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中国晚期癌症男性患者家庭照顾者的照顾负担与睡眠质量:一项横断面研究。

Caregiving burden and sleep quality amongst family caregivers of Chinese male patients with advanced cancer: A cross-sectional study.

作者信息

Lee Wong Cho, Choi Kai Chow, Lam Ka Ling, Wei So Winnie Kwok

机构信息

The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.

出版信息

Eur J Oncol Nurs. 2020 May 15;46:101774. doi: 10.1016/j.ejon.2020.101774.

DOI:10.1016/j.ejon.2020.101774
PMID:32460141
Abstract

PURPOSE

To examine the level of caregiving burden and sleep quality as well as their interrelationship amongst family caregivers of Chinese male patients with advanced cancer.

METHOD

A cross-sectional study was conducted in Hong Kong. The Caregiver Reaction Assessment (CRA) and the Pittsburgh Sleep Quality Index (PSQI) were used to measure caregiving burden and sleep quality of the family caregivers.

RESULTS

A total of 96 family caregivers were recruited. Disrupted schedule (3.8; SD = 0.8) was rated as the most affected consequence of caregiving burden. Around 78.1% of the caregivers suffered from sleep problems. Hierarchical multiple regression revealed that health problems due to caregiving burden was independently associated with poor sleep quality after controlling for socio-demographic characteristics of both patients and caregivers (regression coefficient, B = 2.09, P = 0.012).

CONCLUSIONS

Caregiving burden amongst family caregivers of male patients with advanced cancer was remarkably high and associated with poor sleep quality. Strategies aiming to alleviate caregiving burden of caregivers may help break this vicious cycle to enhance the sleep quality of caregivers. Results also underscore the need to assess and develop intervention to relieve caregiving burden for family caregivers of cancer patients.

摘要

目的

探讨中国晚期癌症男性患者家庭照顾者的照顾负担水平、睡眠质量及其相互关系。

方法

在香港进行了一项横断面研究。采用照顾者反应评估量表(CRA)和匹兹堡睡眠质量指数(PSQI)来测量家庭照顾者的照顾负担和睡眠质量。

结果

共招募了96名家庭照顾者。日程安排受干扰(3.8;标准差=0.8)被评为照顾负担最受影响的后果。约78.1%的照顾者存在睡眠问题。分层多元回归显示,在控制了患者和照顾者的社会人口学特征后,照顾负担导致的健康问题与睡眠质量差独立相关(回归系数,B=2.09,P=0.012)。

结论

晚期癌症男性患者家庭照顾者的照顾负担非常高,且与睡眠质量差有关。旨在减轻照顾者照顾负担的策略可能有助于打破这种恶性循环,提高照顾者的睡眠质量。研究结果还强调了评估和制定干预措施以减轻癌症患者家庭照顾者照顾负担的必要性。

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