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COVID-19 大流行对受益于神经康复服务的儿童照顾者焦虑和抑郁水平的影响。

Impact of the COVID-19 Pandemic on the Level of Anxiety and Depression in Caregivers of Children Benefiting from Neurorehabilitation Services.

机构信息

Institute of Health Sciences, Medical College, University of Rzeszow, 35-310 Rzeszow, Poland.

出版信息

Int J Environ Res Public Health. 2023 Mar 4;20(5):4564. doi: 10.3390/ijerph20054564.

Abstract

INTRODUCTION

At the turn of March and April 2020, due to the occurrence of COVID-19 in Poland, the first restrictions on the provision of rehabilitation services were introduced. Nevertheless, caregivers strived to ensure that their children could benefit from rehabilitation services.

AIM OF THE STUDY

To determine which of the selected data presented in the media reflecting the intensity of the COVID-19 epidemic in Poland differentiated the level of anxiety and depression in caregivers of children benefiting from neurorehabilitation services.

MATERIAL AND METHODS

The study group consisted of caregivers of children ( = 454) receiving various neurorehabilitation services in the inpatient ward of Neurological Rehabilitation of Children and Adolescents ( = 200, 44%), in the Neurorehabilitation Day Ward ( = 168, 37%), and in the Outpatient Clinic ( = 86, 19%) of the Clinical Regional Rehabilitation and Education Center in Rzeszow. The average age of the respondents was 37.23 ± 7.14 years. The Hospital Anxiety and Depression Scale (HADS) was used to measure the severity of anxiety and depression in caregivers of children. The questionnaires were distributed from June 2020 to April 2021. As a measure of the severity of the COVID-19 epidemic in Poland, the figures presented in the media were adopted. In addition, data on the COVID-19 pandemic presented in the media (Wikipedia, TVP Info, Polsat Nes, Radio Zet) on the day preceding the completion of the survey were analyzed based on statistical analysis methods.

RESULTS

73 of the surveyed caregivers (16.08%) suffered from severe anxiety disorders, and 21 (4.63%) from severe depressive disorders. The average severity of anxiety (HADS) in the subjects was 6.37 points, and the average severity of depression was 4.09 points. There was no statistically significant relationship between the data presented in the media-such as daily number of infections, total number of infections, daily number of deaths, total number of deaths, total number of recoveries, number of hospitalizations, and people under quarantine-and the level of anxiety and depression of the studied caregivers ( > 0.05).

CONCLUSIONS

It was not found that the selected data presented in the media, showing the intensity of the COVID-19 epidemic in Poland, significantly differentiated the level of anxiety and depression among caregivers of children using neurorehabilitation services. Their motivation to continue the treatment, caused by concern for their children's health, resulted in less severe symptoms of anxiety and depression during the peak period of the COVID-19 pandemic.

摘要

简介

2020 年 3 月至 4 月之交,由于波兰发生 COVID-19 疫情,首次对康复服务的提供实施了限制。尽管如此,护理人员仍努力确保他们的孩子能够受益于康复服务。

目的

确定反映波兰 COVID-19 疫情强度的所选数据中,哪些数据可以区分接受神经康复服务的儿童的护理人员的焦虑和抑郁程度。

材料与方法

研究组由在罗兹临床区域康复和教育中心的儿童神经病学康复住院病房(=200 人,44%)、神经康复日间病房(=168 人,37%)和门诊诊所(=86 人,19%)接受各种神经康复服务的儿童的护理人员组成。受访者的平均年龄为 37.23±7.14 岁。采用医院焦虑和抑郁量表(HADS)测量儿童护理人员的焦虑和抑郁严重程度。问卷调查于 2020 年 6 月至 2021 年 4 月发放。作为波兰 COVID-19 疫情严重程度的衡量标准,采用了媒体报道的数据。此外,根据统计分析方法,对调查完成前一天媒体报道的 COVID-19 大流行相关数据(维基百科、TVPInfo、PolsatNes、RadioZet)进行了分析。

结果

73 名被调查的护理人员(16.08%)患有严重的焦虑症,21 名(4.63%)患有严重的抑郁症。研究对象的平均焦虑程度(HADS)为 6.37 分,平均抑郁程度为 4.09 分。媒体报道的数据(如每日感染人数、总感染人数、每日死亡人数、总死亡人数、总康复人数、住院人数和隔离人数)与研究中护理人员的焦虑和抑郁程度之间没有统计学上的显著关系(>0.05)。

结论

未发现波兰媒体报道的 COVID-19 疫情强度的所选数据明显区分了接受神经康复服务的儿童的护理人员的焦虑和抑郁水平。他们对孩子健康的关注促使他们继续治疗,这导致在 COVID-19 大流行高峰期焦虑和抑郁症状较轻。

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