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癌症患者及其家庭照顾者的生活质量及相关因素。

Quality of life and associated factors among adults living with cancer and their family caregivers.

机构信息

School of Nursing and Midwifery, Griffith University, Logan Campus, Meadowbrook, Queensland, Australia.

School of Post Basic Nursing Programmes, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.

出版信息

Nurs Health Sci. 2021 Jun;23(2):419-429. doi: 10.1111/nhs.12823. Epub 2021 Mar 16.

DOI:10.1111/nhs.12823
PMID:33605071
Abstract

This study examined the association of needs, health literacy, and quality of life among adult Nigerians with cancer and family caregivers. A descriptive study was conducted involving 240 adults with cancer and family caregivers attending a tertiary hospital. More than two-thirds of participants reported moderate or high needs. Information (90.8%) and spiritual support (85%) were the domains of highest need among adults with cancer. Family/social support (85%) and spiritual support (81.7%) ranked the highest among family caregivers. A negative correlation was found between needs and quality of life. Stepwise regression analysis showed that needs and literacy explained 36% of the variance in adults with cancer's quality of life and 28% of the variance in family caregivers' quality of life. Spiritual need accounted l for 9.5% and 9.1% of variation for adults with cancer and family caregivers, respectively. Findings suggest that interventions with a focus on social/family and spiritual needs may improve wellbeing of adults with cancer and caregivers in Nigeria. This research are generalizable to other low-income countries where family values and spirituality are often a strong feature of daily life.

摘要

本研究调查了尼日利亚癌症患者及其家庭照顾者的需求、健康素养和生活质量之间的关联。一项描述性研究涉及 240 名在一家三级医院就诊的癌症成年患者及其家庭照顾者。超过三分之二的参与者报告存在中度或高度需求。信息(90.8%)和精神支持(85%)是癌症成年患者需求最高的领域。家庭/社会支持(85%)和精神支持(81.7%)在家庭照顾者中排名最高。需求与生活质量呈负相关。逐步回归分析显示,需求和文化程度解释了癌症成年患者生活质量变异的 36%和家庭照顾者生活质量变异的 28%。精神需求分别占癌症成年患者和家庭照顾者生活质量变异的 9.5%和 9.1%。研究结果表明,关注社会/家庭和精神需求的干预措施可能会改善尼日利亚癌症成年患者及其照顾者的幸福感。这些研究结果可推广到其他低收入国家,这些国家的家庭价值观和宗教信仰通常是日常生活的重要特征。

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