Lin Xiaoyuan, Chen Ziqing, Zhao Qi, Zhou Xiaozhou
School of Nursing, Guangdong Pharmaceutical University, Guangzhou, China.
Department of Nursing, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, China.
Asia Pac J Oncol Nurs. 2024 Mar 28;11(5):100480. doi: 10.1016/j.apjon.2024.100480. eCollection 2024 May.
This study aimed to explore the benefit finding (BF) profiles among informal caregivers of patients with lung cancer, identify demographic and disease characteristics, and analyze differences in caregiving ability between profiles.
This cross-sectional study utilized convenience sampling to select 272 informal caregivers of patients with lung cancer from a tertiary care hospital in Guangzhou, China. The research instruments used included the Demographic and Disease Characteristics Questionnaire, the revised version of the BF Scale, and the Chinese version of the Family Caregiver Task Inventory. Data analysis was performed using latent profile analysis, chi-square test, Fisher's exact probability test, Kruskal-Wallis test, and multivariate logistic regression.
(1) BF can be divided into three profiles: "high benefit-family and personal growth" (Profile 1, 7.7%), "moderate benefit-unclear perception" (Profile 2, 44.9%), and "low benefit-coping ability deficient" (Profile 3, 47.4%). (2) Having a cocaregiver and a disease duration of 6-12 months were more likely to belong to Profile 1; caregivers of patients aged 40-60 years tended to belong to Profile 2; caregivers of older patients with disease duration > 12 months and clinical stage II or III were more likely to belong to Profile 3. (3) There were significant differences in the total score of caregiving ability and the scores of each dimension among the different BF profiles ( < 0.001), and the caregiving abilities of Profile 1 and Profile 2 were higher than those of Profile 3.
There was heterogeneity in BF among informal caregivers of patients with lung cancer. Healthcare professionals can identify the key profiles of lung-cancer caregivers based on characteristics such as age, clinical stage, disease duration, and cocaregiver status and enhance their caregiving ability through targeted nursing guidance.
本研究旨在探讨肺癌患者非正式照护者的获益发现(BF)特征,确定人口统计学和疾病特征,并分析不同特征之间的照护能力差异。
本横断面研究采用便利抽样法,从中国广州一家三级甲等医院选取272名肺癌患者的非正式照护者。使用的研究工具包括人口统计学和疾病特征问卷、BF量表修订版以及中文版家庭照护者任务清单。数据分析采用潜在类别分析、卡方检验、Fisher确切概率检验、Kruskal-Wallis检验和多因素逻辑回归。
(1)BF可分为三种特征:“高获益-家庭和个人成长”(特征1,7.7%)、“中度获益-认知不明”(特征2,44.9%)和“低获益-应对能力不足”(特征3,47.4%)。(2) 有共同照护者且疾病持续时间为6 - 12个月的人更有可能属于特征1;40 - 60岁患者的照护者倾向于属于特征2;年龄较大、疾病持续时间>12个月且临床分期为II或III期的患者的照护者更有可能属于特征3。(3) 不同BF特征之间的照护能力总分及各维度得分存在显著差异(<0.001),特征1和特征2的照护能力高于特征3。
肺癌患者非正式照护者的BF存在异质性。医护人员可根据年龄、临床分期、疾病持续时间和共同照护者状况等特征识别肺癌照护者的关键特征,并通过针对性的护理指导提高其照护能力。