Chung Shan Medical University.
Asia University.
Oncol Nurs Forum. 2023 Dec 13;51(1):39-48. doi: 10.1188/24.ONF.39-48.
To examine how family caregivers' burden and patients' resourcefulness influence each other and health-related quality of life (HRQOL) in patients with colorectal cancer.
SAMPLE & SETTING: This study was conducted in an outpatient clinic at a medical center in Taichung, Taiwan. A total of 84 patient-caregiver dyads were recruited, and 43 patients had advanced-stage cancer. Patients and their caregivers signed consent forms individually. Patients were aged 29-77 years, and caregivers were aged 22-75 years.
METHODS & VARIABLES: The theory of resourceful-ness and QOL guided this study. An F test and multiple regression analyses were conducted to examine the relationships among demographic characteristics, family caregivers' burden, patients' resourcefulness, and patients' HRQOL.
Higher-resourcefulness patients tended to have caregivers with higher self-esteem and fewer health impacts. Caregivers with fewer impacts to health and finances and higher self-esteem were predictive of higher resourcefulness in patients. Higher patient resourcefulness, fewer caregiver disruptions to daily schedule and impacts to finances, and higher caregiver self-esteem were predictors of patients' HRQOL.
When developing and evaluating education programs about cognitive skills training for patients with cancer, nurses should take family caregivers' burden into consideration to support optimal patient outcomes and HRQOL.
探讨家庭照顾者负担和患者应对能力如何相互影响，以及对结直肠癌患者健康相关生活质量（HRQOL）的影响。
本研究在台湾台中市一家医疗中心的门诊进行。共招募了 84 对患者-照顾者，其中 43 名患者患有晚期癌症。患者及其照顾者分别签署了同意书。患者年龄 29-77 岁，照顾者年龄 22-75 岁。
本研究以应对能力理论和生活质量为指导。采用 F 检验和多元回归分析，考察人口统计学特征、家庭照顾者负担、患者应对能力与患者 HRQOL 之间的关系。
应对能力较高的患者往往有自尊心较高、健康影响较小的照顾者。健康和经济影响较小、自尊心较高的照顾者更有可能预测患者的应对能力较高。患者应对能力较高、照顾者日常活动干扰和经济影响较少、照顾者自尊心较高，是患者 HRQOL 的预测因素。
在为癌症患者制定和评估认知技能培训教育计划时，护士应考虑家庭照顾者的负担，以支持最佳的患者结局和 HRQOL。
