Aydogan Umit, Doganer Yusuf C, Komurcu Seref, Ozturk Bekir, Ozet Ahmet, Saglam Kenan
Department of Family Medicine, Gulhane Military Medical Faculty, Ankara, Turkey.
Department of Family Medicine, Turkish Military Academy, Primary Care Examination Center, Ankara, Turkey.
Indian J Palliat Care. 2016 Apr-Jun;22(2):150-6. doi: 10.4103/0973-1075.179598.
Cancer process is a traumatic period for both patients and their caregivers. Caregivers of the patients use various coping methods to minimize the effects of anxiety-creating negativities in their daily lives. The present study aimed to examine the coping attitudes adopted by the patients and caregivers and the effects of this process upon the quality of life (QoL) of caregivers.
The cross-sectional study was conducted on three groups of (i) 74 patients consisting of those hospitalized in the department of medical oncology in tertiary care hospital or coming to the health center for chemotherapy treatment as cancer outpatients and (ii) 46 caregivers of patients; and control group 46 healthy individuals. Face-to-face interviews were conducted with the study patients to administer a short sociodemographic questionnaire, coping attitudes assessment scale (COPE), and Short Form-36 (SF-36) QoL scale.
Statistically significant differences were recorded among patients, caregivers, and control groups in terms of "problem-focused coping" and "dysfunctional coping" the COPE scale (P = 0.001, P = 0.017). According to scores taken from the SF-36 scale, there was a statistically significant difference between caregivers and control groups in all parameters (P < 0.05).
Patients and caregivers should be encouraged to use the coping methods related to the source of the problem rather than the dysfunctional coping methods. Evaluation of the QoL indicators of not only the patients but also their caregivers enables to formulate a more integrated approach and detection of the expectations of the caregivers.
癌症病程对患者及其照护者来说都是一段痛苦时期。患者的照护者会采用各种应对方法，以尽量减少日常生活中引发焦虑的消极因素的影响。本研究旨在探讨患者及其照护者所采取的应对态度，以及这一过程对照护者生活质量（QoL）的影响。
本横断面研究对三组对象进行了调查，第一组为74例患者，包括在三级护理医院肿瘤内科住院的患者或作为癌症门诊患者到健康中心接受化疗的患者；第二组为46例患者的照护者；对照组为46名健康个体。对研究患者进行面对面访谈，以发放一份简短的社会人口学问卷、应对态度评估量表（COPE）和简明健康状况调查量表（SF-36）生活质量量表。
在COPE量表的“问题聚焦应对”和“功能失调性应对”方面，患者、照护者和对照组之间存在统计学显著差异（P = 0.001，P = 0.017）。根据SF-36量表的得分，照护者与对照组在所有参数上均存在统计学显著差异（P < 0.05）。
应鼓励患者及其照护者采用与问题根源相关的应对方法，而非功能失调性应对方法。不仅对患者，而且对其照护者的生活质量指标进行评估，有助于制定更综合的方法，并了解照护者的期望。
