Department of Palliative Care, Eskisehir City Hospital, Odunpazarı, Eskişehir, Turkey.
Eskisehir City Hospital, General Intensive Care Unit, Odunpazarı, Eskişehir, Turkey.
J Palliat Care. 2025 Jan;40(1):28-40. doi: 10.1177/08258597241282999. Epub 2024 Sep 19.
During the care process, family members who provide care for a patient with cancer are confronted with changes in their family dynamics. The purpose of this study was to evaluate the family peace of caregivers of patient with cancer and the associated factors. A cross-sectional study was conducted in a single center. The sample of the study included caregivers who were family members of patients with cancer. Data were collected with Caregiver and Patient Information Forms, General Self-Efficacy Scale, Family Peace Scale, Self-Care Behaviors Scale, and MD Anderson Symptom Inventory. It was found that the mean age of the caregivers was 50.20 ± 0.71 years, 64.1% were female, 78.7% were married. The mean score of the caregivers on the total family peace scale was above the average value with 46 ± 0.75 out of 75 points. The caregivers' level of family peace increases as their scores on the scale increase. The family peace of caregivers who were widowed or divorced, were self-employed, had less income than their expenses, had a chronic disease, reported that their health was affected, had low self-efficacy was worse than that of others. The family peace of caregivers of patients who had gynecological cancer and had a good income was better ( < 0.05). The self-efficacy level of the caregivers and the symptoms of the patient with cancer were significant predictors of family peace ( < 0.001). Family peace of caregivers was affected by the type of cancer, symptom burden, self-care behaviors of the patient, and caregivers' income status, chronic disease, marital status, and self-efficacy. Physicians and nurses, who are in close contact with caregivers of cancer patients, should be aware of the issue, professionals should assess the family environment of the caregivers of patient with cancer and counseling should be provided if deemed necessary.
在癌症患者的护理过程中，照顾癌症患者的家庭成员会面临家庭动态的变化。本研究的目的是评估癌症患者照顾者的家庭安宁状况及其相关因素。
这是一项单中心的横断面研究。研究样本包括癌症患者的家庭成员照顾者。使用照顾者和患者信息表、一般自我效能感量表、家庭安宁量表、自我护理行为量表和 MD 安德森症状量表收集数据。
结果发现，照顾者的平均年龄为 50.20±0.71 岁，64.1%为女性，78.7%已婚。在家庭安宁量表的总分上，照顾者的平均得分高于平均分，得分为 46±0.75，满分 75 分。照顾者的家庭安宁水平随着量表得分的增加而提高。丧偶或离异、个体经营、收入低于支出、患有慢性病、报告健康受影响、自我效能感低的照顾者的家庭安宁水平较差。收入良好、患有妇科癌症的患者的照顾者的家庭安宁水平较好（ <0.05）。照顾者的自我效能感水平和癌症患者的症状是家庭安宁的显著预测因素（ <0.001）。
照顾者的家庭安宁受到癌症类型、症状负担、患者自我护理行为以及照顾者的收入状况、慢性病、婚姻状况和自我效能感的影响。与癌症患者照顾者密切接触的医生和护士应意识到这一问题，专业人员应评估癌症患者照顾者的家庭环境，并在必要时提供咨询。
