斯里兰卡接受姑息治疗的晚期癌症患者非正式照护者抑郁症状的患病率及相关因素

Q2 Medicine

Asian Pacific Journal of Cancer Prevention Pub Date : 2025-06-01 DOI:10.31557/APJCP.2025.26.6.1997

Eranthi Bimalee Weeratunga, Sampatha Goonewardena, Lalitha Meegoda

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引用次数: 0

摘要

目的：癌症是一个具有挑战性的健康问题，并对非正式照顾者（ic）的日常责任产生重大影响。本研究旨在确定斯里兰卡Apeksha Maharagama医院（AHM）接受姑息治疗的晚期癌症ic患者抑郁症状（DSs）的患病率及其相关因素。方法：在斯里兰卡AHM方便选择的226名ic中进行横断面研究。数据收集采用访谈者填写的问卷和经验证的20项流行病学研究中心抑郁量表（CES-D）。获得了伦理和机构的批准。数据分析采用描述性统计、卡方、单因素方差分析、Pearson相关和独立t检验。结果：患者平均年龄（±SD）为41.78（±14.54）岁。大多数ic是女性（60%），已婚（72%），受过中等教育（83%）。DSs（≥16）患病率为49%。女性的DSs明显高于男性（20.52±9.65比14.74±3.75），目前失业的ic比在职的ic（19.69±9.14比16.58±7.02）。DSs与护理者与患者的关系显著相关(结论：几乎一半的ic患者的DSs较高。与照顾者、照护者和患者相关的一些变量显著地受到离散度的影响。为残障人士提供社会心理支持至关重要，并建议采取教育干预措施，提供有关护理的知识和实践，以减轻抑郁症状。

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Prevalence and Associated Factors of Depressive Symptoms among Informal Caregivers of Patients with Advanced Cancer who Received Palliative Care in Sri Lanka.

Objective: Cancer is a challenging health problem, and has a significant impact on informal caregivers (ICs) on their day-to-day responsibilities. This study aimed to determine the prevalence of depressive symptoms (DSs) and its associated factors among ICs of patients with advanced cancer who received palliative care at the Apeksha Hospital Maharagama (AHM), Sri Lanka.

Methods: A cross-sectional study was conducted among 226 conveniently selected ICs at the AHM, Sri Lanka. Data were collected using an interviewer-administered questionnaire and a validated 20-item Center for Epidemiological Studies-Depression (CES-D) scale. Ethical and institutional approval was obtained. Data analysis was done using descriptive statistics, Chi-square, one-way analysis of variance, Pearson correlation, and independent t-tests.

Result: The mean age (±SD) of the ICs was 41.78(±14.54) years. Most of the ICs were females (60%), married (72%), and educated up to secondary level (83%). Prevalence of DSs (≥16) was 49%. Significantly higher DSs were reported by females vs. males (20.52±9.65 vs. 14.74±3.75) and currently unemployed vs. employed ICs (19.69±9.14 vs. 16.58±7.02). DSs were significantly associated with caregiver relationship with the patient (p<0.01), caregiving hours/week (p<0.01), caregiving period (p<0.05), emotional strain (p<0.01), financial strain (p<0.01), and self-reported general health (p<0.01). There was a negative relationship between DSs, perceived social support (r= -0.245; p<0.01), and family/friends support (r= -0.183; p<0.01) of ICs. Further, female gender (p<0.01) and cancer type (p<0.05) of patients were significantly influenced by the DSs of ICs.

Conclusion: Almost half of ICs had higher DSs. Some variables related to caregivers, caregiving, and patients are significantly impacted by DSs. Providing psycho-social support for ICs is crucial and recommended educational intervention to provide knowledge and practice on caregiving to reduce depressive symptoms.

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来源期刊

Asian Pacific Journal of Cancer Prevention 医学-肿瘤学

CiteScore

2.80

自引率

0.00%

发文量

779

审稿时长

3 months

期刊介绍： Cancer is a very complex disease. While many aspects of carcinoge-nesis and oncogenesis are known, cancer control and prevention at the community level is however still in its infancy. Much more work needs to be done and many more steps need to be taken before effective strategies are developed. The multidisciplinary approaches and efforts to understand and control cancer in an effective and efficient manner, require highly trained scientists in all branches of the cancer sciences, from cellular and molecular aspects to patient care and palliation. The Asia Pacific Organization for Cancer Prevention (APOCP) and its official publication, the Asia Pacific Journal of Cancer Prevention (APJCP), have served the community of cancer scientists very well and intends to continue to serve in this capacity to the best of its abilities. One of the objectives of the APOCP is to provide all relevant and current scientific information on the whole spectrum of cancer sciences. They aim to do this by providing a forum for communication and propagation of original and innovative research findings that have relevance to understanding the etiology, progression, treatment, and survival of patients, through their journal. The APJCP with its distinguished, diverse, and Asia-wide team of editors, reviewers, and readers, ensure the highest standards of research communication within the cancer sciences community across Asia as well as globally. The APJCP publishes original research results under the following categories: -Epidemiology, detection and screening. -Cellular research and bio-markers. -Identification of bio-targets and agents with novel mechanisms of action. -Optimal clinical use of existing anti-cancer agents, including combination therapies. -Radiation and surgery. -Palliative care. -Patient adherence, quality of life, satisfaction. -Health economic evaluations.