Kim Young Man, Kang No Eul, Lee Min Ro, Ha Gi Won, Hong Hye Chong
Research Institute of Nursing Science, College of Nursing, Jeonbuk National University, Jeonju, South Korea.
Biomedical Research Institute, Jeonbuk National University Hospital, Jeonju, South Korea.
BMC Nurs. 2025 May 12;24(1):515. doi: 10.1186/s12912-025-03062-4.
Despite numerous shared health challenges during treatment and recovery, the interdependence of health between patients with colorectal cancer and their family caregivers remains underexplored. This study applied the actor-partner interdependence model (APIM) to examine this dyadic relationship.
This descriptive correlational survey involved patients with colorectal cancer who visited the outpatient department for postoperative follow-up, along with their family caregivers. From 343 consenting participants, responses from 100 matched patient-caregiver pairs were analyzed. Data collection occurred at J Hospital from August 2023 to May 2024. Key variables included the psychological health and quality of life (QoL) of both patients and caregivers, patient self-care, and caregiver contribution to self-care. Statistical analysis was performed using Stata 16.1, with structural equation modeling.
The mean age of patients was 65.57 years; 51% were male, 66% had colon cancer, and 34% rectal cancer. The caregivers' mean age was 56.11 years; 55% were female, and 66% were spouses. The analysis of actor effects showed that the psychological health and QoL of both patients and caregivers independently influenced their respective outcomes. The analysis of partner effects revealed mutual influences between the psychological health of patients and caregivers; moreover, the psychological health of caregivers impacted patients' self-care. While there was a correlation between the QoL of patients and caregivers, it was not statistically significant in the structural equation modeling.
This study underscores the profound interdependence of health between patients with colorectal cancer and their caregivers, revealing significant mutual impacts on psychological health and, to a lesser extent, self-care. These insights suggest the need for targeted interventions to improve both patient recovery and caregiver support, even where some correlations lack statistical significance.
Prospectively registered with the Clinical Research Information Service (CRIS) under the Clinical Trial Number KCT0008743 (Registration Date: 2023.08.25).
尽管在治疗和康复过程中存在诸多共同的健康挑战，但结直肠癌患者与其家庭照顾者之间健康的相互依存关系仍未得到充分探索。本研究应用行为者-伙伴相互依存模型（APIM）来检验这种二元关系。
这项描述性相关性调查涉及到前往门诊进行术后随访的结直肠癌患者及其家庭照顾者。从343名同意参与的参与者中，分析了100对匹配的患者-照顾者对的回复。数据收集于2023年8月至2024年5月在J医院进行。关键变量包括患者和照顾者的心理健康和生活质量（QoL）、患者自我护理以及照顾者对自我护理的贡献。使用Stata 16.1进行统计分析，并采用结构方程模型。
患者的平均年龄为65.57岁；51%为男性，66%患有结肠癌，34%患有直肠癌。照顾者的平均年龄为56.11岁；55%为女性，66%为配偶。行为者效应分析表明，患者和照顾者的心理健康和生活质量分别独立影响各自的结果。伙伴效应分析揭示了患者和照顾者心理健康之间的相互影响；此外，照顾者的心理健康影响患者的自我护理。虽然患者和照顾者的生活质量之间存在相关性，但在结构方程模型中无统计学意义。
本研究强调了结直肠癌患者与其照顾者之间健康的深刻相互依存关系，揭示了对心理健康以及在较小程度上对自我护理的重大相互影响。这些见解表明，即使某些相关性缺乏统计学意义，也需要有针对性的干预措施来改善患者康复和照顾者支持。
前瞻性地在临床研究信息服务（CRIS）注册，临床试验编号为KCT0008743（注册日期：2023.08.25）。
