摘要
目的:了解维吾尔族、哈萨克族居家失能老年人照护者抑郁情绪检出率,探讨居家照护者抑郁情绪的相关因素及照护负担与社会支持间的交互作用。方法:采用多阶段分层整群抽样选取新疆维吾尔族、哈萨克族居家老年人,采用日常生活能力量表(Katz ADL)筛选出符合纳入标准的失能老年人621名(年龄≥60岁,Katz ADL得分≥17分),将其照护者按照纳入标准作为研究对象。用抑郁自评量表(SDS)、照护负担(ZBI)、社会支持量表(SSRS)评估居家失能老年人照护者的抑郁情绪、照护负担和社会支持状况。采用多因素logistic回归分析探讨居家照护者抑郁情绪的危险性因素和保护性因素。结果:维吾尔族、哈萨克族居家失能老年人照护者抑郁情绪检出率为38%。多因素logistic回归分析显示,有照护负担(OR=2.18)、每日照护时间≥8 h(OR=2.35)、照护年限≥5年(OR=1.98)、自评健康状况差(OR=1.93)是居家失能老年人照护者抑郁情绪的危险因素(P<0.05);高社会支持水平(OR=0.41)、家庭人均月收入>1500元(OR=0.43)、照护老年人花费少(OR=0.45)是居家失能老年人照护者抑郁情绪的保护性因素(P<0.05)。照护负担与社会支持水平之间存在交互作用,交互作用相对超额危险度(RERI)为0.72,交互作用归因危险比(API)为34.1%,交互作用指数(S)为2.84。结论:维吾尔族、哈萨克族居家失能老年人照护者的抑郁情绪检出率较低;居家失能老年人照护者抑郁情绪的相关因素主要来自于照护者方面。
Objective ： To explore the prevalence rate and the related factors of depression emotions in family caregivers of the Uygur and Kazak dysfunctional elders in Xinjiang, and discuss the interaction effect between caregiver burden and social support on family caregivers depression emotions. Methods： Totally 621 Uyghur and Kazak dysfunctional elders aged above 60 years old with KatzADL scores greater than 17 points were evaluated with Katz Activity of Daily Living Scale（KatzADL） using multi-stage sampling method in Xinjiang. The primary care provid- ers from standards were elected as the studying objects. The Self-Rating Depression Scale （SDS）, the Zarit Burden Interaction （ZBI） and the Social Support Rating Scale （SSRS） were applied to evaluate the state of caregiver depression, caregiver burden and social support respectively. Multiple logistic regression analysis was used to explore the risk factors and the protective factors of informal caregivers depression emotions. Results： The prevalence rate of depression in family caregivers was 38%. Multiple logistic regression analysis revealed following affecting factors, caregivers＇overload （OR =2. 18）, the total hours spent on caring daily i〉 8 h （OR =2. 35）, year length spent on caring ≥5 years （ OR = 1.98） and negative self-evaluation of health condition （ OR = 1.93） were the risk factors of family caregivers＇depression （P 〈0. 05）. High social support （OR = 0.41）, family per capital income 〉 1500 yuan （OR = 0. 43） and less care giving cost （OR = 0. 45） were protective factors of family caregivers＇depression （P 〈0. 05）. There was an interaction effect between caregiver burden and social support. The RERI （the relative excess risk due to interaction）, API （the attributable proportion due to interaction） and S （the synergy index） between care burden and social support were 0. 72, 34. 1%, and 2. 84 respectively. Conclusion： The results suggest that the prevalence rate of depression emotions is lower in family caregivers of the Uygur and Kazak dysfunctional elderly in Xinjiang. Family caregivers＇depression emotions are mainly affected by caregiver characteristics.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2015年第8期587-592,共6页
Chinese Mental Health Journal
基金
国家自然科学基金项目(81260443)
关键词
居家照护者
抑郁情绪
照护负担
社会支持
交互作用
family carcgiver
depression emotion
caregiver burden
social support
interaction
