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居住在澳大利亚农村地区的癌症患者照料者寻求支持的情况。

Support-seeking by cancer caregivers living in rural Australia.

作者信息

Johnston Elizabeth A, Goodwin Belinda C, Myers Larry, March Sonja, Aitken Joanne F, Chambers Suzanne K, Dunn Jeff

机构信息

Viertel Cancer Research Centre, Cancer Council Queensland, Queensland.

School of Exercise and Nutrition Sciences, Queensland University of Technology, Queensland.

出版信息

Aust N Z J Public Health. 2022 Dec;46(6):850-857. doi: 10.1111/1753-6405.13304. Epub 2022 Sep 19.

Abstract

OBJECTIVE

Rural cancer caregivers report poor wellbeing and high unmet needs for support. This study investigates sources of support sought by cancer caregivers living in rural Australia, and factors associated with support-seeking.

METHODS

Informal caregivers of people with cancer completed a questionnaire assessing sociodemographic characteristics, caregiver factors and support-seeking. Descriptive statistics, bivariate analyses and logistic regression were used to identify common sources of support and factors associated with support-seeking. Alluvial and radar plots were used to identify and describe support-seeking profiles.

FINDINGS

Of 244 rural caregivers, 64% reported seeking support for themselves, 72% for the cancer patient, and 22% did not seek any support. The most common sources of support were general practitioners and online. Higher caregiver burden, higher income, caring for someone with anxiety/depression or caring for someone who has difficulty completing their usual activities were associated with seeking support from a greater number of sources. The 'No support-seekers' profile had the highest proportions of caregivers who were male, caring for someone <12 months post-diagnosis and lower income earners.

CONCLUSIONS

Many rural caregivers seek support for themselves and the cancer patient, commonly from medical and online sources.

IMPLICATIONS FOR PUBLIC HEALTH

Further work may be needed to reduce caregiver burden and support caregivers who are male, caring for someone recently diagnosed, and those with lower incomes.

摘要

目的

农村癌症患者照料者报告称自身幸福感较差,且对支持的需求未得到满足的情况很普遍。本研究调查了居住在澳大利亚农村地区的癌症患者照料者寻求支持的来源,以及与寻求支持相关的因素。

方法

癌症患者的非正式照料者完成了一份问卷,评估社会人口学特征、照料者因素和寻求支持的情况。采用描述性统计、双变量分析和逻辑回归来确定常见的支持来源以及与寻求支持相关的因素。冲积图和雷达图用于识别和描述寻求支持的概况。

结果

在244名农村照料者中,64%的人报告为自己寻求支持,72%的人为癌症患者寻求支持,22%的人未寻求任何支持。最常见的支持来源是全科医生和网络。照料者负担较重、收入较高、照料患有焦虑/抑郁症的人或照料在完成日常活动方面有困难的人,与从更多来源寻求支持有关。“未寻求支持者”概况中男性照料者、照料诊断后<12个月的患者以及低收入者的比例最高。

结论

许多农村照料者为自己和癌症患者寻求支持,常见的支持来源是医疗和网络。

对公共卫生的启示

可能需要进一步开展工作,以减轻照料者负担,并为男性照料者、照料近期诊断患者的照料者以及低收入照料者提供支持。

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