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埃塞俄比亚南部锡达马地区成年癌症患者主要照料者的抑郁症患病率及相关因素:横断面研究

Prevalence of depression and associated factors among primary caregivers of adult cancer patients, Sidama region Southern Ethiopia: cross-sectional study.

作者信息

Demissie Gulema, Balta Bargude

机构信息

Hawassa University Comprehensive Specialized Hospital Oncology Center, Hawassa, Ethiopia.

出版信息

BMC Nurs. 2024 Jun 6;23(1):384. doi: 10.1186/s12912-024-02061-1.

Abstract

BACKGROUND

The effect of cancer diagnosis affects the psychological well-being of the caregivers of cancer patients and results in a risk of psychiatric morbidity. This study aimed to determine the prevalence and associated factors of depression among primary caregivers of adult cancer patients.

OBJECTIVE

This study aimed to assess the magnitude of depression and associated factors among primary caregivers of adult cancer patients.

METHODOLOGY

Hospital-based cross-sectional study was conducted among primary caregivers of adult cancer patients. The convenient sampling method used to recruit caregivers of cancer patients. The data was collected by using the Amharic version patient health questionnaire and analyzed by SPSS version 25. Descriptive statistics were used to describe the prevalence of depression and bivariable and multivariable regression models were used to determine the net effect of each independent variable on depression.

RESULTS

The overall prevalence of depression among adult cancer patient caregivers was 54.1% (95% CI 47.6, 60.6). Household size < 3; (AOR = 4.5, 95% CI: 1.1-13), Monthly income < 600 (AOR = 2.8, 95% CI:2.5-15.9), Caring hours ≥ 9 (AOR = 9, 95% CI:4-21), Burden level ≥ 20 ;(AOR = 10.7, 95% CI:9.3-11.6) were independent factors of depression among primary caregivers of cancer patients.

CONCLUSION

The results of this study showed a higher prevalence of depressed symptoms among primary caregivers of cancer patients. Long caring hours, small household size, low-income level, and higher burden level were independent factors of caregiver depression, indicating the urgent necessity to investigate and deal with it through interdisciplinary approaches.

摘要

背景

癌症诊断的影响会波及癌症患者照料者的心理健康,并引发精神疾病的患病风险。本研究旨在确定成年癌症患者主要照料者中抑郁症的患病率及相关因素。

目的

本研究旨在评估成年癌症患者主要照料者中抑郁症的严重程度及相关因素。

方法

在成年癌症患者的主要照料者中开展了一项基于医院的横断面研究。采用便利抽样法招募癌症患者的照料者。通过使用阿姆哈拉语版患者健康问卷收集数据,并使用SPSS 25版进行分析。描述性统计用于描述抑郁症的患病率,双变量和多变量回归模型用于确定每个自变量对抑郁症的净效应。

结果

成年癌症患者照料者中抑郁症的总体患病率为54.1%(95%置信区间47.6, 60.6)。家庭规模<3;(调整后比值比=4.5,95%置信区间:1.1 - 13),月收入<600(调整后比值比=2.8,95%置信区间:2.5 - 15.9),照料时长≥9小时(调整后比值比=9,95%置信区间:4 - 21),负担水平≥20;(调整后比值比=10.7,95%置信区间:9.3 - 11.6)是癌症患者主要照料者中抑郁症的独立因素。

结论

本研究结果显示癌症患者主要照料者中抑郁症状的患病率较高。长时间的照料、小家庭规模、低收入水平和较高的负担水平是照料者抑郁的独立因素,这表明迫切需要通过跨学科方法进行调查和处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fef0/11154973/e8b64a6101f2/12912_2024_2061_Fig1_HTML.jpg

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