白血病患者照料者负担与希望之间的关系：伊朗德黑兰部分转诊医院的横断面研究

The relationship between caregiver burden and hope in leukemia patients: a cross-sectional study in selected referral hospitals in Tehran, Iran.

作者信息

Ghorbani Azam, Salami Moein, Rajabi Mohammad Mehdi

机构信息

Department of Medical Surgical Nursing, School of Nursing & Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Department of Pediatric Nursing and Neonatal Intensive Care, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

BMC Palliat Care. 2025 Apr 7;24(1):95. doi: 10.1186/s12904-025-01731-4.

DOI:10.1186/s12904-025-01731-4

PMID:40189527

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11974149/

Abstract

BACKGROUND

Leukemia is a life-threatening condition that imposes significant challenges not only on patients but also on their caregivers. Caregiver burden, a multidimensional concept encompassing physical, psychological, and emotional strain, often impacts the quality of care provided to patients. Conversely, hope, a critical psychological resource, plays a pivotal role in patient well-being and coping. Understanding the relationship between caregiver burden and patient hope is essential for improving holistic cancer care.

METHODS

This descriptive correlational study was conducted at the Cancer Institute and Valiasr Hospital, affiliated with Tehran University of Medical Sciences, between May and November 2024. A total of 400 participants, including 200 leukemia patients and their 200 primary caregivers, were recruited using convenience sampling. Data were collected using the Zarit Caregiver Burden Interview (ZBI) and Snyder's Adult Hope Scale (AHS). Descriptive statistics and Pearson's correlation coefficient were used to analyze the data in SPSS version 16, with a significance level of P < 0.05.

RESULTS

The mean caregiver burden score was 37.69 ± 7.12, indicating a moderate level of burden, while the mean hope score among leukemia patients was 32.19 ± 1.88, reflecting relatively high levels of hope. A weak but statistically significant negative correlation was found between caregiver burden and overall hope scores (r= -0.164, P = 0.02). However, no significant correlations were observed between caregiver burden and the subscales of hope, namely Pathway Thinking (r=-0.127, P = 0.073) and Agency Thinking (r=-0.126, P = 0.076).

CONCLUSION

The study highlights a significant inverse relationship between caregiver burden and patient hope, underscoring the interconnected dynamics between caregiver well-being and patient psychological resilience. Interventions aimed at reducing caregiver burden and fostering hope in patients are essential for enhancing the overall quality of care in leukemia.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

白血病是一种危及生命的疾病，不仅给患者带来巨大挑战，也给他们的照顾者带来诸多困难。照顾者负担是一个多维度的概念，包括身体、心理和情感上的压力，常常影响对患者提供的护理质量。相反，希望作为一种关键的心理资源，在患者的幸福感和应对能力方面起着关键作用。了解照顾者负担与患者希望之间的关系对于改善整体癌症护理至关重要。

方法

这项描述性相关性研究于2024年5月至11月在德黑兰医科大学附属癌症研究所和瓦利亚斯尔医院进行。采用便利抽样法共招募了400名参与者，包括200名白血病患者及其200名主要照顾者。使用Zarit照顾者负担访谈量表（ZBI）和斯奈德成人希望量表（AHS）收集数据。在SPSS 16版本中使用描述性统计和皮尔逊相关系数分析数据，显著性水平为P < 0.05。

结果

照顾者负担的平均得分为37.69 ± 7.12，表明负担处于中等水平，而白血病患者的希望平均得分为32.19 ± 1.88，反映出相对较高的希望水平。照顾者负担与总体希望得分之间存在微弱但具有统计学意义的负相关（r = -0.164，P = 0.02）。然而，在照顾者负担与希望的子量表，即路径思维（r = -0.127，P = 0.073）和能动思维（r = -0.126，P = 0.076）之间未观察到显著相关性。