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晚期癌症患者的照顾者:绝望与抑郁情绪

Caregivers of advanced cancer patients: feelings of hopelessness and depression.

作者信息

Mystakidou Kyriaki, Tsilika Eleni, Parpa Efi, Galanos Antonis, Vlahos Lambros

机构信息

Pain Relief and Palliative Care Unit, Areteion Hospital, School of Medicine, University of Athens, Athens, Greece.

出版信息

Cancer Nurs. 2007 Sep-Oct;30(5):412-8. doi: 10.1097/01.NCC.0000290807.84076.73.

Abstract

To investigate whether the advanced cancer patients' caregivers' depression and hopelessness are affected by patients' demographic and clinical characteristics and by caregivers' sociodemographic variables. Moreover, the relation between cancer patients' and caregivers' depression and hopelessness was assessed. One hundred five patients with advanced cancer receiving palliative care and 96 caregivers were enrolled in the study. The patients and their caregivers completed the Beck Depression Inventory and the Beck Hopelessness Scale while researchers recorded data on demographic characteristics, disease status, and treatment regimen. The analysis showed that significant associations were found between patient male sex and caregiver's depression (P = .007) and hopelessness (P = .002), between patient family status and caregiver's depression (P = .031) and hopelessness (P = .001), and between patient radiotherapy treatment and caregiver's hopelessness (P = .017). Moreover, statistically significant correlation was found between patient's and caregiver's depression (P = .041). Generalized estimating equations showed that the patients characteristics that predicted caregivers' hopelessness were family status (P = .017), radiotherapy (P = .025), and the caregiver's relation to patient (P = .059). The findings suggest that caregiver's hopelessness is predicted by cancer patient's characteristics and that patient's depression is correlated to that of caregiver. The findings provide a base for future research.

摘要

旨在调查晚期癌症患者的照料者的抑郁和绝望情绪是否受患者的人口统计学和临床特征以及照料者的社会人口统计学变量的影响。此外,还评估了癌症患者与照料者的抑郁和绝望情绪之间的关系。105名接受姑息治疗的晚期癌症患者及其96名照料者参与了该研究。患者及其照料者完成了贝克抑郁量表和贝克绝望量表,同时研究人员记录了有关人口统计学特征、疾病状况和治疗方案的数据。分析表明,患者性别与照料者的抑郁(P = .007)和绝望情绪(P = .002)之间、患者家庭状况与照料者的抑郁(P = .031)和绝望情绪(P = .001)之间、患者放疗治疗与照料者的绝望情绪(P = .017)之间存在显著关联。此外,患者与照料者的抑郁之间存在统计学上的显著相关性(P = .041)。广义估计方程显示,预测照料者绝望情绪的患者特征包括家庭状况(P = .017)、放疗(P = .025)以及照料者与患者的关系(P = .059)。研究结果表明,癌症患者的特征可预测照料者的绝望情绪,且患者的抑郁与照料者的抑郁相关。这些发现为未来的研究奠定了基础。

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