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多发性骨髓瘤、恶性贫血和其他血液学疾病对伴侣和家庭成员主要被忽视负担的测量:一项横断面研究。

Measurement of the major ignored burden of multiple myeloma, pernicious anaemia and of other haematological conditions on partners and family members: A cross-sectional study.

机构信息

Division of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK.

Shine Charity, Cardiff, UK.

出版信息

Eur J Haematol. 2024 Jul;113(1):117-126. doi: 10.1111/ejh.14206. Epub 2024 Apr 5.

Abstract

BACKGROUND

Having a haematological condition can adversely affect the quality of life (QoL) of family members/partners of patients. It is important to measure this often ignored burden in order to implement appropriate supportive interventions.

OBJECTIVE

To measure current impact of haematological conditions on the QoL of family members/partners of patients, using the Family Reported Outcome Measure-16 (FROM-16).

METHODS

A cross-sectional study, recruited online through patient support groups, involved UK family members/partners of people with haematological conditions completing the FROM-16.

RESULTS

183 family members/partners (mean age = 60.5 years, SD = 13.2; females = 62.8%) of patients (mean age = 64.1, SD = 12.8; females = 46.4%) with 12 haematological conditions completed the FROM-16. The FROM-16 mean total score was 14.0 (SD = 7.2), meaning 'a moderate effect on QoL'. The mean FROM-16 scores of family members of people with multiple myeloma (mean = 15.8, SD = 6.3, n = 99) and other haematological malignancies (mean = 13.9, SD = 7.8, n = 29) were higher than of people with pernicious anaemia (mean = 10.7, SD = 7.5, n = 47) and other non-malignant conditions (mean = 11, SD = 7.4, n = 56, p < .01). Over one third (36.1%, n = 183) of family members experienced a 'very large effect' (FROM-16 score>16) on their quality of life.

CONCLUSIONS

Haematological conditions, in particular those of malignant type, impact the QoL of family members/partners of patients. Healthcare professionals can now, using FROM-16, identify those most affected and should consider how to provide appropriate holistic support within routine practice.

摘要

背景

患有血液疾病会对患者的家庭成员/伴侣的生活质量(QoL)产生不利影响。为了实施适当的支持干预措施,衡量这种经常被忽视的负担很重要。

目的

使用家庭报告结局测量-16 量表(FROM-16)衡量血液疾病对患者家庭成员/伴侣的生活质量的当前影响。

方法

一项横断面研究,通过患者支持小组在线招募,涉及英国血液疾病患者的家庭成员/伴侣,他们完成了 FROM-16 量表。

结果

共有 183 名家庭成员/伴侣(平均年龄 60.5 岁,标准差 13.2;女性占 62.8%)的患者(平均年龄 64.1 岁,标准差 12.8;女性占 46.4%)患有 12 种血液疾病,完成了 FROM-16 量表。FROM-16 量表的总分平均值为 14.0(标准差 7.2),表示“对 QoL 有中度影响”。多发性骨髓瘤(mean = 15.8,标准差 6.3,n = 99)和其他血液恶性肿瘤(mean = 13.9,标准差 7.8,n = 29)患者家庭成员的 FROM-16 量表评分均高于恶性贫血(mean = 10.7,标准差 7.5,n = 47)和其他非恶性疾病(mean = 11,标准差 7.4,n = 56,p <.01)患者家庭成员。超过三分之一(36.1%,n = 183)的家庭成员经历了对他们的生活质量的“非常大的影响”(FROM-16 量表得分>16)。

结论

血液疾病,特别是恶性类型,会影响患者家庭成员/伴侣的生活质量。医疗保健专业人员现在可以使用 FROM-16 量表来识别那些受影响最大的人,并应考虑如何在常规实践中提供适当的整体支持。

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