晚期癌症患者和未成年子女：一项健康相关生活质量和护理满意度的探索性研究。
Patients With Advanced Cancer and Minor Children: An Exploratory Study of Health-Related Quality of Life and Satisfaction With Care.
机构信息
University of North Carolina at Chapel Hill.
University of North Carolina, Chapel Hill.
出版信息
Oncol Nurs Forum. 2022 Aug 18;49(5):433-443. doi: 10.1188/22.ONF.433-443.
OBJECTIVES
Patients with advanced cancer and minor children experience high rates of depression and anxiety. However, associations between parental status and other aspects of the patient experience are not well understood. This study compared patient-reported outcomes of patients with and without minor children.
SAMPLE & SETTING: This was a retrospective analysis of 448 adults with stage III or IV solid tumors from a public research registry.
METHODS & VARIABLES: Multiple linear regression models or modified Poisson regression models were fitted to evaluate differences in health-related quality of life, global health, and patient satisfaction scores between patients living with and without minors.
RESULTS
One in five patients lived with minor children. They reported significantly worse health-related quality of life, global physical health, and global mental health. They also expressed lower satisfaction with time spent with their provider, communication, and financial aspects.
IMPLICATIONS FOR NURSING
Patients with minor children may benefit from earlier identification and support for their psychosocial needs and concerns.
目的
患有晚期癌症且有未成年子女的患者会经历较高水平的抑郁和焦虑。然而，父母身份与患者其他方面的体验之间的关联尚未得到充分理解。本研究比较了有未成年子女与无未成年子女的患者报告的结果。
样本和设置
这是对来自公共研究注册处的 448 名患有 III 期或 IV 期实体瘤的成年人进行的回顾性分析。
方法和变量
使用多元线性回归模型或修正泊松回归模型来评估与未成年子女一起生活的患者和不与未成年子女一起生活的患者之间在健康相关生活质量、总体健康和患者满意度评分方面的差异。
结果
五分之一的患者与未成年子女一起生活。他们报告的健康相关生活质量、总体身体状况和总体心理健康状况明显更差。他们还对与提供者共度的时间、沟通和财务方面表示较低的满意度。
对护理的启示
有未成年子女的患者可能需要更早地识别和支持他们的心理社会需求和关注点。
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