Atherosclerosis research center, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Behavioral Sciences Research Center, Life Style Institute, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Arch Psychiatr Nurs. 2022 Apr;37:69-75. doi: 10.1016/j.apnu.2021.07.005. Epub 2021 Jul 12.
Many COVID-19 patients with low to moderate disease severity were cared for at home by family members. Caring for relatives with COVID-19 could have a psychiatric disorder for informal caregivers. Therefore, this study aimed to investigate the psychiatric disorders of family caregivers of relatives with COVID-19, in Iran.
This online survey was conducted with 350 family caregivers over 18 years from April to July 2020, which was guided by the STROBE checklist. The study survey consisted of socio-demographic items, 7-items fear of COVID-19 scale, and a 21-item version of the depression, anxiety, and stress scales.
The mean (standard deviation) scores for depression, anxiety, and stress were 20 (0.40), 19.52 (0.39), and 19.72 (0.35), respectively, moreover for fear of COVID-19 was 20.33 (0.43). Of all family caregivers, 77.75%, 75%, and 80% had depression, anxiety, and stress, respectively. Sixty-nine percent of caregivers had fear with moderate to high severity. Being younger, married, having a health-related occupation, not exercising, and high monthly salary were significant predictors of the total score of depression, anxiety, and stress scale (P < 0.05). Further, being married, having a health-related occupation, and not exercising, having comorbidity, high income, and being younger were independent predictors of fear of COVID-19 (P < 0.05). Only 32% and 33% of the variance of total depression, anxiety, and stress, and fear of COVID-19 scores were predicted by the studied variables (p < 0.001).
Our study demonstrated the high prevalence of psychiatric disorders in family caregivers, which requires swift and comprehensive attention from authorities.
许多 COVID-19 轻症和中度患者由家庭成员在家中照顾。照顾 COVID-19 患者的亲属可能会使非专业照护者出现精神障碍。因此，本研究旨在调查伊朗 COVID-19 患者亲属的家庭照护者的精神障碍情况。
本在线调查于 2020 年 4 月至 7 月期间对 350 名 18 岁以上的家庭照护者进行，研究过程遵循 STROBE 清单。研究调查包括社会人口统计学项目、7 项 COVID-19 恐惧量表和 21 项抑郁、焦虑和压力量表。
抑郁、焦虑和压力的平均（标准差）分数分别为 20（0.40）、19.52（0.39）和 19.72（0.35），而 COVID-19 恐惧的分数为 20.33（0.43）。所有家庭照护者中，分别有 77.75%、75%和 80%患有抑郁、焦虑和压力。69%的照护者存在中到高度严重程度的 COVID-19 恐惧。年龄较小、已婚、从事与健康相关的职业、不锻炼和高月薪是抑郁、焦虑和压力量表总分的显著预测因素（P<0.05）。此外，已婚、从事与健康相关的职业和不锻炼、患有合并症、高收入和年龄较小是 COVID-19 恐惧的独立预测因素（P<0.05）。仅 32%和 33%的抑郁、焦虑和压力以及 COVID-19 恐惧总得分的方差可由研究变量预测（p<0.001）。
本研究表明家庭照护者中精神障碍的患病率较高，这需要当局迅速和全面关注。
