Department of Family Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Department of Nursing, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Pain Res Manag. 2020 Sep 7;2020:6372857. doi: 10.1155/2020/6372857. eCollection 2020.
Fatigue is an unpleasant experience accompanied by functional deterioration involving both mental and physical factors. Caregivers of patients with severe illnesses who require long-term treatment often experience marked physical and mental fatigue. This study investigated the factors affecting fatigue among caregivers of patients with severe chronic diseases.
The study enrolled 100 caregivers of patients providing home care nursing at a university hospital in Gyeonggi-do of Korea, including 47 caregivers caring for cancer patients and 53 caregivers caring for chronic disease patients (e.g., dementia, amyotrophic lateral sclerosis, and Parkinson's disease). The degree of fatigue was measured using the Korean version of the multidimensional fatigue inventory (MFI-K). Caregiver depression and anxiety were examined using the Hospital Anxiety and Depression Scale.
The average MFI-K score of all caregivers was 60.43 ± 13.77 and did not differ significantly between those caring for cancer patients and those caring for patients with severe chronic diseases (62.15 ± 13.27 vs. 58.49 ± 14.20, respectively, =0.186). The longer the disease duration, the greater the general and physical fatigue of the caregiver ( = 0.284, =0.004). However, caregiver mental fatigue did not differ according to disease duration ( = 0.169, =0.094). The main factors affecting caregiver general and physical fatigue were caregiver anxiety and depression and patient's disease duration.
The caregivers of patients with cancer or chronic severe illnesses experience high levels of fatigue: the longer the disease duration, the greater the degrees of depression, anxiety, and physical fatigue experienced by the caregivers. Such caregivers need strategies to manage their fatigue and depression.
疲劳是一种不愉快的体验，伴随着身心功能的恶化，涉及心理和生理因素。照顾需要长期治疗的重症患者的护理人员通常会经历明显的身心疲劳。本研究旨在探讨影响重症慢性病患者护理人员疲劳的因素。
本研究纳入了韩国京畿道某大学医院提供家庭护理的 100 名护理人员，其中 47 名护理人员照顾癌症患者，53 名护理人员照顾慢性疾病患者（如痴呆、肌萎缩侧索硬化症和帕金森病）。使用多维疲劳量表（MFI-K）的韩语版测量疲劳程度。使用医院焦虑抑郁量表（HADS）评估护理人员的抑郁和焦虑程度。
所有护理人员的平均 MFI-K 得分为 60.43±13.77，照顾癌症患者和照顾重症慢性疾病患者的护理人员之间差异无统计学意义（分别为 62.15±13.27 和 58.49±14.20，=0.186）。疾病持续时间越长，护理人员的一般疲劳和身体疲劳越严重（=0.284，=0.004）。然而，护理人员的心理疲劳与疾病持续时间无关（=0.169，=0.094）。影响护理人员一般疲劳和身体疲劳的主要因素是护理人员的焦虑和抑郁以及患者的疾病持续时间。
照顾癌症或慢性重症疾病患者的护理人员经历着较高水平的疲劳：疾病持续时间越长，护理人员的抑郁、焦虑和身体疲劳程度越严重。这些护理人员需要策略来管理他们的疲劳和抑郁。
