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在埃塞俄比亚西北部肿瘤中心,癌症患者家庭照顾者的健康相关生活质量及其相关因素。

Health-related quality of life and associated factors among family caregivers of patients with cancer in oncologic centers of Northwest Ethiopia.

机构信息

Department of Pharmacy, College of Medicine and Health Science, Debre Markos University, Debre Markos, Ethiopia.

Department of Pharmacy, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.

出版信息

PLoS One. 2024 May 31;19(5):e0304392. doi: 10.1371/journal.pone.0304392. eCollection 2024.

Abstract

BACKGROUND

Providing care for individuals dealing with long-term illnesses like cancer demands significant amounts of time, energy, and emotional investment, potentially resulting in a challenging and overwhelming quality of life for those providing the care.

OBJECTIVE

The purpose of this study was to assess the level of health-related quality of life (HRQoL) and associated factors among family caregivers of patients with cancer in oncologic centers of Northwest Ethiopia.

METHOD

A cross-sectional study was conducted among 412 family caregivers of patients with cancer who were following treatment at oncologic centers in Northwest Ethiopia from August to October 2023. Systematic random sampling was used to enroll study participants. Epi-data version 4.6.1 and SPSS version 26 were used for data entry and analysis, respectively. The relationship between quality of life and independent variables was examined using linear regression. Statistical significance was determined for variables having a p-value of less than 0.05 at a 95% confidence range.

RESULT

A total of 412 eligible caregivers were included in the study out of 422 approached samples, yielding a 97.6% response rate. The mean score of the overall Quality of Life Brief-Scale Version was 52.7 ± 9.57. Being Spouse (β = -3.39; 95% CI: -6.49, -0.29), presence of chronic illness (β = -3.43; 95% CI: -5.56, -1.31), depression, (β = -2.55; 95% CI: -4.34, -0.75), anxiety (β = -3.27; 95% CI: -5.22, -1.32),and social support, (β = -3.61; 95% CI: -6.20, -1.02) were negatively associated with quality of life.

CONCLUSION AND RECOMMENDATION

In this study, the psychological domain had the lowest mean score. Caregivers being as spouse, who were with chronic illness, manifested depression and anxiety and had a poor social support needs attention and support to improve HRQoL.

摘要

背景

为患有癌症等长期疾病的个体提供护理需要大量的时间、精力和情感投入,这可能会导致照顾者的生活质量面临挑战和压力。

目的

本研究旨在评估西北埃塞俄比亚肿瘤中心癌症患者家庭照顾者的健康相关生活质量(HRQoL)水平及其相关因素。

方法

2023 年 8 月至 10 月,采用横断面研究方法,对西北埃塞俄比亚肿瘤中心接受治疗的 412 名癌症患者的家庭照顾者进行调查。采用系统随机抽样法招募研究对象。Epi-data 版本 4.6.1 和 SPSS 版本 26 分别用于数据录入和分析。采用线性回归分析方法检验生活质量与自变量之间的关系。在 95%置信区间内,当 p 值小于 0.05 时,认为变量具有统计学意义。

结果

在 422 名被接触的样本中,共有 412 名符合条件的照顾者被纳入研究,应答率为 97.6%。总体生活质量简明量表版本的平均得分为 52.7±9.57。作为配偶(β=-3.39;95%CI:-6.49,-0.29)、存在慢性病(β=-3.43;95%CI:-5.56,-1.31)、抑郁(β=-2.55;95%CI:-4.34,-0.75)、焦虑(β=-3.27;95%CI:-5.22,-1.32)和社会支持(β=-3.61;95%CI:-6.20,-1.02)与生活质量呈负相关。

结论和建议

在这项研究中,心理领域的平均得分最低。作为配偶、患有慢性病、表现出抑郁和焦虑且社会支持较差的照顾者需要得到关注和支持,以提高他们的 HRQoL。

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