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癌症患者照料者的心理健康与创伤后成长

Psychological well-being and posttraumatic growth in caregivers of cancer patients.

作者信息

Cormio Claudia, Romito Francesca, Viscanti Giovanna, Turaccio Marina, Lorusso Vito, Mattioli Vittorio

机构信息

Experimental Unit of Psycho-oncology, National Cancer Research Centre "Giovanni Paolo II," Bari, Italy.

O.U. Medical Oncology, Sen. Antonio Perrino Hospital Brindisi, Italy.

出版信息

Front Psychol. 2014 Nov 20;5:1342. doi: 10.3389/fpsyg.2014.01342. eCollection 2014.

Abstract

INTRODUCTION

Although research has shown that many cancer patients report positive life changes following cancer diagnosis, there are few data in the literature related to PTG in caregivers of cancer patients. However, the few studies available have shown that this kind of positive changes can also be experienced by family members. The aims of this study were to explore PTG in caregivers of cancer patients and to investigate correlations between the Posttraumatic growth, psychological status and QoL of caregivers and those of patients, taking into account also clinical and socio-demographic aspects.

METHODS

We enrolled 60 patient/caregiver pairs in the Department of Medical Oncology of the National Research Center "Giovanni Paolo II" in Bari. Both patients and caregivers were assessed using the following scales: Posttraumatic growth Inventory (PTGI); Hospital anxiety and depression scale; Short Form (36) Health Survey (SF-36); ECOG Performance Status. Clinical and socio-demographic data were collected.

RESULTS

Caregivers showed significantly higher scores than patients in the dimension of "personal strength." Furthermore, we found a significantly close association between anxiety and depression of caregivers with those of patients. Younger caregivers were better than older ones in terms of physical activity, vitality, mental health, and social activities. Although the degree of relationship with the patient has no significant effect on the dependent variables of the study, it was found that caregivers with a degree of kinship more distant to the patient have less physical pain than the closest relatives.

CONCLUSION

RESULTS of the present study show that caregivers of cancer patients may experience post-traumatic growth as the result of their caregiver role. It would be interesting to investigate in future research which factor may mediate the presence of post-traumatic growth.

摘要

引言

尽管研究表明,许多癌症患者在确诊后报告了积极的生活变化,但文献中关于癌症患者照料者创伤后成长(PTG)的数据却很少。然而,现有的少数研究表明,家庭成员也能经历这种积极变化。本研究的目的是探讨癌症患者照料者的创伤后成长情况,并调查照料者与患者的创伤后成长、心理状态和生活质量之间的相关性,同时考虑临床和社会人口学方面的因素。

方法

我们在巴里的国家研究中心“乔瓦尼·保罗二世”医学肿瘤学系招募了60对患者/照料者。使用以下量表对患者和照料者进行评估:创伤后成长量表(PTGI);医院焦虑抑郁量表;简明健康调查量表(SF-36);东部肿瘤协作组(ECOG)体能状态评分。收集临床和社会人口学数据。

结果

照料者在“个人力量”维度上的得分显著高于患者。此外,我们发现照料者与患者的焦虑和抑郁之间存在显著的密切关联。年轻的照料者在身体活动、活力、心理健康和社交活动方面比年长的照料者表现更好。尽管与患者的关系程度对研究的因变量没有显著影响,但发现与患者亲属关系较远的照料者比最亲近的亲属身体疼痛更少。

结论

本研究结果表明,癌症患者照料者可能因其照料者角色而经历创伤后成长。未来的研究调查哪些因素可能介导创伤后成长的存在将是很有趣的。

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