Graduate School of Public Health, Kyungpook National University, Daegu 41944, Korea.
Department of Biomedical Informatics, CHA University School of Medicine, Seongnam 13415, Korea.
Int J Environ Res Public Health. 2022 Aug 31;19(17):10878. doi: 10.3390/ijerph191710878.
This study was conducted to determine the degree of depression in family caregivers of spinal-cord-injury patients and to identify factors influencing family caregivers' depression. The final study subjects were 30 (family caregivers: 6 males and 24 females). The CES-D of family caregivers; general characteristics of spinal-cord-injury patients and family caregivers; and information on physical health, household income, leisure, social activity, family relationship, and life-in-general status of family caregiver were collected. A frequency analysis, normality test, Mann-Whitney test, Kruskal-Wallis test, Spearman Correlation analysis, hierarchical regression analysis, and spider network through a path model analysis were performed. As for the general characteristics, when the patient was economically active, the caregiver's depression was mean ± SD; 2.04 ± 0.71; otherwise, it was mean ± SD 2.86 ± 0.74, indicating that the caregiver of the non-economic activity patient was more depressed ( = 0.013). In Model 1 of the multiple regression analysis to understand the effect on the depression of the caregiver, it was confirmed that the depression of the caregiver decreased as the family caregiver had more leisure and social activities (B = -0.718, = 0.001). In Model 2, it was found that the depression of caregivers increased when the patient did not engage in economic activity (B = 0.438, = 0.016). In the spider-web form through the path model analysis, as the family's economic level increased, physical health increased by B = 0.755 ( < 0.001), and the increase in physical health (B = 0.424, = 0.042) was, in turn, a factor in the increase of engagement in leisure and social activities. Various policies will be needed for the successful return to society of spinal-cord-injury patients by ensuring that their leisure and social activities and establishing measures to support their economical income.
本研究旨在确定脊髓损伤患者家属照顾者的抑郁程度，并确定影响家属照顾者抑郁的因素。最终研究对象为 30 人（照顾者：男 6 人，女 24 人）。收集了照顾者的 CES-D；脊髓损伤患者和照顾者的一般特征；以及照顾者的身体健康、家庭收入、休闲、社会活动、家庭关系和一般生活状况的信息。进行了频率分析、正态性检验、Mann-Whitney 检验、Kruskal-Wallis 检验、Spearman 相关分析、层次回归分析和通过路径模型分析的蜘蛛网络。就一般特征而言，当患者经济活跃时，照顾者的抑郁程度为均数±标准差；2.04±0.71；否则，均数±标准差为 2.86±0.74，表明非经济活动患者的照顾者抑郁程度更高（=0.013）。在理解照顾者抑郁的多回归分析模型 1 中，确认随着家庭照顾者有更多的休闲和社会活动，照顾者的抑郁程度降低（B=-0.718，=0.001）。在模型 2 中，发现当患者不从事经济活动时，照顾者的抑郁程度增加（B=0.438，=0.016）。在通过路径模型分析的蛛网形式中，随着家庭经济水平的提高，身体健康程度增加，B=0.755（<0.001），身体健康程度的增加（B=0.424，=0.042）反过来又是参与休闲和社会活动的增加的一个因素。需要制定各种政策，以确保脊髓损伤患者成功回归社会，确保他们有休闲和社会活动，并制定支持他们经济收入的措施。
