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沙特阿拉伯吉达老年患者照顾者抑郁的决定因素:一项横断面研究。

Determinants of Depression in Caregivers of Geriatric Patients in Jeddah, Saudi Arabia: A Cross-Sectional Study.

机构信息

Department of Family and Community Medicine, University of Jeddah, Jeddah 21589, Saudi Arabia.

Faculty of Medicine, University of Jeddah, Jeddah 21589, Saudi Arabia.

出版信息

Medicina (Kaunas). 2024 Aug 22;60(8):1368. doi: 10.3390/medicina60081368.

DOI:10.3390/medicina60081368
PMID:39202649
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11356660/
Abstract

: Caregiving for geriatric patients is essential for ensuring the well-being and quality of life of older adults. Family caregivers play a crucial role, but they often face a significant burden that can lead to adverse mental health outcomes, including depression. This study aimed to estimate the prevalence of depression among caregivers of geriatric patients in Jeddah, Saudi Arabia, and to analyze its association with caregiver burden and various socio-demographic and caregiving parameters. : A cross-sectional study was conducted in Jeddah, Saudi Arabia, between January and March 2024. Adult caregivers of geriatric patients were recruited through various social media platforms. Data were collected via an electronic questionnaire that included demographic information, caregiving parameters, the Patient Health Questionnaire-9 (PHQ-9) for depression screening, and the Zarit Burden Interview (ZBI-12) for caregiver burden assessment. Data were analyzed using descriptive statistics, chi-square tests, and multivariate logistic regression. : Of the 269 participants, the average age was 32 years, and the gender distribution was nearly balanced. The prevalence of depression (PHQ-9 score ≥ 10) among caregivers was 45.4% (95% CI: 39.3, 51.5%). Significant factors associated with higher depression scores included younger age, female gender, single status, being a student, low income, and caregiving burden. In the multivariate analysis, female gender (OR 2.50, 95% CI 1.30-4.80) and caregiving burden (mild-to-moderate burden: OR 6.18, 95% CI 2.94-13.00; high burden: OR 22.75, 95% CI 8.75-59.13) were independent predictors of depression. : The study highlights the high prevalence of depression among caregivers of geriatric patients in Jeddah and underscores the significant impact of caregiving burden on mental health. These findings emphasize the need for targeted interventions, such as mental health support, respite care programs, and culturally sensitive educational training, to mitigate caregiver burden and enhance the well-being of caregivers.

摘要

: 照顾老年患者对于确保老年人的福祉和生活质量至关重要。家庭照顾者发挥着关键作用,但他们往往面临着巨大的负担,这可能导致不良的心理健康后果,包括抑郁。本研究旨在估计沙特阿拉伯吉达老年患者照顾者中抑郁的患病率,并分析其与照顾者负担以及各种社会人口学和照顾参数的关联。: 这是一项在沙特阿拉伯吉达进行的横断面研究,时间为 2024 年 1 月至 3 月。通过各种社交媒体平台招募老年患者的成年照顾者。通过电子问卷收集数据,问卷包括人口统计学信息、照顾参数、用于抑郁筛查的患者健康问卷-9(PHQ-9)和用于照顾者负担评估的 Zarit 负担访谈(ZBI-12)。使用描述性统计、卡方检验和多变量逻辑回归分析数据。: 在 269 名参与者中,平均年龄为 32 岁,性别分布几乎平衡。照顾者中抑郁的患病率(PHQ-9 评分≥10)为 45.4%(95%CI:39.3,51.5%)。与较高抑郁评分相关的显著因素包括年龄较小、女性、单身、学生、低收入和照顾负担。在多变量分析中,女性(OR 2.50,95%CI 1.30-4.80)和照顾负担(轻度至中度负担:OR 6.18,95%CI 2.94-13.00;高负担:OR 22.75,95%CI 8.75-59.13)是抑郁的独立预测因素。: 该研究强调了吉达老年患者照顾者中抑郁的高患病率,并强调了照顾负担对心理健康的重大影响。这些发现强调了需要有针对性的干预措施,例如心理健康支持、暂息照顾计划和文化敏感的教育培训,以减轻照顾者负担并增强照顾者的幸福感。

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