Zhu Song, Yang Chen, Mei Wei, Kang Lu, Li Tong, Li Jina, Li Lezhi
Clinic Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, China.
Department of Thoracic Surgery, The Second Xiangya Hospital, Central South University, Changsha, China.
J Clin Nurs. 2023 Mar;32(5-6):859-871. doi: 10.1111/jocn.16424. Epub 2022 Jul 22.
Caregivers of lung cancer patients frequently experience psychological distress and high caregiver burden. Previous studies have focused on caregiver burden for patients with advanced lung cancer, while few studies focused on the caregiver burden among informal caregivers of postoperative patients with early-stage non-small cell lung cancer (NSCLC).
This study aimed to (a) examine caregiver burden for caregivers of patients with early-stage NSCLC after surgical treatment and (b) identify predictive factors related to caregiver burden of patients with early-stage NSCLC.
A cross-sectional study was conducted in a university-affiliated hospital in Changsha, China. A total of 385 patients with early-stage NSCLC and postsurgical treatment and their caregivers were included in this study. Caregiver burden was evaluated using the Zarit caregiver burden interview (ZBI). A set of questionnaires was used to assess psychosocial characteristics of participants, including simplified coping style questionnaire, social support rate scale, and hospital anxiety and depression scale. Hierarchical regression analysis was applied to identify factors associated with caregiver burden. We followed STROBE checklist for reporting the study.
The average ZBI score was 29.1 ± 11.4. Most caregivers (62.6%) demonstrated mild to moderate caregiving burden. The duration of caregiving (β = 0.18, p < .001), passive coping of caregiver (β = 0.17, p = .001) and anxiety (β = 0.13, p = .007) were significant predictors of caregiving burden. A variance of 17.6% in caregiving burden was explained by these identified factors.
Caregivers of early-stage NSCLC patients experience a mild to moderate level of caregiver burden. The duration of caregiving, passive coping and anxiety are factors associated with caregiver burden.
Clinicians should provide early care to support new roles of family members as caregivers.
肺癌患者的照料者经常经历心理困扰和较高的照料负担。以往研究主要关注晚期肺癌患者的照料负担，而针对早期非小细胞肺癌（NSCLC）术后患者的非正式照料者的照料负担研究较少。
本研究旨在（a）调查早期NSCLC患者术后照料者的照料负担，以及（b）确定与早期NSCLC患者照料负担相关的预测因素。
在中国长沙一家大学附属医院进行了一项横断面研究。本研究共纳入385例接受术后治疗的早期NSCLC患者及其照料者。使用Zarit照料负担访谈量表（ZBI）评估照料负担。使用一组问卷评估参与者的心理社会特征，包括简易应对方式问卷、社会支持评定量表和医院焦虑抑郁量表。采用分层回归分析确定与照料负担相关的因素。我们遵循STROBE清单报告本研究。
ZBI平均得分为29.1±11.4。大多数照料者（62.6%）表现出轻度至中度的照料负担。照料时长（β=0.18，p<0.001）、照料者的消极应对方式（β=0.17，p=0.001）和焦虑情绪（β=0.13，p=0.007）是照料负担的显著预测因素。这些确定的因素解释了照料负担中17.6%的变异。
早期NSCLC患者的照料者经历轻度至中度的照料负担水平。照料时长、消极应对方式和焦虑是与照料负担相关的因素。
临床医生应尽早提供护理，以支持家庭成员作为照料者的新角色。
