Ethiopia Regional Learning Centre, University of South Africa, Addis Ababa, Ethiopia.
Department of Health Studies, University of South Africa, Pretoria, South Africa.
Support Care Cancer. 2022 Sep;30(9):7597-7603. doi: 10.1007/s00520-022-07201-4. Epub 2022 Jun 8.
Cervical cancer is the second most common cancer among African women, following breast cancer. Palliative care is among the standards of care in cancer management. While caregivers play key roles in palliative care, their satisfaction with the care influences treatment outcomes and patients' quality of life. This study evaluated caregivers' satisfaction with the care provided to patients with advanced cervical cancer.
A cross-sectional evaluation of caregivers' satisfaction with patient care was conducted at a tertiary hospital in Ethiopia. The study tool included the 20-item family satisfaction with advanced cancer care (FAMCARE) and caregiver stress index (CSI). Using binary logistic regression, we identified factors associated with caregivers' satisfaction.
A total of 360 caregivers were interviewed. Most of the caregivers were male (58.1%), below the age of 35 years (60.8%), and educated to the high school level or less (64.4%). The average FAMCARE score was 77.7 out of the maximum 100. High satisfaction was observed among subscales "availability of treatment and care" and "psychosocial care," while low satisfaction was observed with "physical patient care" and "provision of information." Caregivers' stress and time dedicated to the caregiving were associated with caregivers' satisfaction.
Overall, high satisfaction with advanced care at the tertiary hospital was documented. However, the caregivers also bore high burden of strain. Management of caregivers' strain, prompt treatment of patients' symptoms, and provision of adequate information to the caregivers could further improve caregivers' satisfaction.
在非洲女性中，宫颈癌是仅次于乳腺癌的第二大常见癌症。姑息治疗是癌症管理的标准之一。虽然护理人员在姑息治疗中发挥着关键作用，但他们对护理的满意度会影响治疗结果和患者的生活质量。本研究评估了护理人员对晚期宫颈癌患者护理的满意度。
在埃塞俄比亚的一家三级医院进行了护理人员对患者护理满意度的横断面评估。研究工具包括 20 项家庭对晚期癌症护理满意度量表（FAMCARE）和护理人员压力指数（CSI）。使用二元逻辑回归，我们确定了与护理人员满意度相关的因素。
共访谈了 360 名护理人员。大多数护理人员为男性（58.1%），年龄在 35 岁以下（60.8%），受教育程度为高中及以下（64.4%）。FAMCARE 的平均得分为 100 分中的 77.7 分。在“治疗和护理的可及性”和“心理社会护理”方面观察到较高的满意度，而在“患者身体护理”和“提供信息”方面则观察到较低的满意度。护理人员的压力和用于护理的时间与护理人员的满意度相关。
总体而言，三级医院的高级护理得到了高度满意。然而，护理人员也承受着巨大的压力。管理护理人员的压力、及时治疗患者的症状以及向护理人员提供足够的信息，可以进一步提高护理人员的满意度。
