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照料终末期患者的照护者的负担水平和健康相关生活质量。

Level of Burden and Health-Related Quality of Life in Caregivers of Palliative Care Patients.

机构信息

Department of Nursing, University of Alicante, 03690 Alicante, Spain.

Institute of Health and Biomedical Research of Alicante (ISABIAL-FISABIO Foundation), 03010 Alicante, Spain.

出版信息

Int J Environ Res Public Health. 2019 Nov 29;16(23):4806. doi: 10.3390/ijerph16234806.

Abstract

The complexity of palliative care means that the emotional distress and burden that primary family caregivers suffer under can be particularly high. The objective of this study was to determine the level of burden endured by these primary family caregivers and to identify the variables that predict it in the caregiving relatives of people who require home-based palliative care. A descriptive-correlational cross-sectional study was conducted. Socio-demographic and clinical data were collected from caregivers through a self-administered questionnaire that included questions from the 12-Item Short Form Health Survey (SF-12), Zarit Caregiver Burden Interview (ZBI), Hospital Anxiety and Depression Scale (HADS), Brief Resilient Coping Scale (BRCS), Post Traumatic Growth Inventory (PTGI), and Fatigue Assessment Scale (FAS). A total of 77 caregivers participated; 66.2% were women, and the mean age was 61.5 years. Most (62.3%) were providing care to cancer patients. From among these data, the presence of anxiety as a clinical problem (48.1%), a high average fatigue score (FAS) of 23.0 ( = 8.5), and the prevalence of intense overload (41.6%) stood out. We found statistically significant correlations between the variables of burden, fatigue, post-traumatic growth, anxiety, and depression, with the latter two being the main predictive variables of burden. In addition, caregiver burden was associated with a worsening of health. Identifying the factors that influence the appearance of overburden will allow the specific needs of careers to be assessed in order to offer them emotional support within the healthcare environment.

摘要

姑息治疗的复杂性意味着主要家庭照顾者所承受的情感困扰和负担可能特别高。本研究的目的是确定这些主要家庭照顾者所承受的负担程度,并确定在需要家庭姑息治疗的患者的照顾亲属中,哪些变量可以预测这种负担。这是一项描述性相关性的横断面研究。通过自我管理问卷收集照顾者的社会人口统计学和临床数据,该问卷包括 12 项简短健康调查(SF-12)、Zarit 照顾者负担访谈(ZBI)、医院焦虑和抑郁量表(HADS)、简短弹性应对量表(BRCS)、创伤后成长量表(PTGI)和疲劳评估量表(FAS)的问题。共有 77 名照顾者参与了研究;66.2%为女性,平均年龄为 61.5 岁。大多数(62.3%)正在照顾癌症患者。在这些数据中,存在焦虑等临床问题(48.1%)、疲劳得分高(FAS)平均为 23.0(=8.5)和强烈过载的患病率(41.6%)较为突出。我们发现,负担、疲劳、创伤后成长、焦虑和抑郁等变量之间存在统计学显著相关性,后两者是负担的主要预测变量。此外,照顾者负担与健康状况恶化有关。确定影响过度负担出现的因素将有助于评估照顾者的具体需求,以便在医疗保健环境中为他们提供情感支持。

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