以质量求发展,以服务铸品牌

Journal of Nursing ›› 2021, Vol. 28 ›› Issue (21): 7-11.doi: 10.16460/j.issn1008-9969.2021.21.007

Previous Articles     Next Articles

Risk Prediction Model for Caring Depression in Caregivers of Elderly Dementia Patients

YANG Zhen, ZHANG Hui-jun   

  1. School of Nursing, Jinzhou Medical University, Jinzhou 121001, China
  • Received:2021-04-15 Online:2021-11-10 Published:2021-12-13

Abstract: Objective To explore the risk factors of caring depression among caregivers ofelderly dementia patients, and to construct a nomogram model to verify it. Methods From September to December, 2019, 210 caregivers of elderlydementia patients in 6 old-age care institutions in Jinzhou and Shenyang, Liaoning Province, were investigated by using general information questionnaire, Zung's Self-rating Depression Scale, Care Burden Scale, Psychological Resilience Scale and Perceived Social Support Scale. The prediction model of depression risk was established by univariate and multivariate logistic regression analysis, and the nomogram was constructed. The effectiveness of the model was verified by Bootstrap method. Results The detection rate of caring depression in caregivers of senile dementia patients was 54.7%. Binary logistic regression analysis showed that care burden was an independent risk factor of caring depression(P<0.05), while self-assessment of health, psychological resilience and social support were protective factors (P<0.05). The calibration (H-L deviation test:χ2=4.709, P=0.788) and discrimination (AUC=0.976, 95%CI:0.959~0.993) of the care depression nomogram model were good.Conclusion The detection rate of caring depression in caregivers ofelderly dementia patients is high, which is influenced by self-assessment of health, psychological resilience, social support and care burden. The nomogram constructed is scientific and practical for predicting its occurrence.

Key words: senile dementia, caregiver, depression, risk prediction, nomogram

CLC Number: 

  • R473.59
[1] 史瑞洁,刘晓燕,刘喜文,等.平衡模式早期心理干预对养老护理员焦虑和抑郁影响[J].中国职业医学,2021,48(1):65-68.DOI:10.11763/j.issn.2095-2619.202 1.01. 011.
[2] 郑佳映,张英,陈雪萍,等.293名养老机构养老护理员组织承诺和职业环境相关性分析[J].护理学报,2019,26(24):28-31.DOI:10.16460/j.issn1008-9969.2019.24. 028.
[3] 李姮,石美霞,郭倩楠.山西省1546名养老护理员培训认同感现状及影响因素分析[J].护理学报,2020,27(14):9-12.DOI:10.16460/j.issn1008-9969.2020.14. 009.
[4] 孙振球. 医学统计学[M].4版.北京:人民卫生出版社,2014:524-527.
[5] 谭玉婷,张银华,易霞,等.老年护理员抑郁情绪与离职意愿的相关性[J].中国老年学杂志, 2018, 38(14):3514-3516.DOI:10.3969/j.issn.1005-9202.2018.14.071.
[6] 戴晓阳. 常用心理评估量表手册[M].北京:人民军医出版社,2014:122-125.
[7] 张睿. 老年痴呆患者照顾者照顾感受的研究[D].北京:中国协和医科大学,2007:31-32.
[8] 于肖楠,张建新.自我韧性量表与Connor-Davidson韧性量表的应用比较[J].心理科学,2007, 30(5):1169-1171.DOI:10.3969/j.issn.1671-6981.2007.05.038.
[9] 姜乾金. 医学心理学[M].北京:人民卫生出版社,2004:82-84.
[10] Thompson G, Hack T, Rodger K, et al.Clarifying the Information and Support Needs of Family Caregivers of Nursing Home Residents with Advancing Dementia[J]. Dementia (London),2021,20(4):1250-1269.DOI:10.1177/147130 1220927617.
[11] Rodriguez V, Reinhardt J P, Spinner R, et al.Developing a Training for Certified Nursing Assistants to Recognize, Communicate, and Document Discomfort in Residents With Dementia[J]. J Hosp Palliat Nurs, 2018,20(2):120-126. DOI:10.1097/NJH.0000000000000424.
[12] Sallim AB, Sayampanathan AA, Cuttilan A, et al.Prevalence of Mental Health Disorders Among Caregivers of Patients with Alzheimer Disease[J].J Am Med Dir Assoc, 2015,16(12):1034-1041.DOI:10.1016/j.jamda.2015.09.007.
[13] 张琼,王艾红,刘思雨,等.痴呆患者愉悦性活动参与性与照顾者抑郁及应对方式的相关性研究[J].解放军护理杂志,2018,35(20):12-17.DOI:10.3969/j.issn.1008-9993.2018.20.003.
[14] 颜圆圆,吴彬,岳文娇,等.养老机构护理员照护体验与工作现状的质性研究[J].中西医结合护理(中英文),2020,6(8):68-71.DOI:10.11997/nitcwm.202008014.
[15] 李亚玲. 老年痴呆患者的神经精神症状对非正式照护者痛苦的潜在影响[J].中西医结合护理(中英文),2018,4(11):104-106.DOI:10.11997/nitcwm.201811028.
[16] 李琳,陶带花,胡月,等. 阿尔茨海默病患者精神行为症状与照料者负担的相关性分析[J]. 中华老年心脑血管病杂志, 2020, 22(4):340-343.DOI:10.3969/j.is sn.1009-0126.2020.04.002.
[17] 黄达,孙似锦,曾子,等.沈阳市养老机构老年痴呆患者护理员心理健康状况及其影响因素分析[J].中国实用护理杂志,2017,33(24):1873-1876.DOI:10.3760/c ma.j.issn.1672-7088.2017.24.008.
[18] 陈立夏,付伟.养老护理员健康促进生活方式及其影响因素分析[J].中华现代护理杂志,2017,23(24):3145-3149.DOI:10.3760/cma.j.issn.1674-2907.2017.24.019.
[19] 彭杰,危志华,马婧,等.心理韧性在护理硕士研究生情绪智力与职业认同间的中介作用[J].护理学报, 2020,27(22):73-76. DOI:10.16460/j.issn1008-9969.2020. 22.073.
[20] Dias R, Santos RL, Sousa MF, et al.Resilience of Caregivers of People with Dementia: A Systematic Review of Biological and Psychosocial Determinants[J]. Trends Psychiatry Psychother, 2015, 37(1):9-12. DOI:10.1590/2237-6089-2014-0032.
[21] Liang J, Aranda M P, Lloyd D A.Association between Role Overload and Sleep Disturbance among Dementia Caregivers: The Impact of Social Support and Social Engagement[J]. J Aging Health,2020,32(10):1345-1354. DOI:10.1177/0898264 320926062.
[22] 毛智慧,刘晓亭,刘伟,等.沈阳市皇姑区265名失能老人家庭照护者抑郁现状及影响因素分析[J].护理学报,2017,24(2):32-36. DOI:10.16460/j.issn1008-9969.2 017.02.032.
[23] Xu L, Liu Y, He H,et al.Caregiving Intensity and Caregiver Burden among Caregivers of People with Dementia: The Moderating Roles of Social Support[J]. Arch Gerontol Geriatr,2021,94:104334.DOI:10.1016/j.archger.2020.104334.
[24] 李明士,邓小岚,葛兆霞.164例老年痴呆患者主要照顾者哀伤现状及影响因素分析[J].护理学报,2021,28(2):52-57. DOI:10.16460/j.issn1008-9969.2021.02.0 52.
[1] ZHENG Xiao-jing, YAN Hong-hong, LI Hui-jing, CHEN Si-juan, CHEN Xiu-mei. Construction and verification of risk prediction model for hypoglycemia with hepatocellular carcinoma [J]. Journal of Nursing, 2025, 32(4): 53-58.
[2] LI Jiang-wei, WANG Shu-jun, LI Chang-zai, HU Bao-shan, JIAO Gui-mei, ZHANG Wei-hong. Effects of nursing intervention based on stress and coping theory on psychological stress, negative emotions and self-management in patients with permanent enterostomy after surgery for colorectal cancer [J]. Journal of Nursing, 2025, 32(4): 64-69.
[3] WEI Li, ZHAO Xing-ying, LIU Jia, HE Yu-xuan, CHEN Xiao-mei, YANG Xue, XIAN Ji-shu, YANG Yan-ni. Care burden of family caregivers of severe inpatients in neurosurgery department and its influencing factors [J]. Journal of Nursing, 2025, 32(2): 1-6.
[4] CAO Min, ZHANG Pei-li, HOU Xiao-ya, GAO Chao-yue, GUO Lin-fang, LI Ying. Nutritional care experience of caregivers of colorectal cancer patients undergoing chemotherapy based on ABC-X model: a qualitative study [J]. Journal of Nursing, 2025, 32(2): 13-18.
[5] CAO Juan, LI Fang, YU Yue, DAI Li, YANG Dan-dan, LI Zhi-hua, XU Xin-yi, DAI Qi, CHEN Ke-yu. Construction and verification of risk prediction model for venous thromboembolism after esophageal cancer surgery [J]. Journal of Nursing, 2024, 31(8): 63-68.
[6] ZHOU Yue, ZHANG Jie, PAN Yu-fan, DAI Yu, SUN Yu-jian, XIAO Yi, YU Yu-feng. Prediction models for risk of acquired weakness in mechanically ventilated patients: a systematic review [J]. Journal of Nursing, 2024, 31(6): 56-61.
[7] XIAO Xiao, ZHANG Xuan-li, ZHANG Yun-yi, XIE Zi-yang. Influence of intergenerational co-parenting relationship on maternal depression in mothers of infants aged 0 to 3 years [J]. Journal of Nursing, 2024, 31(24): 57-63.
[8] MOU Xiao-ling, CHEN Yu-qi, LIU Hai-yan, LI Min, DONG Min, HUANG Jia-jia, LI Xuan, CHEN Yu. Postoperative depression and its influencing factors among lung transplant recipients [J]. Journal of Nursing, 2024, 31(21): 7-11.
[9] QI Li-ping, WANG Wen-xuan, HOU Min, ZHENG Yue-hao, FENG Hui-xia, LI Ji-bin. Current status of depression and anxiety in newly diagnosed nasopharyngeal carcinoma patients and their relationship with fear of disease progression [J]. Journal of Nursing, 2024, 31(20): 67-72.
[10] JIANG Ning-ning. Construction and validation of nomogram predictive model for risk of hypothermia in patients undergoing continuous renal replacement therapy [J]. Journal of Nursing, 2024, 31(19): 65-72.
[11] WU Shuang-ying, XIE Zi-heng, ZHUANG Yan. Development trajectory and influencing factors of depressive symptoms in 2,888 elderly individuals [J]. Journal of Nursing, 2024, 31(14): 6-12.
[12] OUYANG Die, XU Dou-dou, SUN Yan-rong, CHEN Ying, LV An-kang, WU Bei-wen. Construction of prediction model of non-alcoholic fatty liver disease in non-obese population based on lifestyle-related indicators [J]. Journal of Nursing, 2024, 31(10): 1-7.
[13] He Xu-bin, Huan Zong-su, Du Na, Liu Jiao, Qin Yuan, Wu Dong-mei, Yue Yu-chuan. Qualitative research on experience of primary caregivers of adolescents with non-suicidal self-injury: a Meta-integration [J]. Journal of Nursing, 2024, 31(1): 46-51.
[14] SHI Ting-ting, LI Ting, HUANG You-peng, ZHAO Yuan, ZHU Xiao-li, ZHOU Meng-juan, CHEN Yun-mei. Risk prediction model of oteoporosis in patients with type 2 diabetes: a scoping review [J]. Journal of Nursing, 2024, 31(1): 52-57.
[15] ZHOU Meng-juan, ZHU Xiao-li, ZHANG Tai, DUAN Jian-feng, LUO Yu-mei, MA Wei-li, LU Han, SHI Ting-ting, YANG Yi-lin, LI Ting, CHA Yao-lei, ZHAO Yuan. Construction and verification of predictive model for prolonged length of stay in patients with non-severe acute pancreatitis [J]. Journal of Nursing, 2023, 30(9): 7-12.
Viewed
Full text


Abstract

Cited

  Shared   
No Suggested Reading articles found!