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尼泊尔勒利德布尔精神医院就诊精神疾病患者照顾者的焦虑和抑郁评估。

Assessment of Anxiety and Depression among Caregivers of Mentally Ill Patients Attending Mental Hospital, Lalitpur, Nepal.

机构信息

Department of Public Health, Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal.

出版信息

J Nepal Health Res Counc. 2021 Jan 21;18(4):702-708. doi: 10.33314/jnhrc.v18i4.3006.

DOI:10.33314/jnhrc.v18i4.3006
PMID:33510514
Abstract

BACKGROUND

Family take the role of caregivers and provide the mentally ill member with help, care and support. Caregivers are at the high risk to anxiety and depression. The main objective of the research was to assess anxiety and depressive status among caregivers of mentally ill patients attending Mental Hospital, Lalitpur, Nepal.

METHODS

A cross sectional study based on clinical setting was conducted among 184 caregivers of mentally ill patients attending outpatient department of Mental Hospital, Lagankhel, Lalitpur, Nepal. Purposive sampling technique was used for the study. Pre-tested semi-structured questionnaire and validated Nepali translated version of hospital anxiety and depression scale was used to assess anxiety and depressive status among caregivers. The collected data was entered in Microsoft Excel 2013 and data analysis was done in Statistical Package for Social Sciences (SPSS) international business machine version 25. Ethical consideration was maintained during the study.

RESULTS

Anxiety and depressive symptoms among caregivers of mentally ill patients was 24.5% and 19.6% respectively. Risk factors significantly associated with anxiety and depressive symptoms in caregivers were sex of caregiver, socio-economic status and sex of patient. Types of mental illness of patient was also significantly associated with anxiety while educational status was significantly associated with depressive symptoms in caregivers.

CONCLUSIONS

Anxiety and depressive symptoms were found among caregivers of mentally ill patients. It is high time to consider mental health of caregiver and mental health promotion programs and policies for caregivers should be implemented.

摘要

背景

家庭在照顾精神疾病患者方面发挥着重要作用,为患者提供帮助、关怀和支持。然而,照顾者自身也面临着较高的焦虑和抑郁风险。本研究旨在评估尼泊尔拉利特布尔精神病院门诊就诊的精神疾病患者照顾者的焦虑和抑郁状况。

方法

本研究采用基于临床环境的横断面研究设计,对尼泊尔拉利特布尔拉根基尔精神病院门诊就诊的 184 名精神疾病患者照顾者进行了研究。采用目的抽样法进行了抽样。使用经过预测试的半结构式问卷和经过验证的尼泊尔语翻译版医院焦虑和抑郁量表评估了照顾者的焦虑和抑郁状况。收集的数据录入到 Microsoft Excel 2013 中,并使用统计软件包(SPSS)进行数据分析。在研究过程中,我们遵循了伦理原则。

结果

精神疾病患者照顾者的焦虑和抑郁症状发生率分别为 24.5%和 19.6%。与照顾者的焦虑和抑郁症状显著相关的风险因素包括照顾者的性别、社会经济地位和患者的性别。患者的精神疾病类型也与焦虑显著相关,而照顾者的教育程度则与抑郁症状显著相关。

结论

精神疾病患者照顾者中存在焦虑和抑郁症状。现在是时候考虑照顾者的心理健康了,应该实施针对照顾者的心理健康促进计划和政策。

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