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土耳其人群中癌症患者感知社会支持的预测因素及其家庭照顾者负担。

The predictive factors for perceived social support among cancer patients and caregiver burden of their family caregivers in Turkish population.

机构信息

a Department of Medical Oncology , Haydarpasa Numune Education and Research Hospital , Istanbul , Turkey.

b Department of Psychiatry , Haydarpasa Numune Education and Research Hospital , Istanbul , Turkey.

出版信息

Int J Psychiatry Clin Pract. 2018 Mar;22(1):63-69. doi: 10.1080/13651501.2017.1358370. Epub 2017 Aug 9.

Abstract

OBJECTIVES

We aimed to identify the predictive factors for the perceived family social support among cancer patients and caregiver burden of their family caregivers.

METHODS

Participants were 302 cancer patients and their family caregivers. Family social support scale was used for cancer patients, burden interview was used for family caregivers.All subjects also completed Beck depression invantery. The related socio-demographical factors with perceived social support (PSS) and caregiver burden were evaluated by correlation analysis. To find independent factors predicting caregiver burden and PSS, logistic regression analysis were conducted.

RESULTS

Depression scores was higher among patients than their family caregivers (12.5 vs. 8). PSS was lower in depressed patients (p < .001). Family caregiver burden were also higher in depressive groups (p < .001). Among patients only the depression was negatively correlated with PSS (p < .001, r = -2.97). Presence of depression (p < .001, r = 0.381) was positively correlated and family caregiver role was negatively correlated (p < .001, r = -0.208) with caregiver burden. Presence of depression was the independent predictor for both, lower PSS for patients and higher burden for caregivers.

CONCLUSIONS

The results of this study is noteworthy because it may help for planning any supportive care program not only for patients but together with their caregiver at the same time during chemotherapy period in Turkish population.

摘要

目的

本研究旨在识别癌症患者感知家庭社会支持的预测因素,以及其家庭照顾者的负担。

方法

研究对象为 302 名癌症患者及其家庭照顾者。采用家庭社会支持量表评估癌症患者,采用负担访谈评估家庭照顾者。所有受试者还完成了贝克抑郁量表。采用相关的社会人口统计学因素与感知社会支持(PSS)和照顾者负担进行相关性分析。为了找出预测照顾者负担和 PSS 的独立因素,进行了逻辑回归分析。

结果

患者的抑郁评分高于其家庭照顾者(12.5 对 8)。抑郁患者的 PSS 较低(p < 0.001)。抑郁组的照顾者负担也较高(p < 0.001)。在患者中,只有抑郁与 PSS 呈负相关(p < 0.001,r = -2.97)。存在抑郁(p < 0.001,r = 0.381)与照顾者负担呈正相关,而照顾者角色与照顾者负担呈负相关(p < 0.001,r = -0.208)。存在抑郁是患者 PSS 降低和照顾者负担增加的独立预测因素。

结论

本研究结果值得注意,因为它可能有助于在土耳其人群中为计划任何支持性护理计划提供帮助,不仅针对患者,还同时针对他们的照顾者,特别是在化疗期间。

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