Lu Hsiang-Hua, Liang Shu-Yuan
School of Nursing, National Taipei University of Nursing and Health Sciences, 365 Ming Te Road, Beitou, Taipei 112, Taiwan.
Department of Nursing, National Taiwan University Hospital, Zhongshan South. Road., Zhongzheng District, Taipei 100, Taiwan.
Healthcare (Basel). 2024 Sep 21;12(18):1897. doi: 10.3390/healthcare12181897.
BACKGROUND/OBJECTIVES: Brain tumor patients confront numerous challenges arising from diagnosis and treatment, and these impact the patient's physical, mental, and social functions at all levels. Primary informal caregivers assume a pivotal role in home-based patient care. Of particular importance are the coping strategies employed by family caregivers, as they can influence both their own health and the overall quality of home care. This study aimed to explore the associations among family function, caregiving competence, and coping strategies among primary informal caregivers.
This study adopted a cross-sectional correlational design and convenience sampling to survey the primary informal caregivers of 111 brain tumor patients. The study instruments included the Family Assessment Device General Function, Caregiving Competence Scale, and Revised Ways of Coping Checklist.
The findings of this study revealed a significant positive correlation between the family function of primary informal caregivers and their employment of emotion-focused coping (r = 0.209, < 0.05). Furthermore, caregiving competence exhibited a positive association with problem-focused coping (r = 0.242, < 0.05) and emerged as a significant predictor of problem-focused coping (β = 0.182, < 0.05). However, neither family function (r = 0.059, < 0.05) nor caregiving competence (r = 0.031, < 0.05) demonstrated significant associations with total coping strategies.
The findings of this study affirmed that enhancing the caregiving competence of primary informal caregivers of brain tumor patients can facilitate the adoption of problem-focused coping strategies.
背景/目的：脑肿瘤患者面临着诊断和治疗带来的诸多挑战，这些挑战在各个层面影响着患者的身体、心理和社会功能。主要的非正式照料者在居家患者护理中起着关键作用。家庭照料者所采用的应对策略尤为重要，因为它们会影响照料者自身的健康以及居家护理的整体质量。本研究旨在探讨家庭功能、照料能力和主要非正式照料者的应对策略之间的关联。
本研究采用横断面相关设计和便利抽样方法，对111名脑肿瘤患者的主要非正式照料者进行调查。研究工具包括家庭评估设备通用功能量表、照料能力量表和修订后的应对方式清单。
本研究结果显示，主要非正式照料者的家庭功能与他们采用的以情绪为中心的应对方式之间存在显著正相关（r = 0.209，P < 0.05）。此外，照料能力与以问题为中心的应对方式呈正相关（r = 0.242，P < 0.05），并且是问题为中心的应对方式的显著预测因素（β = 0.182，P < 0.05）。然而，家庭功能（r = 0.059，P > 0.05）和照料能力（r = 0.031，P > 0.05）与总体应对策略均无显著关联。
本研究结果证实，提高脑肿瘤患者主要非正式照料者的照料能力有助于采用以问题为中心的应对策略。
