给予特别关注。