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70 岁及以上癌症初治患者 5 年后主要照顾者的生活质量和感知负担。

Quality of life and perceived burden of the primary caregiver of patients aged 70 and over with cancer 5 years after initial treatment.

机构信息

Department of Geriatrics and Internal Medicine, Hospital of Champmaillot, University Hospital, Dijon, France.

Geriatric Oncology Coordination Unit in Burgundy, University Hospital, Dijon, France.

出版信息

Support Care Cancer. 2023 Feb 2;31(2):147. doi: 10.1007/s00520-023-07594-w.

Abstract

PURPOSE

Long-term effects of being the primary caregiver of an older patient with cancer are not known. This study aimed to assess health-related quality of life (HRQoL) in primary caregivers of patients aged 70 and older with cancer, 5 years after initial treatment. Secondly, to compare the HRQoL between former primary caregivers whose caregiving relationship had ceased (primary caregiver no longer directly assisting the patient because of patient death or removal to another city or admission to an institution) and current caregivers, and to determine the perceived burden of the primary caregivers.

METHODS

Prospective observational study including primary caregivers of patients aged 70 and older with cancer. HRQoL and perceived burden were assessed using the SF-12 and Zarit Burden Interview (ZBI) at baseline and 5 years after initial treatment.

RESULTS

Ninety-six caregivers were initially included; at 5 years, 46 caregivers completed the SF-12 and ZBI between June 15 and October 26, 2020. Primary caregiver's HRQoL scores had significantly decreased over time for physical functioning (mean difference = -10, p=0.04), vitality (MD= -10.5, p=0.02), and role emotional (MD= -8.1, p=0.01) dimensions. The comparison at 5 years according to caregiving status showed no difference for all HRQoL dimensions. There was no decrease in perceived burden at 5 years.

CONCLUSION

Some dimensions of HRQoL decreased at 5 years with a stable low perceived burden.

TRIAL REGISTRATION

NCT04478903.

摘要

目的

照顾老年癌症患者的长期影响尚不清楚。本研究旨在评估 70 岁及以上癌症患者的主要照顾者在初始治疗后 5 年的健康相关生活质量(HRQoL)。其次,比较照顾关系已经结束(因患者死亡或转移到另一个城市或入住机构而不再直接协助患者)的前主要照顾者和当前照顾者的 HRQoL,并确定主要照顾者的负担感知。

方法

前瞻性观察性研究包括 70 岁及以上癌症患者的主要照顾者。在基线和初始治疗后 5 年,使用 SF-12 和 Zarit 负担访谈(ZBI)评估 HRQoL 和负担感知。

结果

最初纳入 96 名照顾者;在 5 年内,46 名照顾者于 2020 年 6 月 15 日至 10 月 26 日之间完成了 SF-12 和 ZBI。随着时间的推移,主要照顾者的 HRQoL 评分在生理功能(平均差异= -10,p=0.04)、活力(MD= -10.5,p=0.02)和角色情感(MD= -8.1,p=0.01)方面显著下降。根据照顾状态的 5 年比较显示,所有 HRQoL 维度均无差异。5 年后,负担感知没有下降。

结论

5 年后一些 HRQoL 维度下降,但负担感知保持稳定较低。

试验注册

NCT04478903。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9854/9892678/2eec304785a6/520_2023_7594_Fig1_HTML.jpg

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