National Taiwan University, School of Nursing, College of Medicine, Taipei, Taiwan.
Psychooncology. 2013 Nov;22(11):2617-23. doi: 10.1002/pon.3328. Epub 2013 Jul 28.
This study aimed to (i) explore the prevalence and levels (severity) of anxiety and depression in family caregivers (FCs) of patients newly diagnosed with advanced lung cancer (stage IIIb or IV) before first treatment, and (ii) identify the factors related to FCs' anxiety and depression.
For this cross-sectional study, 106 patient-FC dyads were recruited from a medical center in northern Taiwan. FCs' anxiety and depression were measured using the self-report Hospital Anxiety and Depression Scale, and FCs' ability to manage patients' symptoms was assessed using the Self-Efficacy in Symptom Management Scale. FCs' risks for anxiety and depression were separately identified using two multivariate logistic regression models.
This study found two major results. First, before patients' first treatment, 50.9% and 32.1% of FCs were at risk for anxiety and depression, respectively. FCs' overall mean anxiety and depression scores were 7.7 (SD = 4.7) and 6.1 (SD = 4.5), respectively. Second, both FCs' anxiety and depression were significantly related to four factors: caring for another sick family member, younger age, having pain problems, and lower self-efficacy in managing symptoms.
Family caregivers of patients newly diagnosed with advanced lung cancer had anxiety and depression before the patients' first treatment. We strongly suggest developing and testing interventions to reduce FCs' psychological distress and enhance their quality of life, thus ensuring better quality of patient care.
本研究旨在：(i) 探讨首次治疗前新诊断为晚期肺癌（Ⅲb 期或Ⅳ期）患者的家属照顾者（FCs）的焦虑和抑郁的患病率和程度（严重程度）；(ii) 确定与 FCs 的焦虑和抑郁相关的因素。
这项横断面研究招募了来自台湾北部一家医疗中心的 106 对患者-FC 二人组。使用自我报告的医院焦虑和抑郁量表评估 FCs 的焦虑和抑郁，使用自我症状管理效能感量表评估 FCs 管理患者症状的能力。使用两个多变量逻辑回归模型分别确定 FCs 发生焦虑和抑郁的风险。
本研究发现了两个主要结果。首先，在患者首次治疗之前，分别有 50.9%和 32.1%的 FCs 有焦虑和抑郁的风险。FCs 的总体平均焦虑和抑郁得分为 7.7（SD=4.7）和 6.1（SD=4.5）。其次，FCs 的焦虑和抑郁均与四个因素显著相关：照顾另一位患病的家庭成员、年龄较小、有疼痛问题和管理症状的自我效能较低。
新诊断为晚期肺癌的患者的家属照顾者在患者首次治疗前存在焦虑和抑郁。我们强烈建议制定和测试干预措施，以减轻 FCs 的心理困扰并提高其生活质量，从而确保更好的患者护理质量。
