Psychological and Emotional Status, and Caregiver Burden in Caregivers of Patients With Peritoneal Dialysis Compared With Caregivers of Patients With Renal Transplantation
Psychological and Emotional Status, and Caregiver Burden in Caregivers of Patients With Peritoneal Dialysis Compared With Caregivers of Patients With Renal Transplantation
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DOI：
10.1016/j.transproceed.2013.03.004
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发表时间：
2013-04-01
影响因子：
0.9
通讯作者：
Keles, M.
中科院分区：
文献类型：
--
作者：
Avsar, U.;Avsar, U. Z.;Keles, M.
目标。我们试图研究连续不卧床腹膜透析 (CAPD) 和肾移植 (Tx) 患者的护理人员之间在睡眠质量、焦虑、抑郁和总体负担方面的关系。方法。这项针对 CAPD 患者和肾 Tx 患者的常见护理人员的横断面研究使用多维工具来评估睡眠质量、抑郁和焦虑症状以及使用 Zarit Burden 访谈的负担之间的关联。在参与这项研究的 113 名护理人员中，53 名属于 Tx 组，60 名属于 CAPD 组。 结果。总体平均年龄为 40.7 +/- 13.6 岁。两组之间的年龄、性别、收入和教育水平比例相似。与 Tx 组相比，腹膜透析患者的护理人员焦虑和抑郁的发生率显着较高（分别为 P = .039 和 P = .003）。 Tx 与 CAPD 患者的护理人员的良好睡眠质量率分别为 88.7% (n = 47) 和 61.7% (n = 37)。与 Tx 患者相比，CAPD 护理人员的睡眠质量较差程度明显更高 (P = .001)。与 Tx 患者相比，CAPD 患者的护理人员的护理负担评分显着更高 (P < .001)。经过逻辑回归分析，CAPD 患者的照顾者的照顾者负担风险比 Tx 患者高 2.61 倍（95% 置信区间，1.03-6.59；P = .043）。结论。这项研究间接表明肾 Tx 可以改善 ESRD 患者护理人员的生活质量并减少精神症状。
Objectives. We sought to examine the relationship between caregivers of continuous ambulatory peritoneal dialysis (CAPD) and of renal transplant (Tx) patients with regard to sleep quality, anxiety, depression, and overall burden.Methods. This cross-sectional study of prevalent caregivers of CAPD patients and of renal Tx patients used a multidimensional instrument to assess the association of sleep quality, depression and anxiety symptoms, as well as burden using a Zarit Burden Interview. Among the 113 caregivers who participated in this study, 53 were in the Tx and 60 in the CAPD group.Results. The overall mean age was 40.7 +/- 13.6 years. The proportions of age, gender, income, and education level were similar between the 2 groups. Caregivers of peritoneal dialysis patients had significantly higher rates of anxiety and depression compared with the Tx group (P = .039 and P = .003, respectively). Good sleep quality rates for caregivers of Tx versus CAPD patients were 88.7% (n = 47) and 61.7% (n = 37), respectively. Poor sleep quality was significantly higher among caregivers of CAPD compared with those for Tx patients (P = .001). Caregiver burden scores were significantly higher in caregivers of CAPD patients compared with Tx patients (P < .001). Upon logistic regression analysis, caregivers of CAPD patients were 2.61 times (95% confidence interval, 1.03-6.59; P = .043) higher than the caregiver burden risk than those for Tx patients.Conclusions. This study indirectly indicated that renal Tx improves the life quality and decreases psychiatric symptoms among caregivers of ESRD patients.