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资源fulness 对中国中青年淋巴瘤患者家庭功能的影响:一项横断面研究。

The influence of resourcefulness on the family functioning of young- and middle-aged lymphoma patients in China: a cross-sectional study.

机构信息

The School of Nursing and Health, Zhengzhou University, Zhengzhou, China.

Department of Quality Control, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

出版信息

Fam Pract. 2024 Jun 12;41(3):360-368. doi: 10.1093/fampra/cmad093.

Abstract

BACKGROUND

Lymphoma has become 1 of the 10 most common cancers with increased prevalence in young- and middle-aged adults in China. This poses a tremendous burden on patients and their families and brings great challenges to maintaining the balance of family functioning in young- and middle-aged patients.

OBJECTIVE

This cross-sectional study aimed to analyse the influence of resourcefulness on the family functioning of Chinese young- and middle-aged lymphoma patients.

METHODS

A total of 172 Chinese young- and middle-aged patients with lymphoma were recruited from the oncology departments of two tertiary hospitals in Zhengzhou, Henan, China. They were invited to complete a survey that included a demographic questionnaire, the Resourcefulness Scale and the Chinese Version Family Adaptability and Cohesion Scale II. Multiple linear regression was used to analyse the related factors for family functioning.

RESULTS

The multiple regression analysis revealed that the main influencing factors of family cohesion were resourcefulness (β = 0.338, 95% CI (0.072, 0.173)), spouse caregiver (β = 0.376, 95% CI (1.938, 10.395)), and cancer stage (β = -0.274, 95% CI (-3.219, -1.047)). Resourcefulness (β = 0.438, 95% CI (0.096, 0.181)), spouse caregiver (β = 0.340, 95% CI (1.348, 8.363)), and family per capita monthly income (β = 0.157, 95% CI (0.066, 2.243)) were the influencing factors of family adaptability.

CONCLUSIONS

Healthcare professionals and family scholars should value young- and middle-aged lymphoma patients' family functioning throughout the cancer treatment process, and family interventions should be designed by healthcare providers based on patients' resourcefulness. Moreover, healthcare providers need to pay attention to the risk factors of patients' family cohesion and adaptability, such as low family per capita monthly income, and consider employing corresponding measures to help them.

摘要

背景

淋巴瘤已成为中国发病率增加的 10 大最常见癌症之一,在中青年人群中更为常见。这给患者及其家庭带来了巨大的负担,也给中青年患者家庭功能的平衡带来了巨大挑战。

目的

本横断面研究旨在分析中国中青年淋巴瘤患者的应对能力对家庭功能的影响。

方法

本研究共纳入来自中国河南郑州两家三甲医院肿瘤内科的 172 例中青年淋巴瘤患者。他们被邀请完成一项调查,包括人口统计学问卷、应对能力量表和中文版家庭适应性和凝聚力量表 II。采用多元线性回归分析家庭功能的相关因素。

结果

多元回归分析显示,家庭凝聚力的主要影响因素为应对能力(β=0.338,95%CI(0.072,0.173))、配偶照顾者(β=0.376,95%CI(1.938,10.395))和癌症分期(β=-0.274,95%CI(-3.219,-1.047))。应对能力(β=0.438,95%CI(0.096,0.181))、配偶照顾者(β=0.340,95%CI(1.348,8.363))和家庭人均月收入(β=0.157,95%CI(0.066,2.243))是家庭适应性的影响因素。

结论

医护人员和家庭学者应在癌症治疗过程中重视中青年淋巴瘤患者的家庭功能,医护人员应根据患者的应对能力设计家庭干预措施。此外,医护人员还需要关注患者家庭凝聚力和适应性的危险因素,如家庭人均月收入低等,并考虑采取相应措施帮助他们。

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