Zhu Ping, Fu Ju-Fang, Wang Bo, Lin Jing, Wang Yan, Fang Ning-Ning, Wang Dan-Dan
Department of Infection Control, Xijing Hospital, Xi'an, China E-mail :
Asian Pac J Cancer Prev. 2014;15(10):4181-5. doi: 10.7314/apjcp.2014.15.10.4181.
The aim of this study was to describe the characteristics of male spouse caregivers of breast cancer patients in China, assess their quality of life (QOL), and investigate the influencing factors.
A total of 243 breast cancer patient-spouse caregiver dyads were recruited from four hospitals in Shanxi and Anhui province of China. A cross-sectional design was applied to collect data and the Chinese version of the Medical Outcomes Study 36-item Short Form (SF-36) was used to measure caregivers' QOL, and the Chinese version of M.D. Anderson Symptom Inventory (MDASI-C) was applied to measure patient symptom severity and interference. Pearson's correlation was used to examine the correlations between caregiver burden and QOL. The multiple regression analysis was used to determine the most predictive factors influencing QOL.
The scores of all SF-36 scales were above 50.0, which were much lower than that of general mainland Chinese males. Mental QOL was significantly worse than physical QOL. Spouses demographic characteristics, caregiving-related variables and patient symptoms were related to spouse QOL. Caregiver burden has a negative relationship with QOL.
A decrease in life events and patient symptoms, as well as increase in spouse sleeping time and family income, ought to improve QOL.
本研究旨在描述中国乳腺癌患者男性配偶照顾者的特征，评估他们的生活质量（QOL），并调查影响因素。
从中国山西省和安徽省的四家医院招募了总共243对乳腺癌患者-配偶照顾者。采用横断面设计收集数据，使用中文版医学结局研究简明健康调查量表（SF-36）来测量照顾者的生活质量，并应用中文版MD安德森症状问卷（MDASI-C）来测量患者的症状严重程度和干扰情况。采用Pearson相关性分析来检验照顾者负担与生活质量之间的相关性。使用多元回归分析来确定影响生活质量的最具预测性的因素。
所有SF-36量表的得分均高于50.0，但远低于中国大陆男性的总体得分。心理生活质量显著差于生理生活质量。配偶的人口统计学特征、与照顾相关的变量以及患者症状与配偶的生活质量相关。照顾者负担与生活质量呈负相关。
减少生活事件和患者症状，以及增加配偶睡眠时间和家庭收入，应该能够改善生活质量。
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