Pain Relief and Palliative Care Unit, Department of Radiology, Areteion Hospital, School of Medicine, University of Athens, Athens, Greece.
Eur J Cancer Care (Engl). 2013 Mar;22(2):188-95. doi: 10.1111/ecc.12012. Epub 2012 Sep 19.
This study examined the relationship between caregivers' anxiety supporting a patient with advanced cancer and self-efficacy and their socio-demographic characteristics, and then whether these variables could influence their self-efficacy. One hundred and seven caregivers of advanced cancer patients participated in the study and completed the Greek versions of the State-Trait Anxiety Inventory (STAI) and the General Perceived Self-efficacy Scale (GSE). Significant comparisons were found between State anxiety and female gender (P= 0.009), cohabitation (P= 0.002) and relationship with the patient (P= 0.004); statistically significant associations were found between State, Trait anxiety and self-efficacy scores of caregivers (P < 0.0005 respectively). A multiple regression model (enter method) showed women (P= 0.005), spouses (P= 0.01) and self-efficacy (P= 0.02) as the significant predictors of State anxiety. Furthermore, self-efficacy seemed to be the strongest contributor of trait anxiety (P < 0.0005). Female caregivers and spouses of advanced cancer patients experience more state anxiety levels than men and other caregivers respectively. In addition, caregivers with low self-efficacy are more likely to have elevated anxiety scores than self-efficacious caregivers. These findings can help healthcare professionals focus on some problems common to caregivers of cancer patients and plan appropriate interventions.
本研究考察了照顾者在支持晚期癌症患者时的焦虑与自我效能感及其社会人口学特征之间的关系,然后研究这些变量是否会影响他们的自我效能感。107 名晚期癌症患者的照顾者参加了这项研究,并完成了状态-特质焦虑量表(STAI)和一般自我效能感量表(GSE)的希腊语版本。状态焦虑与女性性别(P=0.009)、同居(P=0.002)和与患者的关系(P=0.004)之间存在显著差异;照顾者的状态、特质焦虑和自我效能感评分之间存在统计学上显著的关联(分别为 P<0.0005)。多元回归模型(进入法)显示,女性(P=0.005)、配偶(P=0.01)和自我效能感(P=0.02)是状态焦虑的显著预测因子。此外,自我效能感似乎是特质焦虑的最强贡献者(P<0.0005)。晚期癌症患者的女性照顾者和配偶比男性和其他照顾者经历更高的状态焦虑水平。此外,自我效能感低的照顾者比自我效能感高的照顾者更有可能出现焦虑评分升高的情况。这些发现可以帮助医疗保健专业人员关注癌症患者照顾者普遍存在的一些问题,并计划适当的干预措施。