Anxiety among informal hospice caregivers: An exploratory study

Anxiety among informal hospice caregivers: An exploratory study
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DOI:
10.1017/s1478951513001193
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发表时间:
2015-06-01
影响因子:
2.2
通讯作者:
Oliver, Debra Parker
Oliver, Debra Parker
中科院分区:
医学3区
文献类型:
--
作者:
Washington, Karla T.;Demiris, George;Oliver, Debra Parker

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目的:本研究探讨了非正式临终关怀照顾者之间的临床显着焦虑的患病率,并确定了照顾者谁经历了这种severity.Method焦虑的特点:探索性的二次数据分析汇总从三个独立的研究非正式临终关怀照顾者(N = 433)进行。研究人员采用描述性统计来计算焦虑患病率,并利用逻辑回归来模拟协变量之间的关联(即,结果:总体而言,31%的非正式临终关怀照顾者报告中度或更高水平的焦虑。与研究地点相关的西北部护理人员比东南部护理人员更不容易焦虑[chi(2)(3,N = 433)= 7.07,p = 0.029],并且就业护理人员比失业护理人员更不容易焦虑(OR = 0.56,95%CI = 0.33,0.96)。焦虑的可能性随着身体生活质量的提高而降低(OR = 0.77,95%CI = 0.69,0.85),年轻女性照顾者比男性照顾者和老年女性更容易焦虑结果的意义:值得注意的是,非正式临终关怀照顾者的焦虑水平具有临床意义。建议加大力度筛查和解决这一人群的焦虑问题。
Objective: This study examined the prevalence of clinically significant anxiety among informal hospice caregivers and identified the characteristics of caregivers who experienced anxiety of this severity.Method: An exploratory secondary data analysis pooled from three separate studies of informal hospice caregivers (N = 433) was conducted. Researchers employed descriptive statistics to calculate anxiety prevalence and utilized logistic regression to model the associations between the covariates (i.e., caregiver characteristics) and anxiety.Results: Overall, 31% of informal hospice caregivers reported moderate or higher levels of anxiety. Caregivers associated with the research site in the Northwest were less likely to be anxious than those in the Southeast [chi(2) (3, N = 433) = 7.07, p = 0.029], and employed caregivers were less likely to be anxious than unemployed caregivers (OR = 0.56, 95% CI = 0.33, 0.96). The likelihood of being anxious decreased with increasing physical quality of life (OR = 0.77, 95% CI = 0.69, 0.85), and younger female caregivers were more likely to be anxious than male caregivers and older females (OR = 0.95, CI = 0.91, 0.99).Significance of Results: A noteworthy number of informal hospice caregivers experience clinically significant levels of anxiety. Increased efforts to screen and address anxiety in this population are recommended.