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间质性肺疾病患者照料者的负担、复原力及应对方式

Burden, resilience and coping in caregivers of patients with interstitial lung disease.

作者信息

Shah R J, Collard H R, Morisset J

机构信息

Division of Pulmonary, Critical Care, Allergy and Sleep Medicine at the University of California San Francisco, San Francisco, CA.

Division of Pulmonary, Critical Care, Allergy and Sleep Medicine at the University of California San Francisco, San Francisco, CA.

出版信息

Heart Lung. 2018 May-Jun;47(3):264-268. doi: 10.1016/j.hrtlng.2018.03.004. Epub 2018 Apr 4.

Abstract

RATIONALE

Prior work has described the experience of caregiving in idiopathic pulmonary fibrosis, but the effect on caregivers in interstitial lung disease (ILD) has not been explored.

OBJECTIVES

Describe the burden, resilience, and health related quality of life (HRQoL) of caregivers of people with ILD.

METHODS

In a mixed methods study, ILD caregivers completed questionnaires and participated in focus groups. A qualitative thematic analysis of the focus group transcripts was conducted.

RESULTS

Thirty seven caregivers completed the survey, and 15 participated in the focus groups. 65% were female; the average age was 66 (SD = 13). The mean Short Form-36 role emotional and mental health scores were 18 (SD = 4) and 46 (SD = 7). The focus groups identified 4 major themes: emotional burden, changes in relationship, coping strategies, and unmet needs of caregivers.

CONCLUSIONS

Caregiving for patients with ILD significantly impairs HRQoL, particularly, emotional health. Increasing resources could improve the caregiving experience in ILD.

摘要

理论依据

先前的研究描述了特发性肺纤维化患者的护理经历,但尚未探讨对间质性肺疾病(ILD)患者照料者的影响。

目的

描述ILD患者照料者的负担、恢复力和健康相关生活质量(HRQoL)。

方法

在一项混合方法研究中,ILD患者照料者完成问卷调查并参加焦点小组。对焦点小组记录进行定性主题分析。

结果

37名照料者完成了调查,15人参加了焦点小组。65%为女性;平均年龄为66岁(标准差=13)。简短健康调查问卷-36角色情感和心理健康得分的平均值分别为18(标准差=4)和46(标准差=7)。焦点小组确定了4个主要主题:情感负担、关系变化、应对策略和照料者未满足的需求。

结论

照料ILD患者会显著损害健康相关生活质量,尤其是情感健康。增加资源可改善ILD患者的照料体验。

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