癌症患者家庭照顾者的照顾负担与健康促进行为

Caregiving burden and health-promoting behaviors among the family caregivers of cancer patients.

作者信息

Rha Sun Young, Park Yeonhee, Song Su Kyung, Lee Chung Eun, Lee Jiyeon

机构信息

College of Medicine, Yonsei University, Seoul, South Korea; Department of Medical Oncology, Yonsei Cancer Center, Seoul, South Korea.

College of Nursing, Eulji University, Daejeon, South Korea.

出版信息

Eur J Oncol Nurs. 2015 Apr;19(2):174-81. doi: 10.1016/j.ejon.2014.09.003. Epub 2014 Oct 28.

DOI:10.1016/j.ejon.2014.09.003

PMID:25456972

Abstract

PURPOSE

The role of family caregivers in cancer care continues to expand, and it has been suggested that the caregiving influences health-promoting behaviors. The purpose was to describe the caregiving burden and health-promoting behaviors of the family caregivers of cancer patients and to determine the relationship between caregiving burden and health-promoting behaviors.

METHOD

A cross-sectional descriptive study was conducted involving 227 family caregivers of adult cancer patients. Caregiving burden was measured using the Korean version of the Zarit Burden Interview (K-ZBI), and health-promoting behaviors were determined using structured questionnaires.

RESULTS

Considerable burden was experienced by the caregivers of cancer patients (K-ZBI score of 36.51 ± 12.54, mean ± SD). However, caregiving burden did not influence caregivers' physical activity, diet, smoking, alcohol consumption, or adherence to cancer screening tests. When the caregivers were compared to controls from the Korea National Health and Nutrition Examination Survey V utilizing adjusted proportions, caregivers were less likely to perform physical activities (16.0% vs. 29.1%, p < 0.001), but more likely to adhere to alcohol consumption recommendations (76.3% vs. 35.0%, p < 0.001) and receive cancer screening services for stomach (68.5% vs. 56.8%, p < 0.011), breast (81.4% vs. 58.8%, p < 0.001), and cervical cancer (75.3% vs. 55.0%, p < 0.001).

CONCLUSIONS

The caregivers of cancer patients reported considerable caregiving burden. However the burden was not associated with health-promoting behaviors. Physical inactivity among caregivers may require interventions to promote health of caregivers.

IMPLICATIONS FOR PRACTICE

Relieving caregiving burden and improving caregivers' physical activities need to be considered as separate care issues in planning interventions for caregivers of cancer patients.

摘要

目的

家庭照顾者在癌症护理中的作用持续扩大，有人提出照顾行为会影响健康促进行为。本研究旨在描述癌症患者家庭照顾者的照顾负担和健康促进行为，并确定照顾负担与健康促进行为之间的关系。

方法

开展一项横断面描述性研究，纳入227名成年癌症患者的家庭照顾者。使用韩国版的 Zarit 照顾负担访谈量表（K-ZBI）测量照顾负担，并通过结构化问卷确定健康促进行为。

结果

癌症患者的照顾者承受了相当大的负担（K-ZBI 评分为 36.51 ± 12.54，均值 ± 标准差）。然而，照顾负担并未影响照顾者的身体活动、饮食、吸烟、饮酒或癌症筛查检查的依从性。当将照顾者与韩国国家健康与营养检查调查 V 的对照组进行调整比例后的比较时，照顾者进行身体活动的可能性较小（16.0% 对 29.1%，p < 0.001），但更有可能遵守饮酒建议（76.3% 对 35.0%，p < 0.001），并接受胃癌（68.5% 对 56.8%，p < 0.011）、乳腺癌（81.4% 对 58.8%，p < 0.001）和宫颈癌（75.3% 对 55.0%，p < 0.001）的筛查服务。