重度失能老人家庭主要照顾者焦虑、抑郁状况及生存质量分析  

Analysis of anxiety, depression and quality of life among main family caregiver of severe disabled elderly

作　　者：薛文星[1] 李冰[1] 刘宏[1] 

机构地区：[1]大同大学医学院护理系,037009

出　　处：《中华现代护理杂志》2015年第8期918-921,共4页Chinese Journal of Modern Nursing

基　　金：山西大同大学科研项目（2012K2）

摘　　要：目的：探讨社区重度失能老人家庭主要照顾者的焦虑抑郁状况、生存质量及影响因素。方法抽取大同市御东新区符合纳入标准的重度失能老人家庭主要照顾者173人为研究对象,采用焦虑自评量表（SAS）、抑郁自评量表（SDS）及生存质量问卷调查其焦虑抑郁的状况、生存质量及影响因素。采用 SPSS 20.0统计学软件对所获得的数据进行分析。结果重度失能老人家庭主要照顾者的 SAS 得分为（46.67±11.29）分,SDS 得分为（48.49±10.72）分,均高于国内正常人群常模水平,差异有统计学意义（t 值分别为27.792,26.746；P＜0.01）。有焦虑、抑郁状况的照顾者客观支持、主观支持和对支持利用度得分均低于无焦虑、抑郁状况的照顾者；影响重度失能老人家庭主要照顾者生存质量的主要因素是经济状况、文化程度、帮忙照顾人数、年龄、性别。结论社区重度失能老人家庭主要照顾者焦虑、抑郁症状的发生率较高,影响其生存质量的主要因素有年龄、性别、经济状况、文化程度、帮忙照顾人数。Objective To explore the analysis of anxiety, depression and life quality among the family main caregiver of severe disabled elderly. Methods A total of 173 family main caregiver of severe disabled elderly, who met the inclusion criteria and were from Yudong New District in Datong City, were surveyed by the self-rating anxiety scale （SAS）, the self-rating depression scale （SDS） and the questionnaire about life quality. The data obtained were analyzed by SPSS 20. 0 statistical software. Results The scores of SAS was （46. 67 ± 11. 29）, and the scores of SDS was （48. 49 ± 10. 72） for main caregivers. The main family caregiver of severe disabled elderly were significantly higher than those in the national normal model level, and the differences were statistically significant （t = 27. 792, 26. 746,respectively;P 〈 0. 01）. The objective support, subjective support and support utilization in the anxiety group of the family main caregiver were respectively lower than those in the non-anxiety group, while the objective support, subjective support and support utilization in the depression group of the family main caregiver were respectively lower than those in the non-depression group as well. The main influencing factors on the life quality of the family main caregiver of severe disabled elderly were economic status, education degree, the number of people who assisted to take care, age etc. Conclusions In the community, the incidence of anxiety and depression among family main caregiver of severe disabled elderly are high, and the life quality of family main caregiver is closely related with economic status, education degree, the number of people who assisted in taking care of the severe disabled elderly, and age.

关 键 词：老年人 重度失能 家庭主要照顾者 生存质量 焦虑 抑郁 

分 类 号：R473.2[医药卫生—护理学]