West China School of Nursing, Sichuan University/Department of Nursing, West China Hospital, Sichuan University, Chengdu, China.
Department of Biotherapy, Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
Semin Oncol Nurs. 2023 Jun;39(3):151356. doi: 10.1016/j.soncn.2022.151356. Epub 2022 Nov 12.
To identify the factors associated with caregiver burden in Chinese lung cancer families and to detect whether family resilience mediates the effect of perceived social support on caregiver burden.
From October 2021 to March 2022, a total of 213 family caregivers of patients with lung cancer from a public hospital in Sichuan Province, China, completed the Zarit Burden Interview (ZBI), the Perceived Social Support Scale (PSSS), and the Family Resilience Assessment Scale (FRAS). The Mann-Whitney U test and the Kruskal-Wallis H test were used to identify the influencing factors of family caregiver burden, and the bootstrapping method was conducted to detect the mediating role of family resilience.
In this study, family caregiver burden could be influenced by caregiver age, caregivers' relationships with patients, and patients' self-care degree; family resilience was found to mediate the relationship between caregivers' perceived social support and caregiver burden.
Our study manifested that factor from both the patients' and caregivers' sides could influence caregiver burden of lung cancer family caregivers. The results provide further evidence that lung cancer care should be family-centered, and relevant family-supportive systems should be further developed in this field.
识别与中国肺癌家庭照顾者负担相关的因素,并检测家庭适应力是否在感知社会支持对照顾者负担的影响中起中介作用。
2021 年 10 月至 2022 年 3 月,共 213 名来自中国四川省一家公立医院的肺癌患者的家庭照顾者完成了照顾者负担量表(ZBI)、感知社会支持量表(PSSS)和家庭适应力评估量表(FRAS)。采用曼-惠特尼 U 检验和克鲁斯卡尔-沃利斯 H 检验来确定家庭照顾者负担的影响因素,并采用 bootstrap 方法检测家庭适应力的中介作用。
本研究表明,照顾者年龄、照顾者与患者的关系以及患者的自理程度可能会影响肺癌家庭照顾者的负担;家庭适应力在照顾者感知社会支持与照顾者负担之间起中介作用。
我们的研究表明,来自患者和照顾者双方的因素都会影响肺癌家庭照顾者的负担。研究结果进一步证明,肺癌护理应注重家庭为中心,并在该领域进一步发展相关的家庭支持系统。