四川某地事实孤儿照顾者抑郁现况 及其影响因素的路径分析.

Objective To investigate the depression status of de facto orphan caregivers in Sichuan and analyze its influencing factors. Methods By using the social support rating scale and the simplified version of depression scale, a questionnaire survey was conducted on the social support and depression status of 374 de facto orphan caregivers in a city of Sichuan Province. A structural equation model was used to explore the factors influencing depression and their function routes. Results The depression score of orphan caregivers was (13.76 ±5.24) points, and 286 (76.5%) had depressive symptoms. The prevalence of chronic diseases in caregivers (B=0.316, P<0.001), gender (B=0.098, P=0.038), education (B=-0.154, P=0.002), current residence (B=-0.150, P=0.001), care time (3=0.117, P=0.011), and relationship with de facto orphans (B=-0.141, P= 0.013) had direct effects on depression. Caregivers who suffered from chronic diseases, female, poorly educated, residence in rural areas, long-term care, and being the orphan's grandparents had high depression scores. Caregivers' marital status (B=-0.027, P-0.030), personal monthly income (B=-0.042, P=0.001), and care style (B=-0.037, P=0.004) had indirect effects on depression through social support (B=-0.190, P< 0.001). Caregivers in marriage, with higher monthly income, and assistance from others had higher scores of social supports. The better the status of social support, the lower the score of depression. Conclusion The prevalence rate of depressive symptoms of de facto orphan caregivers in Sichuan is high, and the situation of depression is severe, which calls for the attention of the whole society and early intervention. [ABSTRACT FROM AUTHOR]

目的了解四川事实孤儿照顾者的抑郁现状,分析其影响因素. 方法采用社会支持评定量表、简版流调中心 抑郁量表,对四川省某市374名事实孤儿照顾者的社会支持、抑郁状况进行问卷调查. 采用结构方程模型分析事实孤儿 照顾者抑郁的影响因素及其作用路径. 结果 事实孤儿照顾者的抑郁得分为(13.76±5.24)分,286人(76.5%)有抑郁 症状. 照顾者的慢性病患病情况(B=0.316,P<0.001)、性别(B=0.098,P=0.038)、文化程度(B=-0.154,P=0.002)、现居住地 (B=-0.150,P=0.001)、照顾时间(β-0.117,P=0.011)、与事实孤儿的关系(B=-0.141,P=0.003)对抑郁有直接作用,患有慢 性病、女性、文化程度低、居住在城镇、照顾时间长、为事实孤儿(外)祖父母的照顾者抑郁得分高;照顾者的婚姻状况 (B=-0.027, P-0.030)、个人月收入(B=-0.042,P=0.001)、照顾方式(B=-0.037,P=0.004)通过社会支持(B=-0.190,P< 0.001)对抑郁产生间接作用,在婚、个人月收入高、有他人协助的照顾者社会支持得分高,社会支持状况越好,抑郁得分 越低. 结论四川事实孤儿照顾者的抑郁症状患病率高,抑郁形势严峻,需要全社会共同关注和及早干预. [ABSTRACT FROM AUTHOR]