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儿科癌症患者照料者的抑郁状况与生活质量

Depression and Quality of Life Among Caregivers of Pediatric Cancer Patients.

作者信息

Alaqeel Meshal, Alkhathaami Fahad, Alshangiti Abdulelah, Alanazi Abdullah, Alothri Meshal A, Alqarni Alwaleed T, Almahmoud Fawaz I, Masuadi Emad

机构信息

Department of Psychiatry, Ministry of National Guard - Health Affairs, Riyadh, SAU.

Research Office, King Abdullah International Medical Research Center, Riyadh, SAU.

出版信息

Cureus. 2022 Apr 18;14(4):e24256. doi: 10.7759/cureus.24256. eCollection 2022 Apr.

DOI:10.7759/cureus.24256
PMID:35602782
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9117091/
Abstract

Background This study aimed to assess the prevalence of depression, depressive symptoms, and quality of life among caregivers of pediatric cancer patients and the associated risk factors. Methodology In total, 73 participants were recruited for this cross-sectional study in King Abdullah Specialist Children Hospital. Two self-administered questionnaires were used, the Patient Health Questionnaire 9 (PHQ9) and World Health Organization Quality of Life (WHOQOL), to assess the depressive symptoms as well as the prevalence of clinical depression and quality of life, respectively. Data were analyzed using SPSS (IBM Corp., Armonk, NY, USA) to assess the level of depression and quality of life and the associated factors using Fisher's exact and Mann-Whitney tests. Results It was found that 90.4% were females and 9.6% were males, with 49.3% being between the ages of 31 and 40. Regarding the level of depression, 47.80% had mild depression. There were no significant associations between the baseline characteristics and the level of depression. Gender was significantly associated with all four domains of quality of life, age was significant in physical health and environmental domains, duration of illness was significant only in the physical health domain, while education level was found to be not significantly associated with any of the domains. Conclusions This study found that nearly half of the participants had mild levels of depression, and the four domains of the WHOQOL were significantly affected by several risk factors. We recommend further research into this topic with larger sample sizes, as well as a follow-up assessment of caregivers for a more accurate representation of caregivers' depression and quality of life. We recommend that in addition to the assessment of pediatric cancer patients, caregivers must also be assessed due to the burden associated with the task of being a caregiver.

摘要

背景 本研究旨在评估小儿癌症患者照料者中抑郁症、抑郁症状及生活质量的患病率以及相关危险因素。

方法 在阿卜杜拉国王专科医院共招募了73名参与者进行这项横断面研究。使用了两份自填式问卷,即患者健康问卷9(PHQ9)和世界卫生组织生活质量问卷(WHOQOL),分别评估抑郁症状以及临床抑郁症患病率和生活质量。使用SPSS(美国纽约州阿蒙克市IBM公司)对数据进行分析,以评估抑郁水平和生活质量以及使用Fisher精确检验和曼-惠特尼检验评估相关因素。

结果 发现90.4%为女性,9.6%为男性,49.3%年龄在31至40岁之间。关于抑郁水平,47.80%有轻度抑郁。基线特征与抑郁水平之间无显著关联。性别与生活质量的所有四个领域均显著相关,年龄在身体健康和环境领域显著相关,疾病持续时间仅在身体健康领域显著相关,而教育水平与任何领域均无显著关联。

结论 本研究发现近一半的参与者有轻度抑郁水平,WHOQOL的四个领域受到几个危险因素的显著影响。我们建议对该主题进行更大样本量的进一步研究,以及对照料者进行随访评估,以更准确地反映照料者的抑郁和生活质量。我们建议除了评估小儿癌症患者外,由于照料者任务带来的负担,还必须对照料者进行评估。