癌症患者有未成年子女者的孤独感与使用在线病友支持群组的频率之间的关联：一项基于网络的横断面研究。

Association Between Loneliness and the Frequency of Using Online Peer Support Groups Among Cancer Patients With Minor Children: A Cross-Sectional Web-Based Study.

机构信息

Department of Palliative Medicine, National Cancer Center Hospital East, Kashiwa, Japan; Department of Psychiatry and Behavioral Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.

General Incorporated Association Cancer Parents, Tokyo, Japan.

出版信息

J Pain Symptom Manage. 2021 May;61(5):955-962. doi: 10.1016/j.jpainsymman.2020.09.035. Epub 2020 Sep 28.

DOI:10.1016/j.jpainsymman.2020.09.035

PMID:32998056

Abstract

CONTEXT

Cancer patients with minor children are increasing; however, they do not receive sufficient support.

OBJECTIVE

This study aimed to investigate the association between loneliness and the frequency of using online peer support groups among cancer patients with minor children.

METHODS

A cross-sectional web-based survey was conducted from April to May 2019. Cancer patients with minor children were recruited from an online peer support group called "Cancer Parents." Individuals diagnosed with cancer and whose youngest children were younger than 18 years were enrolled. Materials included: the UCLA Loneliness Scale version 3 (UCLA-LS), K6 scale, abbreviated Lubben Social Network Scale, and the sociodemographic/clinical characteristics questionnaire. Multivariate logistics regression analysis was performed to determine the factors associated with the high loneliness group (defined as those above the median score on the UCLA-LS).

RESULTS

A total of 334 patients participated (79.9% female; mean age 43.1 years, standard deviation 5.8). The most common primary cancer type was breast (34.1%). The median score of the UCLA-LS was 45 (interquartile range 37-53). The multivariate logistics regression analysis revealed that the high loneliness group was significantly associated with the frequent use of online peer support group less than once a week (odds ratio [OR] = 0.47; 95% CI = 0.26-0.85; P = 0.012), with a smaller social network (OR = 0.78; 95% CI = 0.73-0.83; P < 0.001), and higher psychological distress (OR = 1.16; 95% CI = 1.09-1.23; P < 0.001).

CONCLUSIONS

Frequent use of online peer support groups was associated with less loneliness among cancer patients with minor children.

摘要

背景

有未成年子女的癌症患者正在增加，但他们并未得到充分的支持。

目的

本研究旨在调查有未成年子女的癌症患者孤独感与使用在线病友支持小组频率之间的关联。

方法

本项横断面网络调查于 2019 年 4 月至 5 月期间开展。研究对象为一个名为“癌症父母”的在线病友支持组中的癌症患者。招募标准为：诊断为癌症，且其最小子女未满 18 岁。调查工具包括：UCLA 孤独量表第 3 版（UCLA-LS）、K6 量表、简化版 Lubben 社会网络量表，以及社会人口学/临床特征问卷。采用多变量逻辑回归分析确定与高孤独感组（定义为 UCLA-LS 得分高于中位数的患者）相关的因素。

结果

共有 334 名患者参与了本研究（79.9%为女性；平均年龄为 43.1 岁，标准差为 5.8）。最常见的原发癌类型为乳腺癌（34.1%）。UCLA-LS 的中位数得分为 45（四分位间距为 37-53）。多变量逻辑回归分析显示，高孤独感组与每周使用在线病友支持小组少于 1 次（比值比 [OR] = 0.47；95%置信区间 [CI] = 0.26-0.85；P = 0.012）、社会网络较小（OR = 0.78；95%CI = 0.73-0.83；P < 0.001）和心理困扰程度较高（OR = 1.16；95%CI = 1.09-1.23；P < 0.001）显著相关。