文章摘要
柏心如,陶秀彬,范慧敏,韩雅婷,朱敏.青少年抑郁症患者主要照顾者照顾负担、心理一致感与睡眠质量的现状及其相关性[J].济宁医学院学报,2025,48(3):193-198
青少年抑郁症患者主要照顾者照顾负担、心理一致感与睡眠质量的现状及其相关性
Current status and correlation of care burden,psychological congruence, and sleep quality among primary caregivers of adolescents with depression
投稿时间:2024-07-23  
DOI:10.3969/j.issn.1000-9760.2025.03.001
中文关键词: 青少年抑郁;照顾者;心理一致感;照顾负担;睡眠质量
英文关键词: Adolescent depression;Caregiver;Psychological congruence;Care burden;Sleep quality
基金项目:芜湖市“华佗计划”卫生高层次人才项目(芜卫组[2023]111号)
作者单位E-mail
柏心如 皖南医学院护理学院, 芜湖 241002  
陶秀彬 皖南医学院第一附属医院护理部, 芜湖 241004 1325609568@qq.com 
范慧敏 皖南医学院护理学院, 芜湖 241002  
韩雅婷 皖南医学院护理学院, 芜湖 241002  
朱敏 皖南医学院护理学院, 芜湖 241002  
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中文摘要:
      目的 本研究旨在分析青少年抑郁症患者的主要照顾者在睡眠质量、照顾负担及心理一致感方面的现状,并探讨心理一致感在照顾者的睡眠质量与照顾负担之间所扮演的中介角色。方法 采用便利抽样法抽取2024年4—6月在芜湖市第四人民医院住院的154名青少年抑郁症患者的主要照顾者为研究对象,使用一般资料调查表、照顾负担量表(ZBI)、匹兹堡睡眠质量指数量表(PSQI)和心理一致感量表(SOC-13),对其进行现况调查并分析睡眠质量、照顾负担以及心理一致感之间的关系。结果 照顾者睡眠质量总分为(9.5±5.3)分,其中睡眠质量良好22人(14%),中等41人(27%),睡眠障碍91人(59%);照顾负担总分为(47.4±17.6)分,无照顾负担6人(4%),轻度负担51人(33%),中度负担50人(32%),重度负担47人(31%);心理一致感总分为(48.4±15.7)分,其中低水平心理一致感124人(81%),中等水平28人(18%),高水平2人(1%)。Spearman相关分析显示,照顾负担得分与心理一致感得分呈负相关(r=-0.687,P<0.01),照顾负担得分与睡眠质量得分正相关(r=0.573,P<0.01);同时,心理一致感与睡眠质量之间呈负相关(r=-0.761,P<0.01)。青少年抑郁症患者主要照顾者的心理一致感在照顾负担和睡眠质量间起到完全中介作用,中介效应值0.136。结论 青少年抑郁症患者的主要照顾者普遍有较重的照顾负担和较差的睡眠质量,且心理一致感在照顾负担与睡眠质量间起完全中介作用,这表明通过增强照顾者的心理一致感,可以减轻其照顾负担、提升其睡眠质量。
英文摘要:
      Objective This study was aimed to analyze the current status of the main caregivers of adolescents with depression in terms of sleep quality,care burden and psychological congruence,and to explore the mediating role of psychological congruence between the caregiver's sleep quality and care burden.Methods The main caregivers of 154 adolescents with depression hospitalized in the Fourth People's Hospital of Wuhu City from April to June 2024 were selected by convenience sampling method.General demographic data questionnaire,zarit caregiver burden interview (ZBI),pittsburgh sleep quality index (PSQI) and sense of coherence scale (SOC 13) were used.The relationship among sleep quality,care burden and psychological congruence was analyzed.Results The total score of the caregivers' sleep quality was 9.5±5.3,of which 22(14%) had good sleep quality,41(27%) had moderate sleep disorder and 91(59%) had sleep disorder.The total score of care burden was 47.4±17.6,of which 6(4%) had no care burden,51(33%) had mild burden,50(32%) had moderate burden and 47 patients with severe burden (31%).The total score of psychological congruence was 48.4±15.7,including 124 patients with low level of psychological congruence (81%),28 patients with medium level (18%) and 2 patients with high level (1%).Spearman's correlation analysis showed that there was a negative correlation between the care burden score and the psychological congruence score (r=-0.687,P<0.01),while there was a positive correlation between the care burden score and the quality of sleep score (r=0.573,P<0.01);at the same time,a negative correlation was shown between the psychological congruence and the quality of sleep (r=-0.761,P<0.01).The psychological congruence of the primary caregiver of adolescents with depression played a fully mediating role between care burden and sleep quality,with a mediation effect value of 0.136.Conclusions In this study,the primary caregivers of adolescents with depression generally had a higher care burden and poorer sleep quality.And psychological congruence plays a complete mediating role between care burden and sleep quality,which indicates that by enhancing the psychological congruence of caregivers,they can reduce their care burden and improve their sleep quality.
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