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癌症照顾者的生活质量与负担之间的关联:以中低收入国家为例。

Association between quality of life and burden of cancer caregivers: An example in a low and middle income country.

机构信息

Nursing Department, University of Medicine and Pharmacy at Ho Chi Minh City, Viet Nam; School of Nursing, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan.

Nursing Department, University of Medicine and Pharmacy at Ho Chi Minh City, Viet Nam.

出版信息

Eur J Oncol Nurs. 2024 Jun;70:102596. doi: 10.1016/j.ejon.2024.102596. Epub 2024 May 4.

Abstract

OBJECTIVE

Limited knowledge on burden and quality of life (QoL) among cancer caregivers is available in low and middle income countries. This study aims to investigate the QoL, levels of burden, and their associations among Vietnamese cancer caregivers.

METHODS

This study was conducted across three hospitals in Vietnam. 348 caregivers were recruited from January to June 2021. Data were collected by using socio-demographic questionnaires, the Zarit Burden Interview scale, and Caregiver Qol Cancer. The association between QoL and burden was analyzed by using multivariate linear regression.

RESULTS

Older age (p = 0.03), employed (p = 0.01), and care more than 40 h (p = 0.007) were associated with a higher burden, respectively. QoL of financial concern had the lowest score (mean = 48.03, SD = 28.87), compared to the other subscale. Caregivers who had pre-existing health conditions, unstable work, spent more than 40 h per week, and took care dependent cancer patients were associated with a lower overall QoL score. Comparing to caregivers of no burden, those of mild burden had a lower QoL score by 10.70; while those of mild severe burden had the worse QoL (lower by 23.80 scores).

CONCLUSIONS

Perceptional burden among caregivers is associated with QoL. Further policies are recommended to protect cancer caregivers, to alleviate the caregiving burden, and thus to improve the overall QoL.

摘要

目的

在中低收入国家,有关癌症照顾者负担和生活质量(QoL)的知识有限。本研究旨在调查越南癌症照顾者的 QoL、负担水平及其相关性。

方法

本研究在越南的三家医院进行。2021 年 1 月至 6 月期间招募了 348 名照顾者。使用社会人口统计学问卷、Zarit 负担访谈量表和癌症照顾者 QoL 收集数据。使用多元线性回归分析 QoL 与负担之间的关联。

结果

年龄较大(p=0.03)、有工作(p=0.01)和照顾时间超过 40 小时(p=0.007)与负担较高有关。与其他子量表相比,经济关注的 QoL 得分最低(平均=48.03,SD=28.87)。有既往健康状况、工作不稳定、每周照顾时间超过 40 小时和照顾依赖癌症患者的照顾者与整体 QoL 评分较低有关。与无负担的照顾者相比,轻度负担的照顾者的 QoL 评分低 10.70 分;而轻度严重负担的照顾者的 QoL 更差(低 23.80 分)。

结论

照顾者的感知负担与 QoL 相关。建议采取进一步的政策来保护癌症照顾者,减轻照顾负担,从而提高整体 QoL。

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