Faculty of Health and Life Sciences, University of The West of England, Glenside Campus, Blackberry Hill, Stapleton, Bristol, BS16 1DD, UK.
Support Care Cancer. 2013 Apr;21(4):977-86. doi: 10.1007/s00520-012-1615-4. Epub 2012 Oct 20.
This study aims to describe the supportive care needs of informal caregivers (ICG) of adult bone marrow transplant (BMT) patients. In addition, we explored relationships between levels of unmet need, psychological morbidity and patient and ICG characteristics.
We invited patients within 24 months of BMT to participate in a cross-sectional survey. Consenting patients asked their ICG to complete and return the questionnaire booklet. Measures included the Supportive Care Needs Survey Partners and Carers and General Health Questionnaire.
Two hundred patients were approached, and 98 completed questionnaires were received (response rate = 49 %). We found high unmet need and psychological morbidity among ICGs and an association between ICG unmet need and psychological morbidity. Patient functioning, particularly anxiety and depression, sexual dysfunction and resumption of usual activities impacted on ICG unmet need and psychological morbidity. No associations were found between ICG unmet need and psychological morbidity and the following variables: type of BMT, time from BMT, ICG gender, number of dependents and patient age.
ICG of BMT patients have high levels of unmet need and psychological morbidity in the months that follow a BMT. This highlights the importance of thorough needs assessment to ensure limited resources are targeted to those most in need.
本研究旨在描述成人骨髓移植(BMT)患者非专业照护者(ICG)的支持性护理需求。此外,我们还探讨了未满足需求的水平、心理发病率与患者和 ICG 特征之间的关系。
我们邀请了在 BMT 后 24 个月内的患者参与横断面调查。同意参与的患者请他们的 ICG 填写并寄回问卷手册。测量工具包括支持性护理需求调查伙伴和照顾者以及一般健康问卷。
共接触了 200 位患者,收到了 98 份完整的问卷(回应率为 49%)。我们发现 ICG 存在高度的未满足需求和心理发病率,且 ICG 的未满足需求与心理发病率之间存在关联。患者的功能,特别是焦虑和抑郁、性功能障碍和恢复正常活动,会影响 ICG 的未满足需求和心理发病率。在 ICG 的未满足需求和心理发病率与以下变量之间未发现关联:BMT 的类型、BMT 后的时间、ICG 的性别、受抚养人数和患者年龄。
BMT 后的几个月,BMT 患者的 ICG 存在高度的未满足需求和心理发病率。这凸显了进行全面需求评估的重要性,以确保有限的资源能够针对最需要的人。