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罕见病患者的家庭照顾者:中国戈谢氏病患者家庭照顾者健康相关生活质量的调查。

Family caregivers of rare disease: A survey on health-related quality of life in family caregivers for Gaucher disease patients in China.

机构信息

School of Health Management, Harbin Medical University, Harbin, Heilongjiang, China.

Public Health College, The Inner Mongolia Medical University, Hohhot, Inner Mongolia, China.

出版信息

Mol Genet Genomic Med. 2021 Sep;9(9):e1760. doi: 10.1002/mgg3.1760. Epub 2021 Aug 13.

Abstract

BACKGROUND

Rare diseases affect the health-related quality of life (HRQoL) of patients and their family caregivers (FCs). However, limited evidence is available on the HRQoL of FCs of patients with Gaucher disease (GD). This study aimed to assess HRQoL and related factors among FCs of patients with GD in China.

METHODS

A cross-sectional online survey was conducted with 49 FCs recruited by convenience sampling. Participants completed the Medical Outcome Study Short Form-36 (SF-36), Zung's Self-Rating Anxiety Scale, Zung's Self-Rating Depression Scale, the Multi-dimensional Scale of Perceived Social Support, the Herth Hope Index, and a questionnaire about FCs' and patients' sociodemographic characteristics. Single-sample t tests, one-way analysis of variance, and multivariate linear regression analysis were used to analyze the data analysis.

RESULTS

Participating FCs had significantly lower scores in all eight SF-36 domains compared with the general population in China (p < 0.01). FCs' gender, education, daily care time, anxiety, and the perceived disease severity of patients were significant predictors of SF-36 physical component summary scores. Caregiving help from others, anxiety, perceived disease severity, and medical insurance type were significant predictors of SF-36 mental component summary scores.

CONCLUSION

The findings showed FCs of patients with GD had lower HRQoL. There is an urgent need to address the health concerns of FCs of people with rare diseases including their HRQoL.

摘要

背景

罕见病会影响患者及其家属照顾者(FCs)的健康相关生活质量(HRQoL)。然而,目前关于戈谢病(GD)患者 FCs 的 HRQoL 的证据有限。本研究旨在评估中国 GD 患者 FCs 的 HRQoL 及其相关因素。

方法

采用便利抽样法招募了 49 名 FCs 进行横断面在线调查。参与者完成了医疗结局研究简表 36 项(SF-36)、zung 焦虑自评量表、zung 抑郁自评量表、多维感知社会支持量表、赫特希望指数以及一份关于 FCs 和患者社会人口学特征的问卷。采用单样本 t 检验、单因素方差分析和多元线性回归分析进行数据分析。

结果

与中国一般人群相比,参与的 FCs 在所有 8 个 SF-36 领域的得分均显著较低(p<0.01)。FCs 的性别、教育程度、日常照顾时间、焦虑和患者感知的疾病严重程度是 SF-36 生理成分综合评分的显著预测因素。来自他人的照顾帮助、焦虑、感知疾病严重程度和医疗保险类型是 SF-36 心理成分综合评分的显著预测因素。

结论

研究结果表明,GD 患者的 FCs 生活质量较低。迫切需要解决罕见病患者的 FCs 的健康问题,包括他们的 HRQoL。

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