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[肺癌患者照顾者的照顾负担及影响生活质量的相关因素]

[The caregiver burden and related factors on quality of life among caregivers for patients with lung cancer].

作者信息

Li Y Q, Zhang M H, Wang Q Q, Liu J J, Yao H Y

机构信息

Office of Epidemiology, Chinese Center for Disease Control and Prevention, Beijing 102206, China.

出版信息

Zhonghua Zhong Liu Za Zhi. 2018 Jun 23;40(6):467-473. doi: 10.3760/cma.j.issn.0253-3766.2018.06.013.

Abstract

To explore the influence of caregiver burden on quality of life among caregivers for patients with lung cancer in Beijing. From August to October in 2017, 336 caregivers for patients with primary lung cancer from a large tertiary hospital were recruited to this survey by convenient sampling method. The Caregiver Reaction Assessment (CRA) and the WHO Quality of Life-BREF (WHOQOL-BREF) Instruments were used to evaluate the caregiver burden and quality of life. The demographic characteristics were evaluated using Pearson chi-square or Fisher's exact tests. In addition, using the 4 dimensions of quality of life scale as the dependent variables while the 5 dimensions of caregiver burden and demographic variables as the explanatory variables, we conducted the multiple linear stepwise regression analysis (the defaults were 0.15 for FORWARD and BACKWARD). The scores of family caregivers' esteem, impact on schedule, impact on finances, impact on health and lack of family support were 4.30±0.47、3.55±0.74、3.10±0.91、2.60±0.78、2.32±0.73, respectively. Regression results showed that demographic factors, including marriage, occupation and relationship with patients and impact on health, caregivers' esteem and impact on finances dimensions of caregiver burden were the factors which influenced the quality of life of caregivers. The caregiver burden in patients with lung cancer is mainly focused on impact on schedule and finances. Impact on health, finances and caregivers' esteem (seven items were reverse-scored) are significantly negatively correlated with quality of life of caregivers.

摘要

探讨北京地区肺癌患者照顾者负担对其生活质量的影响。2017年8月至10月,采用方便抽样法,从某大型三级医院招募了336名原发性肺癌患者的照顾者进行本次调查。采用照顾者反应评估量表(CRA)和世界卫生组织生活质量简表(WHOQOL - BREF)评估照顾者负担和生活质量。采用Pearson卡方检验或Fisher精确检验评估人口学特征。此外,以生活质量量表的4个维度为因变量,照顾者负担的5个维度和人口学变量为解释变量,进行多元线性逐步回归分析(向前和向后纳入的默认值均为0.15)。家庭照顾者在自尊、对日程安排的影响、对经济的影响、对健康的影响以及缺乏家庭支持方面的得分分别为4.30±0.47、3.55±0.74、3.10±0.91、2.60±0.78、2.32±0.73。回归结果显示,人口学因素,包括婚姻状况、职业、与患者的关系以及对健康的影响以及照顾者负担中的自尊、对经济的影响维度是影响照顾者生活质量的因素。肺癌患者照顾者的负担主要集中在对日程安排和经济的影响上。对健康、经济的影响以及照顾者自尊(7项为反向计分)与照顾者生活质量显著负相关。

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