Li Mengxue, Zhang Jie, Jia Lei, Su Liqing, Zhang Yumeng, Zheng Ziyi, Shen Huili, Chang Jian
School of Nursing, Shanghai Jiao Tong University, 85 Wu Jin Road, Hongkou District, Shanghai, 200001, China.
Department of Nursing, Shanghai General Hospital, Shanghai, 201620, China.
BMC Nurs. 2024 Dec 2;23(1):877. doi: 10.1186/s12912-024-02544-1.
Gastrointestinal cancers, including gastric and colorectal cancers, are major contributors to cancer-related morbidity and mortality worldwide, placing significant burdens on patients and their informal caregivers. This study aims to evaluate the level of supportive needs among informal caregivers of patients with gastrointestinal cancer and to identify key factors influencing these needs.
We conducted a descriptive survey involving 335 informal caregivers of patients with gastrointestinal cancer at a large hospital in Shanghai, China, from September 2023 to April 2024. Multivariate linear regression analysis was employed to examine potential factors affecting supportive needs, including demographic information, caregiver burden, and self-efficacy.
The average supportive needs score among the 335 caregivers was 113.59 ± 52.97. This score was positively correlated with caregiver burden (r = 0.363, P < 0.001), self-efficacy (r = 0.224, P < 0.001), and patients' Karnofsky Performance Status (KPS) score (r = 0.119, P < 0.05). Multivariate regression analysis revealed that the care experience, duration of caregiving, relationship (sibling), self-efficacy, caregiver burden, KPS score of patients, treatment duration of patients, and cancer type of patients were significant factors influencing the supportive care needs of caregivers for elderly gastrointestinal cancer patients (P < 0.05).
Informal caregivers of elderly patients with gastrointestinal cancer often have increased levels of supportive needs. Clinical practice should include comprehensive assessments of these needs and the development of targeted interventions to improve caregiving skills and reduce caregiver burden, thereby enhancing the quality of life for both caregivers and patients.
胃肠道癌症，包括胃癌和结直肠癌，是全球癌症相关发病率和死亡率的主要贡献因素，给患者及其非正式照护者带来了巨大负担。本研究旨在评估胃肠道癌症患者非正式照护者的支持需求水平，并确定影响这些需求的关键因素。
2023年9月至2024年4月，我们在中国上海一家大型医院对335名胃肠道癌症患者的非正式照护者进行了一项描述性调查。采用多元线性回归分析来检验影响支持需求的潜在因素，包括人口统计学信息、照护者负担和自我效能感。
335名照护者的平均支持需求得分为113.59±52.97。该得分与照护者负担（r = 0.363，P < 0.001）、自我效能感（r = 0.224，P < 0.001）以及患者的卡氏功能状态（KPS）评分（r = 0.119，P < 0.05）呈正相关。多元回归分析显示，照护经验、照护时长、关系（兄弟姐妹）、自我效能感、照护者负担、患者的KPS评分、患者的治疗时长以及患者的癌症类型是影响老年胃肠道癌症患者照护者支持性护理需求的重要因素（P < 0.05）。
老年胃肠道癌症患者的非正式照护者通常有更高水平的支持需求。临床实践应包括对这些需求的全面评估，并制定针对性的干预措施，以提高照护技能，减轻照护者负担，从而提高照护者和患者的生活质量。
