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接受血液透析患者的家庭照顾者所感知的压力、焦虑和抑郁水平及其与生活质量的关联。

The perceived levels of stress, anxiety and depression among family caregivers of patients undergoing haemodialysis and their association with quality of life.

作者信息

Al Maqbali Aisha, Al Omari Omar, Abu Sharour Loai, Al-Naamani Zakariya, Al Khatri Mahmood, Sanad Hala Mohamed, Al Hashmi Iman, Alkhawaldeh Abdullah, Al Qadire Mohammad, Al Omari Domam

机构信息

Faculty of Nephrology programme, Higher Institute of Health Specialties, Muscat, Oman.

College of Nursing, Sultan Qaboos University, Muscat, Oman.

出版信息

BJPsych Open. 2025 May 13;11(3):e100. doi: 10.1192/bjo.2025.44.

Abstract

BACKGROUND

Acknowledging the impact of chronic kidney disease on caregivers' quality of life (QoL) and psychological well-being has become a global priority, highlighting the need for supportive interventions specifically aimed at caregivers.

AIMS

This study aimed to assess the prevalence of stress, anxiety and depression among family caregivers of Omani patients undergoing haemodialysis and to explore its association with QoL.

METHOD

The study employed a cross-sectional design. A sample of 326 participants completed the study's surveys, including the Depression Anxiety Stress Scale, WHOQOL-BREF scale and a demographic scale.

RESULTS

The survey indicated that 68.4% of the participant caregivers experienced varying degrees of depression. In addition, 48.4% of caregivers reported experiencing stress levels ranging from mild to extremely severe. For anxiety, 65.6% ( = 214) of caregivers noted varying levels, from mild to extremely severe anxiety. Significant negative associations were found among caregiver age, number of chronic illnesses, number of medications, daily hours spent on caregiving, physical health, stress, anxiety and depression, on the one hand, and the physical domain of QoL, on the other hand. Regarding the psychological domain of QoL, significant negative associations were observed with daily caregiving hours, physical health, stress, anxiety and depression.

CONCLUSION

This study highlights the significant psychological burden faced by caregivers of patients undergoing haemodialysis. Systematic screening and practical interventions, such as support groups and mental health programmes, are essential to improve caregiver well-being. Future research should explore the effectiveness of these interventions and the long-term impact of caregiving.

摘要

背景

认识到慢性肾脏病对照顾者生活质量(QoL)和心理健康的影响已成为全球优先事项,这凸显了针对照顾者采取支持性干预措施的必要性。

目的

本研究旨在评估阿曼接受血液透析患者的家庭照顾者中压力、焦虑和抑郁的患病率,并探讨其与生活质量的关联。

方法

本研究采用横断面设计。326名参与者完成了研究调查,包括抑郁焦虑压力量表、世界卫生组织生活质量简表(WHOQOL-BREF)和人口统计学量表。

结果

调查显示,68.4%的参与照顾者经历了不同程度的抑郁。此外,48.4%的照顾者报告压力水平从轻度到极其严重。就焦虑而言,65.6%(n = 214)的照顾者指出存在从轻度到极其严重的不同程度焦虑。一方面,在照顾者年龄、慢性病数量、药物数量、每日照顾时长、身体健康、压力、焦虑和抑郁与另一方面的生活质量身体领域之间发现了显著的负相关。关于生活质量的心理领域,观察到与每日照顾时长、身体健康、压力、焦虑和抑郁存在显著负相关。

结论

本研究突出了接受血液透析患者的照顾者所面临的重大心理负担。系统筛查和实际干预措施,如支持小组和心理健康项目,对于改善照顾者的幸福感至关重要。未来的研究应探索这些干预措施的有效性以及照顾的长期影响。

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