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脑卒中患者主要照顾者的焦虑/抑郁与照顾负担之间的关系。

Relationship between the anxiety/depression and care burden of the major caregiver of stroke patients.

作者信息

Hu Ping, Yang Qing, Kong Lingna, Hu Luanjiao, Zeng Lingqiong

机构信息

Department of Neurology, the First Affiliated Hospital of Chongqing Medical University, Chongqing.

School of Nursing, Hunan university of medicine, Huaihua.

出版信息

Medicine (Baltimore). 2018 Oct;97(40):e12638. doi: 10.1097/MD.0000000000012638.

Abstract

To investigate the anxiety/depression of caregivers of stroke patients.This study used a cross-sectional survey design and convenience sampling.Totally, 117 caregivers of stroke patients were enrolled. Data were collected from questionnaires. Hamilton anxiety scale, Hamilton depression scale, and Zarit caregiver burden interview were performed. Multiple linear regression and correlation analysis were used.The anxiety score, depression score and total burden score of 117 stroke caregivers were 16.56 ± 8.02, 18.63 ± 9.39, and 25.88 ± 10.35, respectively. Anxiety symptoms, mild to moderate depressive symptoms, and severe depressive symptoms were found in 43.9%, 26.5%, and 27.4% of the caregivers, respectively. Daily care time and medical payment method were influencing factors for anxiety and depression (P < .05). Both anxiety and depression were positively correlated with total care burden score (P < .01).Anxiety and depression are common in the caregivers of stroke patients and are closely related to care burdens. In this regard, appropriate home care guidance, psychological counseling and social support should be provided to the caregivers to reduce their physical and mental burden.

摘要

调查脑卒中患者照顾者的焦虑/抑郁状况。本研究采用横断面调查设计及便利抽样法。共纳入117名脑卒中患者的照顾者。通过问卷调查收集数据。采用汉密尔顿焦虑量表、汉密尔顿抑郁量表及扎里特照顾者负担访谈量表进行测评。运用多重线性回归及相关性分析。117名脑卒中患者照顾者的焦虑得分、抑郁得分及总负担得分分别为16.56±8.02、18.63±9.39及25.88±10.35。分别有43.9%、26.5%及27.4%的照顾者存在焦虑症状、轻至中度抑郁症状及重度抑郁症状。日常照顾时间及医疗支付方式是焦虑和抑郁的影响因素(P<0.05)。焦虑和抑郁均与总照顾负担得分呈正相关(P<0.01)。焦虑和抑郁在脑卒中患者照顾者中较为常见,且与照顾负担密切相关。对此,应向照顾者提供适当的居家护理指导、心理咨询及社会支持,以减轻其身心负担。

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