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脑肿瘤患者照料者的压力水平差异——一项初步研究的观察结果

Differential levels of stress in caregivers of brain tumor patients--observations from a pilot study.

作者信息

Keir Stephen T, Guill Ann Bebe, Carter Karen E, Boole Lindsay C, Gonzales Lazaro, Friedman Henry S

机构信息

The Tug McGraw Center for Quality of Life/Supportive Care Research, The Preston Robert Tisch Brain Tumor Center, Duke University Medical Center, DUMC Box 3624, Durham, NC, USA.

出版信息

Support Care Cancer. 2006 Dec;14(12):1258-61. doi: 10.1007/s00520-006-0090-1. Epub 2006 Jun 15.

DOI:10.1007/s00520-006-0090-1
PMID:16775683
Abstract

OBJECTIVE

Caregivers of patients with brain tumors (BT) experience elevated levels of stress. Using pilot data, we sought to determine which caregivers are at risk for experiencing elevated levels of stress based on caregiver-demographic and patient-medical information.

METHODS

Using a convenience sample of 60 caregivers, participants were asked to complete the Perceived Stress Scale and to provide demographic information. The Perceived Stress Scale is a 10-item scale designed to measure the degree to which situations in life are perceived as stressful. Demographic information was collected using self-reported measures. Medical data concerning tumor grade of patient were obtained from most recent medical note. Data for study were standardized using z-scores and analyzed using SPSS software.

RESULTS

Seventy-two percent (n=43) of caregivers reported experiencing elevated levels of stress within the last 30 days. Thirty-five percent (n=21) of the sample scored at least one standard deviation above the mean. A statistical trend [F(1, 57)=3.12, p=0.08] exists between caregiver stress and tumor grade of patients for which they are providing care.

CONCLUSIONS

Caregivers of patients with BT experience significant stress. Furthermore, this data provide an indication of the profound levels of stress these caregivers experience. Caregivers of patients with grade I/II tumors are at increased risk for experiencing stress. Younger caregiver age and higher levels of education were also found to correlate to higher levels of stress.

摘要

目的

脑肿瘤(BT)患者的照顾者承受着较高水平的压力。利用试点数据,我们试图根据照顾者的人口统计学信息和患者的医疗信息,确定哪些照顾者有承受较高压力水平的风险。

方法

采用便利抽样法选取60名照顾者作为研究对象,要求他们完成感知压力量表并提供人口统计学信息。感知压力量表是一个包含10个条目的量表,旨在测量生活中的各种情况被感知为压力的程度。人口统计学信息通过自我报告的方式收集。有关患者肿瘤分级的医疗数据从最近的病历中获取。研究数据使用z分数进行标准化处理,并使用SPSS软件进行分析。

结果

72%(n = 43)的照顾者报告在过去30天内承受着较高水平的压力。35%(n = 21)的样本得分至少比平均值高出一个标准差。在照顾者压力与他们所照顾患者的肿瘤分级之间存在一个统计学趋势[F(1, 57)=3.12, p = 0.08]。

结论

BT患者的照顾者承受着巨大的压力。此外,这些数据表明了这些照顾者所承受压力的严重程度。I/II级肿瘤患者的照顾者承受压力的风险增加。还发现照顾者年龄较小和教育水平较高与较高的压力水平相关。

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