Eriku Getachew Azeze, Bekele Gebremariam, Yitayal Melisew Mekie, Belete Yihalem, Girma Yisak
Department of Physiotherapy, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Physiotherapy, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Neuropsychiatr Dis Treat. 2023 Jul 28;19:1675-1684. doi: 10.2147/NDT.S418074. eCollection 2023.
Stroke is one of the leading causes of severe disability and functional limitation, which are reasons for being dependent on their family for daily activities and participation in social affairs. After discharge from the hospital, most stroke survivors require physical, psychosocial, and financial support from caregivers at home, which is one of the most stressful events for families. The stroke survivors and their caregivers may influence each other during the caregiving process and social life. The stroke survivor's disability and depressive symptoms affect the quality of life of the survivor and their caregivers. Therefore, the purpose of this study was to assess the prevalence and associated factors of depression among caregivers of stroke survivors.
An institution-based, cross-sectional study was conducted in Amhara regional state tertiary hospitals. A systematic random sampling technique was employed to select 424 participants. The data were collected using an interviewer-administered and chart-reviewed structured questionnaire. The Patient Health Questionnaire-9 (PHQ-9) was used to assess depression. Univariable and multivariable logistic regression analyses were performed to identify factors associated with depression. Adjusting the odds ratio with the corresponding 95% confidence interval and variables with a P-value < 0.05 was considered significantly associated with depression.
The overall prevalence of depressive symptoms was 65.6% (95% CI: 60.8-69.8). Being female, older than 40, having no formal education, having a low family monthly income, being the son or daughter, and spending more than six hours per day were associated with depression.
We found that depression was prevalent among primary caregivers of stroke survivors. To reduce the risk of developing depression, policymakers should fully recognize the role of caregivers in caring for stroke patients. More attention should be given to caregivers who are female, elderly, have a low income, are sons or daughters, and spend a long time caring per day.
中风是导致严重残疾和功能受限的主要原因之一，这些是中风患者在日常生活活动和参与社会事务方面依赖家人的原因。出院后，大多数中风幸存者需要家中照料者提供身体、心理社会和经济支持，这是家庭面临的压力最大的事件之一。中风幸存者及其照料者在照料过程和社会生活中可能会相互影响。中风幸存者的残疾和抑郁症状会影响幸存者及其照料者的生活质量。因此，本研究的目的是评估中风幸存者照料者中抑郁症的患病率及相关因素。
在阿姆哈拉州地区三级医院进行了一项基于机构的横断面研究。采用系统随机抽样技术选取424名参与者。通过访谈员实施和查阅病历的结构化问卷收集数据。使用患者健康问卷-9（PHQ-9）评估抑郁症。进行单变量和多变量逻辑回归分析以确定与抑郁症相关的因素。将比值比调整为相应的95%置信区间，P值<0.05的变量被认为与抑郁症显著相关。
抑郁症状的总体患病率为65.6%（95%CI：60.8-69.8）。女性、年龄超过40岁、未接受过正规教育、家庭月收入低、是儿子或女儿以及每天照料时间超过6小时与抑郁症相关。
我们发现中风幸存者的主要照料者中抑郁症很普遍。为降低患抑郁症的风险，政策制定者应充分认识到照料者在照顾中风患者中的作用。应更多关注女性、老年人、低收入、是儿子或女儿且每天照料时间长的照料者。
