Creedle Crista, Leak Ashley, Deal Allison M, Walton Ann Marie, Talbert Gayl, Riff Barbara, Hornback Ann
UNC Hospital, NC Cancer Hospital, Chapel Hill, NC 27514, USA.
J Cancer Educ. 2012 Jun;27(2):250-6. doi: 10.1007/s13187-011-0302-3.
Providing standardized education can alleviate the burden felt by the caregiver and improve health outcomes for both the patient and caregiver. Four disease groups were included in this study that represent a significantly longer hospital stay than other cancers: acute myelogenous leukemia, acute lymphoblastic leukemia, lymphoma, or those undergoing blood marrow transplant. The complexity of care is significantly higher, necessitating greater caregiver burden following hospitalization. Eligible patients and their caregivers received post-hospitalization care education through an Oncology CarePartner Program addressing the patient's physical and emotional needs. The impact of the CarePartners program on caregiver burden was evaluated by the Oberst Caregiving Burden Scale (OCBS) and Bakas Caregiving Outcomes Scale (BCOS) on two oncology units (medical/oncology (n = 17) and blood marrow transplant (n = 21)) at three times: within 5 days of admission (T1), patient discharge from the hospital (T2), and 30 days post-discharge (T3). There were significant increases seen from T1-T2 (median = 4, p = 0.0007) and T1-T3 (median = 5.5, p = 0.003) in the BCOS. No significant changes in OCBS (time or difficulty) were seen. Standardized patient education helped improve caregivers' overall well-being but lacked in impacting the time spent and difficulty with caregiving tasks. Educational changes to address these specific areas or evaluation by different scales are both worth further investigation.
提供标准化教育可以减轻照顾者的负担，并改善患者和照顾者的健康状况。本研究纳入了四组疾病，这些疾病的住院时间明显长于其他癌症：急性髓性白血病、急性淋巴细胞白血病、淋巴瘤或接受骨髓移植的患者。护理的复杂性明显更高，住院后照顾者的负担也更大。符合条件的患者及其照顾者通过肿瘤护理伙伴计划接受了出院后护理教育，该计划满足了患者的身体和情感需求。通过奥伯斯特照顾负担量表（OCBS）和巴卡斯照顾结果量表（BCOS），在三个时间点对两个肿瘤科室（内科/肿瘤科（n = 17）和骨髓移植科（n = 21））的照顾者负担进行了评估：入院后5天内（T1）、患者出院时（T2）和出院后30天（T3）。BCOS在T1至T2（中位数 = 4，p = 0.0007）和T1至T3（中位数 = 5.5，p = 0.003）有显著增加。OCBS（时间或难度）没有显著变化。标准化的患者教育有助于改善照顾者的整体幸福感，但在影响照顾任务所花费的时间和难度方面存在不足。针对这些特定领域的教育变革或采用不同量表进行评估都值得进一步研究。
