Prevalence of Anxiety and Depression among Caregivers of Cancer Patients A Case Study in a Public Hospital in Malaysia

R. Ahmad, Azizan Mohd Isa, M. R. A Rashid, N. Yusoff, Lokman Mohd Tahir, M. Huda, Rahmiwati Marsinun
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Abstract

INTRODUCTION: Anxiety and depression are common mental illnesses among cancer caregivers. Most caregivers often sacrifice a lot of time, energy and their own physical and emotional needs. MATERIALS AND METHOD: A cross sectional study was conducted among 156 caregivers of cancer patients who were providing treatment and moral support to cancer patients at the Oncology clinic of Sultan Ismail Hospital (SIH), Johor Bahru, Malaysia. The Hospital Anxiety Depression Scale (HADS) was used to assess the depression and anxiety levels among the respondents. Data was analysed using Statistical Package for Social Sciences version 17.0 software. The P value of less than 0.5 was taken a significant. RESULTS: In general, there was moderate relationship between cancer caregivers and patients in term of emotional, care and patient treatment, but in some circumstances, caregivers were also exposed to risk during care period of cancer patients. There was a significant relationship with moderate correlation between  factors of taking care of  emotion of patients (p<0.05, r=0.403), their diseases (p<0.05, r=0.456) and  treatment (p<0.05, r=0.600)  with the level of anxiety. There was a strong correlation between caring and anxiety in the item of lack of attention on patient demand (p< 0.05, r=0.91) and not angry to patient (p<0.83). CONCLUSION: The awareness regarding the anxiety and depression among caregivers need to be increased  among health professionals  such as physicians and nurses. Although the interventions are aimed to help the patients, but this can also cause anxiety and depression to caregivers.  
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癌症患者护理人员焦虑和抑郁的患病率——马来西亚一家公立医院的案例研究
导读:焦虑和抑郁是癌症护理人员中常见的精神疾病。大多数照顾者经常牺牲大量的时间、精力和他们自己的身体和情感需求。材料和方法:在马来西亚新山苏丹伊斯梅尔医院(SIH)肿瘤诊所对156名癌症患者的护理人员进行了一项横断面研究,这些护理人员为癌症患者提供治疗和道德支持。采用医院焦虑抑郁量表(HADS)评估被调查者的抑郁和焦虑水平。数据分析采用Statistical Package for Social Sciences 17.0版本软件。P值小于0.5为显著性。结果:总体而言,癌症护理人员与患者在情绪、护理和患者治疗方面存在中度相关关系,但在某些情况下,护理人员在癌症患者护理期间也面临风险。患者情绪护理因素(p<0.05, r=0.403)、疾病(p<0.05, r=0.456)、治疗(p<0.05, r=0.600)与焦虑水平呈显著相关(p<0.05, r=0.600)。关怀与焦虑在对患者需求不关注项(p< 0.05, r=0.91)、对患者不生气项(p<0.83)有较强的相关性。结论:应提高医生、护士等卫生专业人员对护理人员焦虑抑郁的认识。虽然干预的目的是帮助病人,但这也会给护理人员带来焦虑和抑郁。
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