Huang Li-Ting, McMillan Susan C
University of South Florida.
Oncol Nurs Forum. 2019 Mar 1;46(2):208-216. doi: 10.1188/19.ONF.208-216.
To elucidate the importance of mutual effects within dyads by examining the contribution of depression on quality of life (QOL) in patients with advanced cancer and their family caregivers (FCs).
SAMPLE & SETTING: 716 patients with advanced cancer paired with their FCs at two large, private not-for-profit hospices.
METHODS & VARIABLES: A descriptive, cross-sectional design with the baseline data of a randomized hospice clinical trial was used. Structural equation modeling helped examine four hypotheses by integrating the features of the Actor-Partner Interdependence Model. Variables included QOL and depression.
Depression in patients with cancer and their FCs exhibited significant actor effects on an individual's QOL after controlling for the partner effects. Among the spousal pairs, depression in FCs exhibited a positive partner effect on the functional well-being of patients with cancer, indicating that depressive symptoms occurring in FCs may increase patients' functional well-being.
This study suggests the importance of consistent assessment in emotional well-being for dyads with cancer because their concerns may be transmitted to each other.
通过研究抑郁症对晚期癌症患者及其家庭照顾者（FCs）生活质量（QOL）的影响，阐明二元组中相互作用的重要性。
在两家大型私立非营利性临终关怀机构中，716名晚期癌症患者与其FCs配对。
采用描述性横断面设计，使用随机临终关怀临床试验的基线数据。结构方程模型通过整合行为者-伙伴相互依赖模型的特征，帮助检验四个假设。变量包括生活质量和抑郁症。
在控制伙伴效应后，癌症患者及其FCs的抑郁症对个体的生活质量表现出显著的行为者效应。在配偶对中，FCs的抑郁症对癌症患者的功能健康表现出积极的伙伴效应，这表明FCs中出现抑郁症状可能会提高患者的功能健康水平。
本研究表明，对癌症二元组进行持续的情绪健康评估很重要，因为他们的担忧可能会相互传递。
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