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从重症监护病房转至普通病房的老年患者亲属的照护负担与医院焦虑抑郁之间的关系

The relationship between caregiving burden and hospital anxiety and depression in relatives of elderly patients transferred from intensive care unit to the ward.

作者信息

Turen Sevda, Yildizer Faruk

机构信息

Department of Nursing Faculty of Health Sciences, Istanbul Arel University, Istanbul, Turkey.

Health Sciences University Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training Research Hospital, Istanbul, Turkey.

出版信息

BMC Nurs. 2025 May 26;24(1):589. doi: 10.1186/s12912-025-03250-2.

DOI:10.1186/s12912-025-03250-2
PMID:40420181
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12105152/
Abstract

BACKGROUND

This study was conducted to determine the relationship between caregiving burden and hospital anxiety and depression in relatives of elderly patients transferred from intensive care unit to the ward.

METHODS

This is a descriptive and correlational study. Correlation between caregiving burden and hospital anxiety and depression was assessed by using the "Caregiving Burden Scale (CBS)" and the "Hospital Anxiety and Depression Scale (HADS)".

RESULTS

The mean age of the participants (n = 107) was 47.67 ± 13.02 years. The mean CBS score of the participants was 20.19 ± 10.71. The participants' mean hospital anxiety score was 10.63 ± 4.33, and the mean depression score was 10.46 ± 3.25. The CBS scores of the participants who were women, had children, had difficulty in caregiving, and had patients in internal medicine clinics were found to be statistically significant. The anxiety scores of the participants whose patients were in internal medicine clinics and were semi-dependent were significantly higher. Also, the depression scores of the participants who had difficulty in caregiving were found to be significantly higher (p < 0.05). Positive and a very weak correlation was found between the CBS and anxiety sub-dimensions of HADS, and a similarly weak correlation was found between the CBS and depression sub-dimensions of HADS (r = 0.189, p = 0.006; r = 0.260, p < 0.001, respectively).

CONCLUSION

A positive correlation was found between the caregiving burden in relatives of patients and levels of hospital anxiety and depression.

摘要

背景

本研究旨在确定从重症监护病房转至普通病房的老年患者亲属的照顾负担与医院焦虑症和抑郁症之间的关系。

方法

这是一项描述性相关性研究。使用“照顾负担量表(CBS)”和“医院焦虑抑郁量表(HADS)”评估照顾负担与医院焦虑症和抑郁症之间的相关性。

结果

参与者(n = 107)的平均年龄为47.67±13.02岁。参与者的平均CBS评分为20.19±10.71。参与者的平均医院焦虑评分为10.63±4.33,平均抑郁评分为10.46±3.25。发现女性、有子女、照顾有困难以及在内科门诊有患者的参与者的CBS评分具有统计学意义。患者在内科门诊且为半依赖状态的参与者的焦虑评分显著更高。此外,发现照顾有困难的参与者的抑郁评分显著更高(p < 0.05)。CBS与HADS焦虑子维度之间存在正相关且相关性非常弱,CBS与HADS抑郁子维度之间也存在类似的弱相关性(r = 0.189,p = 0.006;r = 0.260,p < 0.001)。

结论

患者亲属的照顾负担与医院焦虑和抑郁水平之间存在正相关。

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本文引用的文献

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Challenges of the patient transition process from the intensive care unit: a qualitative study.重症监护病房患者过渡过程中的挑战:一项定性研究。
Acute Crit Care. 2021 May;36(2):133-142. doi: 10.4266/acc.2020.00626. Epub 2021 Jan 28.
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Patient and spouses experiences with transition from intensive care unit to hospital ward - qualitative study.患者及其配偶从重症监护病房过渡到医院病房的经历——定性研究
Scand J Caring Sci. 2020 Mar;34(1):206-214. doi: 10.1111/scs.12722. Epub 2019 Jun 17.
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