Department of Burn and Plastic Surgery, The First Hospital of Hebei Medical University, Shijiazhuang, China.
Int Wound J. 2023 May;20(5):1448-1458. doi: 10.1111/iwj.14000. Epub 2023 Jan 30.
The present study aimed to explore the association between mental health condition of caregivers and mental health of burn injury patients. Totally 300 burn injury patients and 300 caregivers were enrolled. These two cohorts of patients were randomly allocated to study group and control group (150 patients and 150 caregivers in each group). The mental health condition of patients and caregivers was evaluated both before and after psychological interventions. There was a significant reduction of the self-rating depression scale (SDS) and self-rating anxiety scale (SAS) of patients in the study group and control group after intervention (28.23 ± 4.98 vs 32.21 ± 5.01, P < 0.001; 28.18 ± 5.01 vs 31.18 ± 5.04, P < 0.001). The corresponding indexes of caregivers showed similar results before (SDS: 47.03 ± 4.41 vs 46.98 ± 4.39, P = 0.922; SAS: 47.01 ± 4.31 vs 46.93 ± 4.35, P = 0.873) and after intervention (21.76 ± 4.23 vs 38.98 ± 4.09, P < 0.001; SAS: 21.02 ± 4.09 vs 38.65 ± 4.04, P < 0.001). The SDS score of patients in study group was positively correlated with the SDS and SAS score of caregivers (r = 0.418 and 0.218, P = 0.003 and 0.012). The SAS score of patients in the study group was also positively correlated with the SDS and SAS scores of caregivers (r = 0.107 and 0.761, P = 0.029 and 0.018). Multiple linear regression showed that age, education and time of care per day were the independent variables associated with mental health condition of caregivers in the study group (P < 0.05). Mental health condition of caregivers was closely related to the mental health of patients. Age, education and time of care per day were the independent variables associated with mental health condition of caregivers.
本研究旨在探讨照顾者的心理健康状况与烧伤患者心理健康之间的关系。共纳入 300 名烧伤患者和 300 名照顾者。这两组患者被随机分配到研究组和对照组（每组 150 名患者和 150 名照顾者）。在心理干预前后，评估了患者和照顾者的心理健康状况。研究组和对照组患者的自评抑郁量表（SDS）和自评焦虑量表（SAS）评分在干预后均显著降低（28.23±4.98 与 32.21±5.01，P<0.001；28.18±5.01 与 31.18±5.04，P<0.001）。照顾者的相应指标在干预前也有类似的结果（SDS：47.03±4.41 与 46.98±4.39，P=0.922；SAS：47.01±4.31 与 46.93±4.35，P=0.873）和干预后（SDS：21.76±4.23 与 38.98±4.09，P<0.001；SAS：21.02±4.09 与 38.65±4.04，P<0.001）。研究组患者的 SDS 评分与照顾者的 SDS 和 SAS 评分呈正相关（r=0.418 和 0.218，P=0.003 和 0.012）。研究组患者的 SAS 评分也与照顾者的 SDS 和 SAS 评分呈正相关（r=0.107 和 0.761，P=0.029 和 0.018）。多元线性回归显示，年龄、教育程度和每日护理时间是研究组照顾者心理健康状况的独立相关因素（P<0.05）。照顾者的心理健康状况与患者的心理健康密切相关。年龄、教育程度和每日护理时间是与照顾者心理健康状况相关的独立变量。
