Cerrahpasa Faculty of Medicine, Department of Medical Oncology, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Tayfun Ata Sokmen Medical Faculty, Department of Biostatistics, Hatay Mustafa Kemal University, Hatay, Turkey.
J Palliat Care. 2022 Jan;37(1):48-54. doi: 10.1177/08258597211045780. Epub 2021 Oct 21.
Hospitalization is a stressful experience both for primary caregivers (PCs) and cancer patients alike. Although there is significant evidence that PCs of cancer patients can experience significant caregiver burden (CB), less is known about the relationships between PCs and patient symptom severity that influence CB. In this cross-sectional study, measures of the symptom severity were obtained from cancer patients. The PCs were assessed for CB. Associations between patients' symptoms and demographic characteristics and CB were investigated using multivariate analyses. A total of 98 participants (patient-caregiver dyads) filled the questionnaires. According to the Zarit Burden Interview results, 65.3% of PCs had a high CB. Pain, tiredness, nausea, depression, drowsiness, well-being, and dyspnea had significantly higher mean values in those with high CB (p < .05). Financial difficulties, first-degree relationships with the patient, higher anxiety levels, and more pronounced tiredness appear to be the variables most predictive with high CB. In conclusion, the present study showed CB of PCs among a group of hospitalized incurable cancer patients. PCs of more symptomatic cancer patients had a higher CB, according to our findings. This emphasized the significance of palliative care. Appropriate guidance should be provided for the psychostress caused by the CB.
住院对初级照顾者(PCs)和癌症患者来说都是一种压力体验。尽管有大量证据表明癌症患者的 PCs 可能会经历显著的照顾者负担(CB),但对于影响 CB 的 PCs 和患者症状严重程度之间的关系了解较少。在这项横断面研究中,从癌症患者那里获得了症状严重程度的测量值。使用多元分析评估了 PCs 的 CB。调查了患者症状与人口统计学特征和 CB 之间的关联。共有 98 名参与者(患者-照顾者对子)填写了问卷。根据 Zarit 负担访谈结果,65.3%的 PCs 有高 CB。在高 CB 组中,疼痛、疲倦、恶心、抑郁、嗜睡、幸福感和呼吸困难的平均值显著更高(p<0.05)。经济困难、与患者的一级关系、更高的焦虑水平和更明显的疲倦似乎是与高 CB 最相关的变量。总之,本研究显示了一组住院不治之症癌症患者的 PCs 存在 CB。根据我们的发现,症状更严重的癌症患者的 PCs 有更高的 CB。这强调了姑息治疗的重要性。应针对 CB 引起的心理压力提供适当的指导。