持续植物状态及最小意识状态患者照顾者负性情绪的影响因素

doi:10.3969/j.issn.1006-9771.2017.09.024

《中国康复理论与实践》 ›› 2017, Vol. 23 ›› Issue (9): 1104-1107.doi: 10.3969/j.issn.1006-9771.2017.09.024

持续植物状态及最小意识状态患者照顾者负性情绪的影响因素

张芳, 吴月峰, 马兰, 陈芳, 冯玲

浙江省绍兴市人民医院康复中心,浙江绍兴市 312000。

收稿日期:2017-01-10 修回日期:2017-03-31 出版日期:2017-09-25 发布日期:2017-10-10
通讯作者: 冯玲。E-mail: 532717104@qq.com。
作者简介:张芳(1983-),女,汉族,山西襄汾市人,硕士研究生,主治医师,主要研究方向：骨关节运动损伤及康复。
基金资助:
1.浙江省医药卫生科技平台(青年人才)项目(No.2017RC028); 2.浙江省中医药科学研究基金计划A类项目(No.2012ZA121)

Condition and Related Factors of Anxiety and Depression in Caregivers of Patients in Persist Vegetative State or Minimally Conscious State

ZHANG Fang, WU Yue-feng, MA Lan, CHEN Fang, FENG Ling

Physical Medicine and Rehabilitation Center, Shaoxing People's Hospital, Shaoxing Hospital of Zhejiang University, Shaoxing, Zhejiang 312000, China

Received:2017-01-10 Revised:2017-03-31 Published:2017-09-25 Online:2017-10-10
Contact: Correspondence to FENG Ling. E-mail: 532717104@qq.com

摘要/Abstract

摘要： 目的调查持续植物状态及最小意识状态患者照顾者的焦虑和抑郁状况,分析其影响因素。方法2010年1月至2014年12月,采用焦虑自评量表和抑郁自评量表对60例持续植物状态及最小意识状态患者的照顾者进行测评,记录照顾者性别、学历、与患者的关系、照顾者家庭收入、患者家庭人口及患者年龄,进行Logistic回归分析。结果照顾者55%存在焦虑障碍,48.4%存在抑郁障碍。照顾者为女性(OR>6.870, P<0.05)、患者家庭人口(OR<0.233, P<0.05)、患者年龄(OR<0.294, P<0.05)是影响照顾者焦虑、抑郁的独立因素。结论持续植物状态及最小意识状态患者的照顾者存在焦虑、抑郁,女性更易发生,患者家庭人口及患者年龄是影响焦虑、抑郁的主要因素。

关键词: 持续植物状态, 最小意识状态, 照顾者, 焦虑, 抑郁, 影响因素

Abstract: ObjectiveTo explore the anxiety and depression in caregivers of patients in persist vegetative state and minimally conscious state, and discuss the related factors. MethodsFrom January, 2010 to December, 2014, 60 caregivers of 60 patients in persist vegetative state and minimally conscious state were assessed with Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS). The sex, education level, relation to the patients and family income of the caregivers, and the age of the patients and number of the families of the patients were recorded, and analyzed with Logistic regression. Results55% caregivers were found in anxiety, and 48.4% in depression. The female caregivers (OR>6.870, P<0.05), the number of the family of the patients (OR<0.233, P<0.05) and age of the patients (OR<0.294, P<0.05) were independent factors associated with anxiety and depression. ConclusionThe caregivers of patients in persist vegetative state and minimally conscious state are troubled in anxiety and depression, especially the female, while age and the number of the families of patient may be important factors for it.

Key words: persist vegetative state, minimally conscious state, caregiver, anxiety, depression, related factors

中图分类号:

R741

张芳, 吴月峰, 马兰, 陈芳, 冯玲. 持续植物状态及最小意识状态患者照顾者负性情绪的影响因素[J]. 《中国康复理论与实践》, 2017, 23(9): 1104-1107.

ZHANG Fang, WU Yue-feng, MA Lan, CHEN Fang, FENG Ling. Condition and Related Factors of Anxiety and Depression in Caregivers of Patients in Persist Vegetative State or Minimally Conscious State[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(9): 1104-1107.

参考文献

[1] 王艳芳,杨翠华,潘集阳. 广州地区某重点高校医学生焦虑状况的调查[J]. 中国健康心理学杂志, 2006, 14(2): 220-221.
[2] 李凤梅. 新时期大学新生心理适应能力与焦虑状况[J]. 中国健康心理学杂志, 2013, 21(3): 451-453.
[3] 王文菁,谭文艳. Zung抑郁自评量表的因子分析[J]. 广东医学, 2011, 32(16): 2191-2193.
[4] Goudarzi F, Abedi H, Zarea K, et al. Multiple victims: the result of caring paitents in vegetative state [J]. Iran Red Crescent Med J, 2015, 17(6): e23571.
[5] Kitzinger C, Kitzinger J. Court applications for withdrawal of artificial nutrition and hydration from patients in a permanent vegetative state: family experiences [J]. J Med Ethics, 2016, 42(1): 11-17.
[6] Clausen J. Conceptual and ethical issues with brain-hardware interfaces [J]. Curr Opin Psychicatry, 2011, 24(6): 495-501.
[7] 王培东,谢康民. 持续性植物状态诊断疗效预后研究[C]. 南京: 首届全国脑外伤治疗与康复学术大会论文汇编(上), 2011: 23-24.
[8] Giaeino JT, Ashwal S, Childs N, et al. The minimally conscious state definition and diagnostic criteria [J]. Neurology, 2002, 58(3): 349-353.
[9] Laureys S, Owen AM, Schiff ND. Brain function in coma, vegetative state, and related disorders [J]. Lancet Neurol, 2004, 3(9): 537-546.
[10] 张芳,冯玲,何玲燕,等. 综合康复治疗对最小意识状态及持续植物状态患者的影响[J]. 中华物理医学与康复杂志, 2014, 36(11): 882-884.
[11] 徐建秀. 持续性植物状态患者护理体会[J]. 中国康复理论与实践, 2012, 18(11): 1093-1094.
[12] 陈芳,张芳,马兰,等.呼唤式护理干预对最小意识状态患者的影响研究[J]. 护理与康复, 2016, 15(1): 48-50.
[13] Giovannetti AM, Leonardi M, Pagani M, et al. Burden of caregivers of patients in vegetative state and minimally conscious state [J]. Acta Neurol Scand, 2013, 127(1): 10-18.
[14] Saout V, Ombredane MP, Mouillie JM, et al. Patients in a permanent vegetative state or minimally conscious state in the Maine-et-Loire county of France: A cross-sectional, descriptive study [J]. Ann Phys Rehabil Med, 2010, 53(2): 96-104.
[15] Elvira de la Morena MJ, Cruzado JA. Caregivers of patients with disorders of consciousness: coping and prolonged grief [J]. Acta Neurol Scand, 2013, 127(6): 413-418.
[16] Crispi F, Crisci C. Patients in persistent vegetative state ... and what of their relatives? [J]. Nurs Ethics, 2000, 7(6): 533-535.
[17] Li YH, Xu ZP. Psychological crisis intervention for the family members of patients in a vegetative state [J]. Clinics (Sao Paulo), 2012, 67(4): 341-345.
[18] Pagani M, Giovannetti AM, Covelli V, et al. Physical and mental health, anxiety and depressive symptoms in caregivers of patients in vegetative state and minimally conscious state [J]. Clin Psychol Psychother, 2014, 21(5): 420-426.
[19] Leonardi M, Giovannetti AM, Pagani M, et al. Burden and needs of 487 caregivers of patients in vegetative state and in minimally conscious state: results from a national study [J]. Brain Inj, 2012, 26(10): 1201-1210.
[20] Chiambretto P, Rossi Ferrario S, Zotti AM. Patients in a persistent vegetative state: caregiver attitudes and reactions [J]. Acta Neurol Scand, 2001, 104(6): 364-368.
[21] Moretta P, Estraneo A, De Lucia L, et al. A study of the psychological distress in family caregivers of patients with prolonged disorders of consciousness during in-hospital rehabilitation [J]. Clin Rehabil, 2014, 28(7): 717-725.
[22] Giovannetti AM, Pagani M, Sattin D, et al. Children in vegetative state and minimally conscious state: patient's condition and caregivers' burden [J]. Scientific World Journal, 2012, 2012: 232149.
[23] Covelli V, Cerniauskaite M, Leonardi M, et al. A qualitative study on perceptions of changes reported by caregivers of patients in vegetative state and minimally conscious state: The "time gap experience" [J]. Scientific World Journal, 2014, 2014: 657321.
[24] Hamama-Raz Y, Zabari Y, Buchbinder E. From hope to despair, and back: being the wife of a patient in a persistent vegetative state [J]. Qual Health Res, 2013, 23(2): 231-240.
[25] 冯玲,蔡锣杰,茹文亚,等. 头部电针辅助治疗对脑卒中后抑郁的干预[J]. 中华物理医学与康复杂志, 2010, 32(4): 299-301.
[26] Amendola F, Oliveira MA, Alvarenga MR. Influence of social support on the quality of life of family caregivers while caring for people with dependence [J]. Rev Esc Enferm USP, 2011, 45(4): 884-889.

持续植物状态及最小意识状态患者照顾者负性情绪的影响因素

Condition and Related Factors of Anxiety and Depression in Caregivers of Patients in Persist Vegetative State or Minimally Conscious State

PDF (PC)

可视化

被引次数

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

Metrics

本文评价

推荐阅读 0

[1]	王子豪, 李昕华, 蒋慧萍, 郭赛男, 梁秋曼, 史婷奇. 全膝关节置换术后短期膝关节功能及其影响因素[J]. 《中国康复理论与实践》, 2024, 30(1): 111-118.
[2]	张婧雅, 邹敏, 孙宏伟, 孙昌隆, 朱峻同. 听障儿童青少年焦虑或抑郁情绪心理干预效果的系统综述[J]. 《中国康复理论与实践》, 2023, 29(9): 1004-1011.
[3]	王光程, 段明雪, 郭桐桐, 邢洋, 董志伟, 张琳琳, 郭培武, 井淇, 郑文贵. 康复治疗师职业发展及其转型影响因素分析[J]. 《中国康复理论与实践》, 2023, 29(5): 565-569.
[4]	郭霜, 谢咏祺, 张良, 张春佳, 彭润, 杨德刚, 杨明亮. 舞蹈致儿童无骨折脱位型脊髓损伤神经学预后的影响因素及预测模型[J]. 《中国康复理论与实践》, 2023, 29(5): 582-589.
[5]	高飞, 刘丽旭, 袁永学. 脑干卒中导致吞咽障碍的临床特征及康复[J]. 《中国康复理论与实践》, 2023, 29(4): 465-471.
[6]	李经宇, 吕云, 辛雨, 李硕, 彭思静, 密忠祥. 城市医疗集团康复患者向下转诊意愿及影响因素[J]. 《中国康复理论与实践》, 2023, 29(12): 1481-1488.
[7]	张梦洁, 戴元富, 王琛, 谢弟发, 蒋长好. 有氧活动降低学龄儿童抑郁状态研究：基于社会心理功能5维度的多重中介效应分析[J]. 《中国康复理论与实践》, 2023, 29(1): 12-19.
[8]	秦彦强, 董浩, 孙迎春, 程先宽, 姚海江. 不同针刺方案对卒中后抑郁大鼠神经递质及相关炎性因子的影响[J]. 《中国康复理论与实践》, 2023, 29(1): 30-37.
[9]	崔家宝, 林舰, 刘育成, 王鹏, 曾洪发. 大学生太极拳活动的心理健康效益：基于ICF的系统综述[J]. 《中国康复理论与实践》, 2023, 29(1): 48-54.
[10]	刘晓燕,丁霞,董晨,李荣,孙驰. 社区与住院老年人跌倒的现状及影响因素[J]. 《中国康复理论与实践》, 2022, 28(4): 389-398.
[11]	葛章伟,黄馨,刘正东,张敏,张家奎. 重症监护室中老年患者术后谵妄影响因素分析及风险预测模型建立与评价[J]. 《中国康复理论与实践》, 2022, 28(3): 340-345.
[12]	席晓明,毕鸿雁. 腹部扭转运动对帕金森病患者抑郁、便秘、运动症状和生活质量的效果[J]. 《中国康复理论与实践》, 2022, 28(2): 220-226.
[13]	顾彬,黄富表,李泓钰,宋鲁平. 经颅直流电刺激对卒中后失眠的疗效[J]. 《中国康复理论与实践》, 2022, 28(12): 1466-1472.
[14]	张晓倓,李军,张玲玲,谢惠敏,孙丽君,潘昱,李春宝,贾子善,张立宁. 慢性髋关节疼痛患者的功能障碍及相关心理因素分析[J]. 《中国康复理论与实践》, 2022, 28(12): 1484-1488.
[15]	龚翔,潘颖颖,曾玲丽,杨清艳,周蕴弢,沈莹莹,范亚蓓,肖剑秋. 儿童康复治疗师的人格特质与职业满意度影响因素调查[J]. 《中国康复理论与实践》, 2022, 28(10): 1224-1230.