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宗教参与、抑郁症状与绝症患者照顾者的负担。

Religious Involvement, Depressive Symptoms, and Burden in Caregivers of Terminally Ill Patients.

出版信息

J Hosp Palliat Nurs. 2021 Jun 1;23(3):271-276. doi: 10.1097/NJH.0000000000000754.

Abstract

Caring for terminally ill patients can be emotionally burdensome. Previous research has demonstrated that caregiving is associated with anxiety and depression. Research on caregivers of terminally ill patients is limited by retrospective studies with small samples. This study aimed to (1) describe religiosity, religious coping, and depressive symptoms in caregivers of persons with amyotrophic lateral sclerosis or advanced cancer; (2) examine the relationship between religiosity and depressive symptoms in caregivers of persons with amyotrophic lateral sclerosis or advanced cancer; (3) examine the relationship between religious coping and depressive symptoms in caregivers of persons with amyotrophic lateral sclerosis or advanced cancer. A descriptive exploratory design was used to analyze data from a larger 5-year National Institutes of Health-funded multisite randomized controlled trial (the TAILORED study). Nearly half of the caregivers screened positive for depressive symptoms, and negative religious coping was associated with higher depressive symptoms (P < .001). Spouse caregivers reported higher depressive symptoms than nonspouse caregivers. Many caregivers experienced depression, which was mitigated by positive religious coping.

摘要

照顾绝症患者可能会带来沉重的情绪负担。先前的研究表明,护理工作与焦虑和抑郁有关。对绝症患者护理人员的研究受到小样本回顾性研究的限制。本研究旨在:(1)描述肌萎缩侧索硬化症或晚期癌症患者护理人员的宗教信仰、宗教应对方式和抑郁症状;(2) 研究肌萎缩侧索硬化症或晚期癌症患者护理人员的宗教信仰与抑郁症状之间的关系;(3) 研究宗教应对方式与肌萎缩侧索硬化症或晚期癌症患者护理人员的抑郁症状之间的关系。采用描述性探索性设计,对 5 年 NIH 资助的多中心随机对照试验(TAILORED 研究)的更大数据集进行数据分析。将近一半的护理人员筛查出有抑郁症状,消极的宗教应对方式与更高的抑郁症状相关(P<0.001)。配偶护理人员比非配偶护理人员报告的抑郁症状更高。许多护理人员经历了抑郁,而积极的宗教应对方式减轻了这种症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb77/8095715/c82912d6a16f/nihms-1665279-f0001.jpg

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