Çekiç Yasemin, Üstündağ Sema, Kurtoğlu Yasemin, Ünver Gamze
Psychiatric Nursing Department, Faculty of Nursing, Ankara University, Ankara, Türkiye.
Department of Internal Medicine Nursing, Faculty of Health Sciences, Kütahya Health Sciences University, Kütahya, Türkiye.
Palliat Support Care. 2025 Apr 22;23:e100. doi: 10.1017/S1478951525000318.
This study aimed to examine the impact of perceived caregiver burden and associated factors on the anger levels and anger expression styles of family caregivers for patients receiving palliative care at home.
This cross-sectional and exploratory correlational type study was conducted with 343 family caregivers. Data were collected face-to-face between March and September 2022 using a Caregiver and Care Recipient Information Form, the Burden Interview, and the Trait Anger and Anger Expression Scale.
There was a significant from very weak to weak correlation between the caregiver burden scores and trait anger, anger-in, anger-out, and anger control scores. The caregiver burden increased trait anger, anger-in, and anger-out while decreasing anger control. The caregiver burden, daily caregiving hours, presence of another dependent at home, presence of a separate room for the care recipient, income level, chronic illness of caregiver, duration of caregiving per month, and care recipient gender explained 17.2% of the total variation in anger control scores.
The caregiver burden levels and anger expression styles of family caregivers vary depending on the characteristics of both the caregiver and the care recipient. Family members may experience an increase in perceived caregiver burden, which can lead to elevated levels of trait anger, suppression of anger, and reduced anger control. Healthcare professionals should monitor the family caregivers' caregiver burden and anger levels. Family caregivers should be encouraged and given opportunities to express their feelings and thoughts about caregiving. Strategies aimed at reducing the caregiver burden and coping with feelings of anger should be planned for the family members of patients receiving palliative care at home.
本研究旨在探讨居家接受姑息治疗患者的家庭照护者所感知到的照护负担及其相关因素对其愤怒水平和愤怒表达方式的影响。
本研究采用横断面探索性相关性研究设计，对343名家庭照护者进行了调查。于2022年3月至9月期间，通过面对面访谈的方式，使用照护者与受照护者信息表、照护负担访谈问卷以及特质愤怒与愤怒表达量表收集数据。
照护负担得分与特质愤怒、内向愤怒、外向愤怒及愤怒控制得分之间存在显著的（从非常弱到弱的）相关性。照护负担增加了特质愤怒、内向愤怒和外向愤怒，同时降低了愤怒控制能力。照护负担、每日照护时长、家中有其他需要照料的人、为受照护者设有独立房间、收入水平、照护者的慢性病情况、每月照护时长以及受照护者性别，解释了愤怒控制得分总变异的17.2%。
家庭照护者的照护负担水平和愤怒表达方式因照护者和受照护者的特征而异。家庭成员可能会感到照护负担增加，这可能导致特质愤怒水平升高、愤怒被压抑以及愤怒控制能力下降。医疗保健专业人员应监测家庭照护者的照护负担和愤怒水平。应鼓励家庭照护者并有机会让他们表达对照护的感受和想法。应为居家接受姑息治疗患者的家庭成员制定旨在减轻照护负担和应对愤怒情绪的策略。
