The First Affiliated Hospital of Harbin Medical University, Harbin, 150081, China.
Affiliate Tumor Hospital of Harbin Medical University, Harbin, 150000, China.
BMC Cancer. 2018 Oct 3;18(1):950. doi: 10.1186/s12885-018-4855-y.
This study assessed the health related quality of life of family caregivers (FCs) of leukemia patients by using the health utility scores derived from the EuroQol five-dimensional (EQ-5D) questionnaire.
A cross-sectional survey was undertaken on 306 family caregivers of leukemia patients to assess their health utility using the EQ-5D-3L. Participants were recruited from three hospitals in China's Heilongjiang province. The health utility scores of the participants were estimated based on the Chinese EQ-5D-3L value set and compared with those of the local general population. Factors predicting the health utility scores were identified through the Kruskal-Wallis analysis of variance and median regression analyses.
FCs had lower health utility scores than the general population (p < 0.001). The participants with a lower socioeconomic status had lower utility scores and reported more problems than those with a higher socio-economic status. Better family function and higher social support were associated with higher health utility scores. The type of leukemia, household income, and social support are significant predictors of health utility scores of the FCs. Chronic lymphocytic leukemia, low socio-economic status, and low social support are associated with lower health utility scores of the FCs.
FCs for leukemia patients have lower health utility scores than the local general population, as measured by the EQ-5D-3L. There is an immediate need to address the health concerns of FCs, who play an important role in the Chinese health care system.
本研究通过使用欧洲五维健康量表(EQ-5D)问卷得出的健康效用评分,评估白血病患者家属照顾者(FCs)的健康相关生活质量。
采用横断面调查方法,对中国黑龙江省 3 家医院的 306 名白血病患者家属照顾者进行调查,使用 EQ-5D-3L 评估其健康效用。根据中国 EQ-5D-3L 值集估计参与者的健康效用评分,并与当地一般人群进行比较。通过 Kruskal-Wallis 方差分析和中位数回归分析确定预测健康效用评分的因素。
FCs 的健康效用评分低于一般人群(p<0.001)。社会经济地位较低的参与者效用评分较低,报告的问题比社会经济地位较高的参与者多。家庭功能较好和社会支持较高与较高的健康效用评分相关。白血病的类型、家庭收入和社会支持是 FCs 健康效用评分的显著预测因素。慢性淋巴细胞白血病、较低的社会经济地位和较低的社会支持与 FCs 较低的健康效用评分相关。
使用 EQ-5D-3L 评估,白血病患者的 FCs 的健康效用评分低于当地一般人群。有必要立即解决 FCs 的健康问题,他们在中国的医疗保健系统中起着重要作用。