Park Young-Yoon, Jeong Young-Jin, Lee Junyong, Moon Nayun, Bang Inho, Kim Hyunju, Yun Kyung-Sook, Kim Yong-I, Jeon Tae-Hee
Department of Family Medicine, Veterans Health Service Medical Center, 53 Jinhwangdo-ro 61-gil, Gangdong-gu, Seoul, 05368, Republic of Korea.
Palliative Care Units, Veterans Health Service Medical Center, Seoul, Republic of Korea.
Support Care Cancer. 2018 Jan;26(1):313-321. doi: 10.1007/s00520-017-3912-4. Epub 2017 Oct 4.
This study investigated the effect of family members on terminally ill cancer patients by measuring the relationship of the presence of the family caregivers, visiting time by family and friends, and family adaptability and cohesion with patient's anxiety and depression.
From June, 2016 to March, 2017, 100 terminally ill cancer patients who were admitted to a palliative care unit in Seoul, South Korea, were surveyed, and their medical records were reviewed. The Korean version of the Family Adaptability and Cohesion Evaluation Scales III and Hospital Anxiety-Depression Scale was used. Chi-square and multiple logistic regression analyses were used.
The results of the chi-square analysis showed that the presence of family caregivers and family visit times did not have statistically significant effects on anxiety and depression in terminally ill cancer patients. In multiple logistic regression, when adjusted for age, sex, ECOG PS, and the monthly average income, the odds ratios (ORs) of the low family adaptability to anxiety and depression were 2.4 (1.03-5.83) and 5.4 (1.10-26.87), respectively. The OR of low family cohesion for depression was 5.4 (1.10-27.20) when adjusted for age, sex, ECOG PS, and monthly average household income.
A higher family adaptability resulted in a lower degree of anxiety and depression in terminally ill cancer patients. The higher the family cohesion, the lower the degree of depression in the patient. The presence of the family caregiver and the visiting time by family and friends did not affect the patient's anxiety and depression.
本研究通过测量家庭照顾者的陪伴情况、家人和朋友的探访时间以及家庭适应性和凝聚力与患者焦虑和抑郁之间的关系，探讨家庭成员对晚期癌症患者的影响。
2016年6月至2017年3月，对韩国首尔一家姑息治疗病房收治的100例晚期癌症患者进行了调查，并查阅了他们的病历。使用了韩文版的家庭适应性和凝聚力评估量表III以及医院焦虑抑郁量表。采用卡方检验和多元逻辑回归分析。
卡方分析结果显示，家庭照顾者的陪伴情况和家庭探访时间对晚期癌症患者的焦虑和抑郁没有统计学上的显著影响。在多元逻辑回归中，在调整了年龄、性别、东部肿瘤协作组体能状态（ECOG PS）和月平均收入后，家庭适应性低与焦虑和抑郁的比值比（OR）分别为2.4（1.03 - 5.83）和5.4（1.10 - 26.87）。在调整了年龄、性别、ECOG PS和家庭月平均收入后，家庭凝聚力低与抑郁的OR为5.4（1.10 - 27.20）。
较高的家庭适应性导致晚期癌症患者的焦虑和抑郁程度较低。家庭凝聚力越高，患者的抑郁程度越低。家庭照顾者的陪伴情况以及家人和朋友的探访时间对患者的焦虑和抑郁没有影响。
