Lambada Beta-At-Large, Professor, School of Nursing and Geriatric and Long-Term Care Research Center, College of Nursing, Chang Gung University of Science and Technology, and Professor, School of Nursing, College of Medicine, Chang Gung University, and Research Fellow, Department of Radiation Oncology and Proton and Radiation Therapy Center, Linkou Chang Gung Memorial Hospital, all in Taoyuan, Taiwan, Republic of China.
Attending Physician, Department of Radiation Oncology and Proton and Radiation Therapy Center, Linkou Chang Gung Memorial Hospital, and Assistant Professor, Department of Medical Imaging and Radiological Sciences, College of Medicine, Chang Gung University, both in Taoyuan, Taiwan, Republic of China.
J Nurs Scholarsh. 2020 Sep;52(5):488-496. doi: 10.1111/jnu.12582. Epub 2020 Jul 10.
To identify factors associated with resilience in primary caregivers of patients with advanced oral cavity cancer within the first 6 months post-treatment.
A cross-sectional study.
We recruited patient-primary caregiver dyads from the outpatient radiation department of a medical center in Northern Taiwan. Patients were assessed using a set of structured questionnaires to measure performance status and demographic and clinical characteristics. Primary caregivers were measured in their social support, resilience, and care characteristics.
Of the 148 dyads surveyed, 33.8% of primary caregivers reported moderately low to moderate resilience, and 61.5% reported low resilience. Greater resilience of primary caregivers was associated with the primary caregiver factors of younger age, lower educational level, and more affectionate social support; and greater resilience was associated with the patient factors of better performance status and older age. These factors explained 40.4% of the variance in resilience.
Patients' performance status and primary caregivers' affectionate social support strongly influence overall resilience and each domain of resilience.
Providing primary caregivers with sufficient social resources and a support group can help them cope with the demands of caregiving for loved ones with oral cavity cancer.
在治疗后 6 个月内，识别与口腔癌晚期患者主要照顾者的恢复力相关的因素。
横断面研究。
我们招募了来自台湾北部一家医学中心门诊放射科的患者-主要照顾者二人组。使用一套结构化问卷评估患者以衡量其表现状态以及人口统计学和临床特征。评估主要照顾者的社会支持、恢复力和照顾特征。
在接受调查的 148 对二人组中，33.8%的主要照顾者报告了中等偏低至中等程度的恢复力，61.5%报告了较低的恢复力。主要照顾者的恢复力较高与以下照顾者因素有关：年龄较小、教育水平较低和更有感情的社会支持；而较高的恢复力与患者的表现状态较好和年龄较大有关。这些因素解释了恢复力的 40.4%差异。
患者的表现状态和主要照顾者的有感情的社会支持强烈影响整体恢复力和恢复力的各个领域。
为主要照顾者提供足够的社会资源和支持小组可以帮助他们应对照顾口腔癌亲人的需求。
