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癌症患者家属确诊后 5 年的生活质量:对全国照顾者生活质量调查的随访。

Quality of life of family caregivers 5 years after a relative's cancer diagnosis: follow-up of the national quality of life survey for caregivers.

机构信息

Department of Psychology, University of Miami, 5665 Ponce de Leon Blvd., Coral Gables, FL 33124-0751, USA.

出版信息

Psychooncology. 2012 Mar;21(3):273-81. doi: 10.1002/pon.1888. Epub 2010 Dec 20.

DOI:10.1002/pon.1888
PMID:22383269
Abstract

BACKGROUND

Although cancer has been considered as a chronic disease for those diagnosed, the long-term impact of cancer on the family caregivers' quality of life (QOL) remains unknown. Thus, the current study aimed: (a) to characterize family caregivers of cancer survivors, (b) to describe the multidimensional aspects of QOL of family caregivers of cancer survivors, and (c) to identify demographic and caregiving experience factors that may play significant roles in the caregivers' QOL around 5 years after the relative's initial diagnosis. Methods. A total of 1218 caregivers participated in the 5-year follow-up nationwide QOL Survey for Caregivers. Demographics and caregiving experiences were measured 2 years post-diagnosis of their relative's cancer. Multidimensional aspects of QOL were assessed, including mental and physical health, psychological adjustment, and spirituality at 5 years post-diagnosis.

RESULTS

Three groups of caregivers were identified: former caregivers due to the recipients being in remission, former caregivers whose recipients were deceased, and current caregivers. Current caregivers reported worst levels of QOL. Bereaved caregivers reported lower levels of psychological and spiritual adjustment than former caregivers whose recipients were in remission. In addition, caregivers' age and stress were consistent predictors of QOL across three caregiver groups at 5 years post-diagnosis.

CONCLUSIONS

The findings help to increase evidence-based awareness of the long-term impact of cancer on the family caregivers' QOL. Findings also have implications for developing programs, whereby family caregivers in the various phases of caregivership will benefit by improving their QOL.

摘要

背景

尽管癌症患者被认为是慢性病患者,但癌症对家庭照顾者生活质量(QOL)的长期影响尚不清楚。因此,本研究旨在:(a)描述癌症幸存者家庭照顾者的特征,(b)描述癌症幸存者家庭照顾者 QOL 的多维方面,(c)确定人口统计学和照顾经验因素,这些因素可能在相对初始诊断后 5 年内对照顾者的 QOL 产生重要影响。

方法

共有 1218 名照顾者参加了全国范围的 QOL 照顾者 5 年随访调查。在相对癌症诊断后 2 年测量了人口统计学和照顾经验。在诊断后 5 年评估了 QOL 的多维方面,包括心理健康和身体健康、心理调整和精神信仰。

结果

确定了三组照顾者:因接受者缓解而成为前照顾者、因接受者去世而成为前照顾者以及当前照顾者。当前照顾者报告的 QOL 水平最差。丧亲照顾者的心理和精神调整水平低于病情缓解的前照顾者。此外,在诊断后 5 年,照顾者的年龄和压力是三个照顾者群体 QOL 的一致预测因素。

结论

这些发现有助于提高对癌症对家庭照顾者 QOL 的长期影响的循证意识。研究结果还为制定计划提供了依据,使处于不同照顾阶段的家庭照顾者通过提高他们的 QOL而受益。

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