《中国康复理论与实践》

《中国康复理论与实践》 ›› 2021, Vol. 27 ›› Issue (10): 1159-1166.doi: 10.3969/j.issn.1006-9771.2021.10.006

• 专题 残疾儿童康复与照护研究 • 上一篇    下一篇

残疾儿童照护者抑郁状态及影响因素

唐蕾1,2,陈刚1,2,3(),吕军1,2,3,孙梅1,2,3,夏聪1,2,郑红颖1,2,励晓红1,2,王晓茜1,2   

  1. 1.复旦大学公共卫生学院,上海市 200032
    2.复旦大学中国残疾问题研究中心,上海市 200032
    3.国家卫生健康委员会卫生技术评估重点实验室（复旦大学）,上海市200032
  • 收稿日期:2021-08-20 修回日期:2021-08-30 出版日期:2021-10-25 发布日期:2021-10-29
  • 通讯作者: 陈刚 E-mail:gchen@shmu.edu.cn
  • 作者简介:唐蕾(1996-),女,汉族,陕西安康市人,硕士研究生,主要研究方向：健康服务政策与治理。
  • 基金资助:
    国家社会科学基金重大项目(17ZDA078);国家自然科学基金面上项目(71774030);上海市哲学社会科学规划一般课题(2018BGL005)

Depression and Its Influencing Factors of Caregivers for Children with Disabilities

TANG Lei1,2,CHEN Gang1,2,3(),LÜ Jun1,2,3,SUN Mei1,2,3,XIA Cong1,2,ZHENG Hong-ying1,2,LI Xiao-hong1,2,WANG Xiao-qian1,2   

  1. 1. School of Public Health, Fudan University, Shanghai 200032, China
    2. China Research Center on Disability, Fudan University, Shanghai 200032, China
    3. National Health Commission Key Laboratory of Health Technology Assessment (Fudan University), Shanghai 200032, China
  • Received:2021-08-20 Revised:2021-08-30 Published:2021-10-25 Online:2021-10-29
  • Contact: CHEN Gang E-mail:gchen@shmu.edu.cn
  • Supported by:
    National Social Science Foundation of China (Major)(17ZDA078);National Natural Science Foundation of China (General)(71774030);Shanghai Philosophy and Social Science Project(2018BGL005)

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摘要：

目的 了解残疾儿童照护者抑郁状态并分析相关的影响因素。方法 2020年8至9月,采用方便抽样方法选取上海市残疾儿童照护者334例,进行一对一访谈调查,采用抑郁自评量表(PHQ-9)评价抑郁状态。从残疾儿童照护者、被照护者和环境3个方面进行单因素分析,将有统计学意义的变量纳入二分类Logistic回归,分析影响照护者抑郁状态的因素。结果 334例残疾儿童照护者抑郁报告率为35.9%。在照护者因素上,女性照护者抑郁风险高于男性照护者(OR = 2.193, 95%CI 1.131~4.254, P = 0.002);在被照护者因素上,被照护者的睡眠质量差(OR = 1.942, 95%CI 1.113~3.386, P < 0.05)、情绪不稳定(OR = 17.456, 95%CI 2.534~120.240, P < 0.05)和残疾类型(OR智力 = 5.401, 95%CI 1.995~14.624; OR精神 = 3.712, 95%CI 1.615~8.530; OR肢体 = 2.913, 95%CI 1.330~6.379; P < 0.05)对照护者抑郁状态存在影响;在环境因素上,租住房屋的照护者抑郁风险高于自有房屋照护者(OR = 1.727, 95%CI 1.135~2.627, P < 0.05)。结论 残疾儿童照护者抑郁状态不容乐观。当照护者为女性、租住房屋;被照护者有睡眠问题,情绪不稳定,残疾类型为智力、精神和肢体残疾时,照护者的抑郁状态水平更高。

关键词: 残疾儿童, 照护者, 抑郁, 影响因素

Abstract:

Objective To investigate the depression status of caregivers of children with disabilities and analyze the influencing factors.Methods From August to September, 2020, a one-to-one interview was conducted using a convenience sampling method to determine the depression status of 334 caregivers of children with disabilities in Shanghai. Patient Health Questionnaire 9 Item (PHQ-9) was used to evaluate the depression status. The data were analyzed with univariate analysis from three aspects: caregiver, care recipient and environment. Then, the statistically significant variables were included in a dichotomous logistic regression.Results The depression rate of 334 caregivers of children with disabilities was 35.9%. Among the caregiver factors, female caregivers had a higher risk of depression than male (OR = 2.193, 95%CI 1.131 to 4.254, P = 0.002). Among the care recipient factors, poor sleep quality (OR = 1.942, 5%CI 1.113 to 3.386, P < 0.05), emotional instability (OR = 17.456, 95%CI 2.534 to 120.240, P < 0.05) and types of disability (ORintelligence = 5.401, 95%CI 1.995 to 14.624; ORmental = 3.712, 95%CI 1.615 to 8.530; ORphysical = 2.913, 95%CI 1.330 to 6.379; P < 0.05) were associated with the depression of caregivers. Among the environmental factors, caregivers in rented housing had a higher risk of depression than those in owner-occupied housing (OR = 1.727, 95%CI 1.135 to 2.627, P < 0.05).Conclusion The depression status of caregivers of children with disabilities is not optimistic, with higher rates of reported depression among female caregivers, caregivers in rented housing; caregivers of children with intellectual, mental and physical disabilities, and poor sleep quality and emotional instability.

Key words: children with disabilities, caregivers, depression, influencing factors

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