Depression among white and nonwhite caregivers of the chronically critically ill.
Depression among white and nonwhite caregivers of the chronically critically ill.
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DOI：
10.1016/j.jcrc.2009.09.004
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发表时间：
2010-06-01
影响因子：
3.7
通讯作者：
Hickman, Ronald L Jr
中科院分区：
文献类型：
--
作者：
Douglas, Sara L;Daly, Barabara J;Hickman, Ronald L Jr
目得：本研究的目的是描述慢性重症（CCI）患者的照顾者的特点，描述的关键结果（抑郁，就业，身体健康），并检查种族作为几个预测因素之一的院后抑郁symptoms.MATERIALS AND METHODS：这是一项前瞻性研究的照顾者的医院幸存者长期（>72小时）机械通气。护理人员在入院时接受了采访，重症监护室（ICU）和2个月后出院。结果：出院到一个机构的患者有高风险的医院后死亡率（比值比，8.61; P = 0.01）。出院后2个月居住在机构的患者的照顾者比居住在家中的患者的照顾者有更大的抑郁几率（比值比，2.75; P = .001）。非白人照顾者的病人居住在一个机构有最小的改善抑郁症随着时间的推移。出院后2个月抑郁症的预测因素是住院期间的抑郁症（P = .001），性别（P = .019），健康状况（P = .009）和患者的居住地（P = .001），没有基于种族的变化。近50%的受雇照顾者的有偿工作减少。有一个显着的身体健康状况随着时间的推移（P = .001），没有差异的基础上race.CONCLUSIONS：照顾CCI患者的抑郁症出院后的风险。出院后2个月居住在机构的非白人照顾者患抑郁症的风险最高。
PURPOSE: The study aimed to describe characteristics of caregivers of chronically critically ill (CCI) patients, describe key outcomes (depression, employment, physical health), and examine race as one of several predictors of post-hospital depressive symptoms.MATERIALS AND METHODS: This was a prospective study of caregivers of hospital survivors of prolonged (>72 hours) mechanical ventilation. Caregivers were interviewed at admission to the intensive care unit (ICU) and 2 months post-discharge.RESULTS: Patients discharged to an institution had a high risk of post-hospital mortality (odds ratio, 8.61; P = .01). Caregivers of patients residing in an institution 2 months post-discharge had greater odds of being depressed than caregivers of patients residing at home (odds ratio, 2.75; P = .001). Nonwhite caregivers of patients residing in an institution had the least improvement in depression over time. Predictors of depression 2 months post-discharge were depression during hospitalization (P = .001), sex (P = .019), health status (P = .009), and residence of the patient (P = .001), with no change based on race. Almost 50% of employed caregivers had a reduction in paid work. There was a significant reduction in physical health status over time (P = .001) with no difference based on race.CONCLUSIONS: Caregivers of CCI patients are at risk for depression post-hospital discharge. Nonwhite caregivers of patients residing in an institution 2 months post-discharge are at highest risk for depression.