住院癌症病人家庭主要照顾者压力负荷与抑郁的关联研究

Study on relationship between pressure load and depressi on of primary family caregivers of inpatients with cancer

[目的]了解癌症病人家庭主要照顾者(the primary family caregivers,PFCs)的照顾压力负荷与抑郁状况,探讨两者之间的相互关系。[方法]对502例癌症病人的PFCs采用流调中心用抑郁量表(CES-D)和照顾者反应评估量表(CRA)评估PFCs的照顾反应和抑郁情绪。[结果]PFCs抑郁情绪检出率为38.84%,与照顾者反应各维度显著相关,与自尊维度呈负相关,与其他维度呈正相关,抑郁组与非抑郁组压力负荷差异有统计学意义。[结论]PFCs压力负荷与抑郁情绪密切相关,互为影响,自尊维度为抑郁的保护性因素,医务人员应加强PFCs照护能力的评估与培训,促进PFCs的积极体验,以降低照顾反应及缓解抑郁情绪。

Abstract Objective. To know about the condition of depression and pressure load of the primary family care- givers（PFCs） of patients with cancer, so as to probe into the relationship between them. Methods： The PFCs of 502 cancer patients were evaluated by using CES- D（Center for Epidemiological Studies Depression Scale） and CRA （Caregiver Reaction Assessment Scales）on their depression emotional state and load. Results： The detection rate of PFCs depression was 38.84% ,which was significantly correlated with all dimensions of their care reac- tion, was negative correlated with self - esteem,positive correlated with other dimensions. There was statistical significant difference in pressure load between depression group and non depression group. Conclusion. PFCs pressure overload is closely related with depression. Mutual influence. Self - esteem dimension is a protective factor of depression. Medical personnel should strengthen the evaluation and training of PFCs care ability,so as to promote the positive experience of PFCs and to reduce the care reactions and relieve depression.