照顾者的照顾负担、应对方式与焦虑抑郁情绪相关性分析

摘要:目的　探讨肠癌化疗病人主要照顾者焦虑抑郁情绪、照顾负担、应对方式现况及其相关性。方法　采用自编的一般资料问卷、医院焦虑抑郁量表（HAD）、照顾负担量表（ZBI）、简易应对方式量表（SCSQ）对319例肠癌化疗主要照顾者进行问卷调查。结果　有焦虑情绪者138例（43.3%），有抑郁情绪者86例（27.3%），66例（20.7%）处于焦虑抑郁共存状态；照顾负担总分为（28.7±11.3）分，83例（26.0%）处于轻度负担，182例（57.1%）处于中度负担，54例（17.54％）处于重度负担；消极应对维度均分为（1.22±0.58）分，低于国内常模，差异有统计学意义（P＜0.01）；照顾负担得分、消极应对方式得分与照顾者焦虑得分呈正相关（r＝0.50，0.19）；照顾负担得分、消极应对方式得分与照顾者抑郁得分呈正相关（r＝0.41，0.16）；积极应对方式得分与照顾者抑郁得分呈负相关（r＝-0.24）。结论　肠癌化疗病人主要照顾者存在不同程度的焦虑抑郁情绪，照顾负担以中度为主，应对方式良好，三者之间存在一定的相关性。

Analysis of the relationship between the emotion,burden and coping style among primary caregivers

Abstract: Objective To study the states and relationship between anxiety and depression, burden and coping style in primary caregivers of intestinal cancer patients who undergone chemotherapy. Methods A total of 319 primary caregivers of intestinal cancer patients undergoing chemotherapy were surveyed by the self-designed general information questionnaire, Hospital Anxiety and Depression Scale (HAD), Zarit Burden Interview (ZBI), Simplified Coping Style Questionnaire (SCSQ). Results 138 cases (43.3%) had anxiety, 86 cases (27.3%) had depression, and 66 cases (20.7%) had combined anxiety and depression. The baseline results of ZBI showed that the mean score of care burden were 28.7±11.3. 83 cases (26.0%) had mild care burden. 182 cases (57.1%) had moderate care burden. 54 cases (17.5%) had severe care burden. The mean score of negative coping style was 1.2±0.6, which was lower than the national norm and the difference was statistically significant (P<0.01). The care burden, negative coping style were positively correlated with anxiety scores (r=0.50, 0.19). The care burden, negative coping style were positively correlated with depression scores (r=0.41, 0.16). The positive coping was negatively correlated with depression scores (r=-0.24). Conclusion These results revealed that primary caregivers of intestinal cancer patients undergoing chemotherapy have different degrees of anxiety and depression. Most of the caregivers had moderate burden and tended to adopt positive coping styles.