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照料担忧与身心健康之间的关联。对居家照料癌症患者的家庭照料者的一项调查。

Associations between caregiving worries and psychophysical well-being. An investigation on home-cared cancer patients family caregivers.

作者信息

Zavagli Veronica, Miglietta Elisabetta, Varani Silvia, Pannuti Raffaella, Brighetti Gianni, Pannuti Franco

机构信息

ANT Italia Foundation, via Jacopo di Paolo 36, Bologna, Italy.

Department of Psychology, University of Bologna, viale Berti Pichat 5, Bologna, Italy.

出版信息

Support Care Cancer. 2016 Feb;24(2):857-863. doi: 10.1007/s00520-015-2854-y. Epub 2015 Jul 24.

DOI:10.1007/s00520-015-2854-y
PMID:26201751
Abstract

PURPOSE

Caregiving to a family member with cancer might have health implications. However, limited research has investigated the psychophysical health of home-cared cancer patients family caregivers. In a previous study, we have found that a prolonged worry in daily life is a crucial variable compared to caregivers' psychophysical symptomatology. This investigation was designed to further examine the well-being of family caregivers, explore the domains of worry, and assess to what extent "content-dependent" worry could be associated with the caregivers' health

METHODS

The sample consisted of 100 family caregivers of oncological patients assisted at home. Participants completed a battery of self-report questionnaires (Penn State Worry Questionnaire, Worry Domain Questionnaire, Hospital Anxiety and Depression Scale, Family Strain Questionnaire Short Form, and Psychophysiological Questionnaire of the Battery CBA 2.0).

RESULTS

The level of worry was medium-high among participants, and caregivers worry more about their occupation and future. Depression, anxiety, and somatic symptomatology levels resulted mild, while strain level resulted high. Statistical analyses confirm the conclusions of the previous study, revealing a significant positive correlation between worry levels and caregivers' psychophysical health. Innovatively, it has been highlighted that who has higher scores of content-dependent worry shows also higher levels of strain, somatic symptoms, anxiety, and depression

CONCLUSIONS

Not only trait-worry ("content-free" measure) but also content-dependent worry is associated with strain and negative health outcomes. People may worry about different targets, and it might be useful to further investigate what are the specific worriers of family caregivers in order to promote their physical and emotional well-being.

摘要

目的

照顾患有癌症的家庭成员可能会对健康产生影响。然而,针对居家照顾癌症患者的家庭护理人员的心理生理健康进行的研究有限。在之前的一项研究中,我们发现,与护理人员的心理生理症状相比,日常生活中持续的担忧是一个关键变量。本研究旨在进一步考察家庭护理人员的幸福感,探究担忧的范畴,并评估“与内容相关的”担忧在多大程度上可能与护理人员的健康相关。

方法

样本包括100名在家中接受护理的肿瘤患者的家庭护理人员。参与者完成了一系列自我报告问卷(宾夕法尼亚州立大学担忧问卷、担忧领域问卷、医院焦虑抑郁量表、家庭压力问卷简表以及CBA 2.0电池心理生理问卷)。

结果

参与者的担忧程度为中高水平,护理人员更担心自己的职业和未来。抑郁、焦虑和躯体症状水平较轻,而压力水平较高。统计分析证实了先前研究的结论,揭示了担忧程度与护理人员心理生理健康之间存在显著正相关。创新性地发现,与内容相关的担忧得分较高者,其压力、躯体症状、焦虑和抑郁水平也较高。

结论

不仅特质性担忧(“与内容无关”的测量),而且与内容相关的担忧都与压力和负面健康结果相关。人们可能会担心不同的目标,进一步探究家庭护理人员具体担忧的内容可能有助于促进他们的身心健康。

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