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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Financial Burden, Depression and Coping Strategies among Parents of Children Admitted to Paediatric Intensive Care Unit (PICU)
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Financial Burden, Depression and Coping Strategies among Parents of Children Admitted to Paediatric Intensive Care Unit (PICU)

机译：小儿重症监护病房（PICU）的孩子父母的经济负担，抑郁和应对策略

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In India, direct out of pocket expenditure on healthcare is about 70%. Taking care of an ill child is one of the most emotionally draining and difficult tasks a parent can face. Pursuing social support, positive reappraisals are most used strategies by parents to cope. There are few studies catering to these aspects among parents whose child is admitted in PICU in Indian population.Aim: The study aimed to assess financial burden and depression amongst parents of a child admitted in PICU and their variance with social support and household coping strategies.Materials and Methods: A cross-sectional survey was conducted on parents of 150 parents of patients admitted to PICU at rural tertiary care teaching hospital. Patient Health Questionnaire (PHQ-9) was used to measure depression. Socio-demographic and clinical profile, financial burden and social support were measured using semi-structured questionnaires. Descriptive statistics were used to depict the sociodemographic and clinical profile of the study population and Analysis of Variance (ANOVA) was used to assess associations.Results: Mean age of the fathers was 31.22 years (range 23-50) and of mothers was 30.39 years (range 22-42). Mean family income was 6186.3 rupees per month and median was 5000 rupees. Only 6% families had below poverty line status and majority (96.7%) had no health insurance. Median (IQR) duration of PICU stay was four days (IQR: 2, 6) and of hospital stay was six days (IQR: 3.75, 10). The median (IQR) medical and non-medical cost in INR incurred were 20,000 (IQR: 13725, 50375), 1,200 (IQR: 600, 2525) respectively. Borrowing money from friends/relatives (58%) was most frequently used household coping strategy. Using PHQ-9, 11(7.5%) parents screened positive for mild depression.Conclusion: Unplanned admission, lack of insurance cover and significant direct medical cost as inferred from the high income to cost ratio, indirect cost incurred by staying away from work push parents into financial and psychological distress.
机译：在印度，直接医疗保健支出约为70％。照顾一个生病的孩子是父母可能要面对的最情绪化，最艰巨的任务之一。寻求社会支持，积极的重新评估是父母应对的最常用策略。在印度人口中，接受PICU收养的孩子的父母很少有针对这些方面的研究。目标：该研究旨在评估PICU收养的孩子的父母的经济负担和抑郁以及他们与社会支持和家庭的差异应对策略。材料与方法：对农村三级教学医院的PICU收治的150名患者父母的父母进行了横断面调查。患者健康调查表（PH​​Q-9）用于测量抑郁症。使用半结构化问卷调查了社会人口统计学和临床​​概况，经济负担和社会支持。描述性统计学用于描述研究人群的社会人口统计学和临床​​特征，方差分析（ANOVA）用于评估关联性。结果：父亲和母亲的平均年龄为31.22岁（范围为23-50）。是30.39年（范围22-42）。平均家庭收入为每月6186.3卢比，中位数为5000卢比。只有6％的家庭处于贫困线以下，大多数（96.7％）没有医疗保险。 PICU住院的中位（IQR）持续时间为4天（IQR：2，6），住院时间为6天（IQR：3.75，10）。发生INR的医疗和非医疗费用中位数（IQR）分别为20,000（IQR：13725，50375），1,200（IQR：600，2525）。从朋友/亲戚那里借钱（58％）是​​最常用的家庭应对策略。使用PHQ-9，有11名（7.5％）父母对轻度抑郁症进行了阳性筛查。下班使父母陷入财务和心理困扰。

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