【摘要】 目的 系统评价我国失能老人照顾者抑郁症状检出率。方法 检索CNKI、VIP、WanFang Data、CBM、PubMed、Web of Science、Cochrane Library、Embase数据库中截至2024年5月有关失能老人照顾者抑郁症状的研究，经过筛选、评估和资料提取后，采用Stata 16.0软件进行效应量合并及亚组分析。结果 最终纳入13篇文献，包含4 970例样本。Meta分析结果显示，我国失能老人照顾者抑郁症状检出率为41.81%(95%CI:37.55%～46.13%)。亚组分析结果显示，男性照顾者的抑郁症状检出率为41.81%(95%CI:35.87%～47.75%)，女性的为43.81%(95%CI:29.15%～58.48%)；学历在小学及以下的为43.48%(95%CI:29.44%～57.53%)，初中、高中的为42.57%(95%CI:29.07%～56.06%)，大专及以上的为33.66%(95%CI:21.26%～46.07%)；婚姻状态为在婚的为43.06%(95%CI:30.89%～55.24%)，非在婚的为41.96%(95%CI:35.21%～48.72%)；月收入≤4 000元的为46.47%(95%CI:2 8.9 7%～6 3.9 6%),> 4 000元的为33.2 3%(9 5%CI:1 5.3 2%～5 1.1 4%)；调查年份在2 0 1 6年及以前的为3 7.8 6%(9 5%CI:31.26%～44.70%)，在2016年以后的为47.27%(95%CI:44.91%～49.64%)；抑郁评估工具为抑郁自评量表（SDS）的为41.03%(95%CI:36.14%～46.01%)，患者健康问卷抑郁量表（PHQ-9）为42.46%(95%CI:37.28%～47.76%)，流行病学研究中心抑郁量表（CES-D）为49.21%(95%CI:45.02%～53.40%)。结论 中国失能老人家庭照顾者抑郁症状检出率较高，建议加强对失能老人照顾者的心理健康评估与干预，减少照顾者抑郁症状的发生。更多还原

【Abstract】 Objective To systematically evaluate the detection rate of depressive symptoms in caregivers of disabled elderly in China. Methods To collect CNKI, VIP, WanFang Data, CBM, PubMed, Web of Science, Cochrane Library and Embase databases on depressive symptoms of disabled elderly caregivers up to May 2024, and after screening, evaluation and data extraction, Stata 16.0 software was used to merge effect sizes and perform subgroup analysis. Results 13 literatures with a sample size of 4 970 cases were included. The results of meta-analysis showed that the detection rate of depressive symptoms among caregivers of disabled elderly in China was 41.81%(95%CI: 37.55%～46.13%). Subgroup analysis showed that depressive symptoms were detected in 41.81%(95%CI: 35.87%～47.75%) of male caregivers and 43.81%(95%CI: 29.15%～58.48%) of female caregivers. 43.48%(95%CI: 29.44%～57.53%) were in primary school or below, 42.57%(95%CI: 29.07%～56.06%) were in middle school or high school, and 33.66%(95%CI: 21.26%～46.07%) were in college or above. The marital status was 43.06%(95%CI: 30.89%～55.24%) in married and 41.96%(95%CI: 35.21%～48.72%) in non-married. The proportion of monthly income≤4 000 yuan was 46.47%(95%CI: 28.97%～63.96%), and that of more than 4 000 yuan was 33.23%(95%CI: 15.32%～51.14%); The survey year was 37.86%(95%CI: 31.26%～44.70%) in 2016 and 47.27%(95%CI: 44.91%～49.64%) after 2016. self-rating depression scale(SDS), patient health questionnaire depression scale(PHQ-9), and center for epidemiological research depression scale(CES-D) were 41.03%(95%CI: 36.14%～46.01%), 42.46%(95%CI: 37.28%～47.76%), and 49.21%(95%CI: 45.02%～53.40%). Conclusion There is a high incidence of depressive symptoms among family caregivers of disabled elderly in China. It is suggested to strengthen mental health assessment and intervention for disabled elderly caregivers to reduce the incidence of depressive symptoms.更多还原