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菲律宾收治新冠病毒疾病患者的医院和隔离设施中患者家属的心理社会困扰:一项前瞻性队列研究

Psychosocial Distress among Family Members of COVID-19 Patients Admitted to Hospital and Isolation Facilities in the Philippines: A Prospective Cohort Study.

作者信息

Apostol-Nicodemus Leilanie, Tabios Ian Kim B, Limpoco Anna Guia O, Domingo Gabriele Dominique P, Tantengco Ourlad Alzeus G

机构信息

Department of Family and Community Medicine, University of the Philippines-Philippine General Hospital, Taft Avenue, Manila 1000, Philippines.

Institute of Biology, College of Science, University of the Philippines Diliman, Quezon City 1101, Philippines.

出版信息

J Clin Med. 2022 Sep 5;11(17):5236. doi: 10.3390/jcm11175236.

Abstract

This study determined the psychosocial impact of COVID-19 on families of adult COVID-19 patients in isolation facilities in Metro Manila, Philippines. This prospective cohort study was conducted in COVID-19 healthcare facilities. Data collection was undertaken 2 weeks and 8 weeks after discharge. Logistic regression was performed to determine the socioeconomic and clinical factors influencing anxiety, depression, and family function. Based on HADS-P, 43.2% of the participants had anxiety symptoms, and 16.2% had depression symptoms 2 weeks after the discharge of their relative with COVID-19 infection. The prevalence of anxiety and depression significantly decreased to 24.3% and 5.4%, respectively, 8 weeks after discharge. The percentage of participants with a perceived moderate family dysfunction was 9.5% in the 2nd week and 6.8% in the 8th week post discharge. Participants with perceived severe family dysfunction increased from none to 4.1%. The most inadequate family resources for the participants were economic, medical, and educational resources. Patient anxiety ( = 0.010) and perceived inadequate family resources ( = 0.032) were associated with anxiety symptoms among family members. Patient anxiety ( = 0.013) and low educational attainment ( = 0.002) were associated with anxiety symptoms among family members 8 weeks after discharge. On the other hand, patient depression ( = 0.013) was a factor related to depressive symptoms among family members 2 weeks after discharge. This study provided an in-depth understanding of the mental health status of family members caring for relatives with COVID-19 infection. This can be used to guide healthcare professionals caring for COVID-19 patients and their family members.

摘要

本研究确定了新冠疫情对菲律宾马尼拉大都会隔离设施中成年新冠患者家庭的社会心理影响。这项前瞻性队列研究在新冠医疗设施中进行。出院后2周和8周进行数据收集。采用逻辑回归分析来确定影响焦虑、抑郁和家庭功能的社会经济及临床因素。根据医院焦虑抑郁量表-患者版(HADS-P),在其感染新冠的亲属出院2周后,43.2%的参与者有焦虑症状,16.2%有抑郁症状。出院8周后,焦虑和抑郁的患病率分别显著降至24.3%和5.4%。出院后第2周,感觉家庭功能中度失调的参与者比例为9.5%,第8周为6.8%。感觉家庭功能严重失调的参与者从无增加到4.1%。对参与者来说,最匮乏的家庭资源是经济、医疗和教育资源。患者焦虑(P = 0.010)和感觉家庭资源不足(P = 0.032)与家庭成员的焦虑症状有关。出院8周后,患者焦虑(P = 0.013)和低教育程度(P = 0.002)与家庭成员的焦虑症状有关。另一方面,患者抑郁(P = 0.013)是出院2周后家庭成员抑郁症状的相关因素。本研究深入了解了照顾新冠感染亲属的家庭成员的心理健康状况。这可用于指导照顾新冠患者及其家庭成员的医护人员。

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