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照顾负担及其对急性淋巴细胞白血病患者的影响。

Burden of caregiving and its impact in the patients of acute lymphoblastic leukemia.

作者信息

Kumari Rina, Kohli Adarsh, Malhotra Pankaj, Grover Sandeep, Khadwal Alka

机构信息

Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Department of Hematology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Ind Psychiatry J. 2018 Jul-Dec;27(2):249-258. doi: 10.4103/ipj.ipj_75_18.

Abstract

AIM

This study aims to study the caregiver burden and its correlates among the caregivers of adolescent and adult patients of acute lymphoblastic leukemia (ALL).

MATERIALS AND METHODS

Sixty caregivers of patients with ALL were assessed on Family Burden Interview Schedule (FBI), Caregiver Strain Index, multidimensional aspect of perceived social support scale, Cognitive-Behavioral Avoidance Scale, ways of coping checklist, and General Health Questionnaire.

RESULTS

Caregivers of patients with ALL reported high caregiver burden (FBI objective burden score - 21.77; subjective burden score - 1.83). Among the domains of FBI, the highest burden was seen in the form of financial burden closely followed by disruption of family leisure. Caregivers of male patients and those belonging to higher socioeconomic status reported higher level of objective burden. Caregiver burden was higher among caregivers who reported lower perceived social support, who more often used avoidance and escape as coping and less often used planful problem solving. Higher caregiver burden is associated with higher psychological morbidity.

CONCLUSION

Caregivers of patients with ALL experience high level of caregiver burden and it is associated with lower social support and more often use maladaptive coping strategies.

摘要

目的

本研究旨在探讨急性淋巴细胞白血病(ALL)青少年及成年患者的照料者负担及其相关因素。

材料与方法

采用家庭负担访谈量表(FBI)、照料者压力指数、感知社会支持量表的多维方面、认知行为回避量表、应对方式清单及一般健康问卷,对60名ALL患者的照料者进行评估。

结果

ALL患者的照料者报告了较高的照料者负担(FBI客观负担得分 - 21.77;主观负担得分 - 1.83)。在FBI的各个领域中,经济负担形式的负担最重,紧随其后的是家庭休闲活动的中断。男性患者的照料者以及社会经济地位较高者报告的客观负担水平较高。在那些感知到的社会支持较低、更多采用回避和逃避作为应对方式且较少采用有计划的问题解决方式的照料者中,照料者负担更高。较高的照料者负担与较高的心理发病率相关。

结论

ALL患者的照料者经历着高水平的照料者负担,且与较低的社会支持及更常使用适应不良的应对策略相关。

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