並列タイトル等訪問診療を受けている患者の家族介護者の不安と抑うつに関連する要因について
Home caregiver anxiety and depression
タイトル(掲載誌)The Journal of Medical Investigation
一般注記In recent years, Japan has promoted home visits to support older adults, with caregivers playing an important role. However, caregivers generally experience a high frequency of anxiety and depression, and the factors associated with these conditions among home visit caregivers remain unknown. To identify the associated factors, we conducted a questionnaire-based cross-sectional study of home visit caregivers in Tokushima Prefecture, Japan. The survey included caregivers’ Hospital Anxiety and Depression Scale ; sociodemographic items of patients and caregivers ; and caregivers’ perceptions of the home care environment, patients, and themselves. The questionnaires were sent to 379 caregivers ; 203 responded (53.6% response rate), of which 173 were valid (85.2% valid response rate). The prevalence of anxiety and depression was 43.9% and 69.4%, respectively. Multiple logistic regression analysis of factors associated with anxiety and depression showed that stable family finances (OR : 0.69, 95% CI : 0.48-1.00, p = 0.049) and stable caregiver health (OR : 0.45, 95% CI : 0.30-0.68, p < 0.001) were associated with anxiety. Further, stable family finances (OR : 0.60, 95% CI : 0.38-0.93, p = 0.022), stable caregiver health (OR : 0.49, 95% CI : 0.30-0.81, p = 0.005), and stable patient condition (OR : 0.51, 95% CI : 0.29-0.92, p = 0.025) were associated with depression. These findings demonstrate that caregiver wellbeing is essential in home care settings.
連携機関・データベース国立情報学研究所 : 学術機関リポジトリデータベース(IRDB)(機関リポジトリ)