Family members of critically ill cancer patients: assessing the symptoms of anxiety and depression

Family members of critically ill cancer patients: assessing the symptoms of anxiety and depression
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DOI:
10.1007/s00134-009-1406-7
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发表时间:
2009-05-01
影响因子:
38.9
通讯作者:
Deheinzelin, Daniel
Deheinzelin, Daniel
中科院分区:
医学1区
文献类型:
--
作者:
Lins Fumis, Renata Rego;Deheinzelin, Daniel

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确定危重癌症患者家属焦虑和抑郁症状的患病率和相关因素。前瞻性队列研究。一个三级癌症中心的23个床位的重症监护病房。300个连续的癌症患者家属在ICU中停留时间> 72小时。无。由家属完成医院焦虑和抑郁量表问卷和危重护理家庭需求问卷。家庭成员焦虑、抑郁的患病率分别为71%和50.3%。关于患者的疾病,家庭抑郁与转移的存在相关,而血液恶性肿瘤与家庭焦虑相关。焦虑与一个患者相关因素(延长机械通气)和两个家庭相关因素(天主教和性别)独立相关。与抑郁症状相关的因素包括一个患者相关因素(转移的存在)和一个家庭相关因素(性别)。目前的研究结果表明,在重症监护病房期间,癌症危重患者的家庭成员中焦虑和抑郁的患病率较高。
To determine prevalence and factors associated with symptoms of anxiety and depression in family members of critically ill cancer patients.Prospective cohort study.A 23-bed intensive care unit in a tertiary cancer centre.Three hundred consecutive families of cancer patients with length of stay > 72 h in ICU.None.The Hospital Anxiety and Depression Scale questionnaire and critical care family needs inventory were completed by family members. Prevalence of anxiety and depression in family members was 71 and 50.3%, respectively. Regarding the patients' disease, family depression was correlated with presence of metastasis, whereas hematological malignancies correlated with family' anxiety. Anxiety was independently associated with one patient-related factor (prolonged mechanical ventilation) and two family-related factors (catholic religion and gender). Factors associated with symptoms of depression included one patient-related factor (presence of metastasis) and one family-related factor (gender).Present findings demonstrated a high prevalence of anxiety and depression in critically ill cancer patients' family members during an intensive care unit stay.