接受姑息性癌症治疗的癌症患者中照顾者负担的频率及预测因素
Frequency and predictors of caregiver burden among patients with cancer receiving palliative cancer treatment.
作者信息
Torres-Tenor Juan Luis, Bernal-Hertfelder Elsa, Pertejo-Fernández Ana, Ramón-Patiño Jorge Luis, Redondo Andrés, Alonso-Babarro Alberto, Bruera Eduardo
机构信息
Department of Palliative Care, La Paz Hospital, Paseo de la Castellana 261, 28046, Madrid, Spain.
Department of Medical Oncology, Infanta Cristina Hospital, Madrid, Spain.
出版信息
Clin Transl Oncol. 2025 Mar 10. doi: 10.1007/s12094-025-03885-2.
PURPOSE
Assess the frequency of caregiver burden among patients with advanced cancer receiving palliative anticancer treatment. Compare characteristics of those who show caregiver burden versus those who do not.
METHODS/PATIENTS: This is a cross-sectional study in two university hospital oncology departments. Caregivers completed the Reduced Zarit Burden Interview and Emotional Distress Thermometer. Data were analyzed to identify factors associated with caregiver burden.
RESULTS
79 informal primary caregivers participated, mostly women (65%, N = 51), middle-aged (median 57, SD = 9), employed (54%), and spouses (58%, N = 46). Most had medium economic status (70%, N = 55), no other dependents (51%, N = 40), support from other caregivers (56%, N = 44), and good self-rated health (82%, N = 65). Caregiver burden affected 61% (N = 48), more often women (p = 0.049), those with high stress (p = 0.001), and when more people were involved in patient care (p = 0.048).
CONCLUSIONS
Caregiver burden is common in informal primary caregivers of patients with advanced cancer receiving palliative treatment, especially in highly stressed women.
目的
评估接受姑息性抗癌治疗的晚期癌症患者的照料者负担频率。比较出现照料者负担者与未出现者的特征。
方法/患者：这是一项在两家大学医院肿瘤科进行的横断面研究。照料者完成了简化版的 Zarit 负担访谈和情绪困扰温度计调查。对数据进行分析以确定与照料者负担相关的因素。
结果
79 名非正式主要照料者参与，多数为女性（65%，N = 51），中年（中位数 57，标准差 = 9），有工作（54%），配偶占比（58%，N = 46）。多数人经济状况中等（70%，N = 55），无其他受抚养人（51%，N = 40），有其他照料者的支持（56%，N = 44），且自我健康评价良好（82%，N = 65）。61%（N = 48）的照料者有负担，女性更常见（p = 0.049），压力大的人更常见（p = 0.001），且参与患者护理的人越多越常见（p = 0.048）。
结论
在接受姑息治疗的晚期癌症患者的非正式主要照料者中，照料者负担很常见，尤其是在压力大的女性中。
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