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接受临终关怀的癌症患者的照护者负担与症状困扰

Caregiver burden and symptom distress in people with cancer receiving hospice care.

作者信息

Andrews S C

机构信息

H. Lee Moffitt Cancer and Research Institute in Tampa, FL, USA.

出版信息

Oncol Nurs Forum. 2001 Oct;28(9):1469-74.

Abstract

PURPOSE/OBJECTIVES: To examine the relationship between caregiver burden and symptom distress in patients with terminal cancer who are enrolled in hospice.

DESIGN

Descriptive, quantitative.

SETTING

A large, metropolitan, nonprofit-based organization in west central Florida.

SAMPLE

Convenience sample of 30 patient-caregiver dyads enrolled in hospice.

METHODS

Caregivers completed the Caregiver Reaction Scale to measure the level of caregiver burden; patients completed the Adopted Symptom Distress Scale. Results were correlated using a Pearson correlation.

MAIN RESEARCH VARIABLES

Symptom distress and caregiver burden.

FINDINGS

The patient sample exhibited low symptom distress, and the caregiver sample exhibited moderate caregiver burden. A statistically significant moderate correlation existed between symptom distress and caregiver burden.

CONCLUSIONS

The significant moderate correlation confirms the idea that caregiver burden and patient symptom distress are related. Future studies are needed to obtain a more representative sample of caregivers of patients closer to death, even if those patients are nonresponsive.

IMPLICATIONS FOR NURSING PRACTICE

This information can assist hospice nurses in assessing and formulating targeted care for symptom distress and caregiver burden in their patients,

摘要

目的/目标:探讨临终关怀机构中晚期癌症患者的照护者负担与症状困扰之间的关系。

设计

描述性、定量研究。

地点

佛罗里达州中西部一个大型的、位于大都市的非营利性组织。

样本

临终关怀机构中30对患者-照护者二元组的便利样本。

方法

照护者完成照护者反应量表以测量照护者负担水平;患者完成采用的症状困扰量表。结果采用Pearson相关分析。

主要研究变量

症状困扰和照护者负担。

研究结果

患者样本表现出低水平的症状困扰,照护者样本表现出中度的照护者负担。症状困扰与照护者负担之间存在统计学上显著的中度相关性。

结论

显著的中度相关性证实了照护者负担与患者症状困扰相关这一观点。未来需要开展研究,以获取更具代表性的接近死亡患者的照护者样本,即使这些患者无反应。

对护理实践的启示

这些信息可帮助临终关怀护士评估和制定针对患者症状困扰及照护者负担的靶向护理措施。

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