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身为医护人员及癌症患者照料者的心理影响:一项对比分析。

Psychological effects of being a healthcare worker and a caregiver for cancer patients: a comparative analysis.

作者信息

Civan Kahve Aybeniz, Çapar Dünya Gözde, Keleş Mustafa Kaan, Çınar Mehmet Alper, Uçar Gökhan, Perkin Perihan, Göka Erol

机构信息

Department of Psychiatry, Faculty of Medicine, Gazi University, Ankara, Turkey.

Department of Psychiatry, Ankara Bilkent City Hospital, University of Health Sciences, Ankara, Turkey.

出版信息

Support Care Cancer. 2025 Jun 27;33(7):633. doi: 10.1007/s00520-025-09699-w.

Abstract

PURPOSE

Cancer caregiving presents significant psychological and emotional challenges. While healthcare workers (HCWs) possess medical expertise, their dual role as both professionals and caregivers may impose additional burdens. This study examines the psychological distress and caregiving burden among HCWs and non-HCWs caring for oncology patients.

METHODS

A cross-sectional study was conducted with 83 caregivers (46 HCWs, 37 non-HCWs) of oncology patients receiving treatment at a tertiary hospital. Participants completed sociodemographic surveys and psychological assessments, including the Hamilton Depression and Anxiety Scales, Maslach Burnout Inventory, and Resilience Scale for Adults.

RESULTS

Both HCWs and non-HCWs exhibited significantly higher depression and anxiety levels compared to healthy controls. No significant differences were found in burnout or psychological resilience between caregiver groups. However, HCWs reported additional stress due to professional expectations, managing medical decisions, and coordinating care. Despite their expertise, HCWs expressed a strong need for emotional and informational support.

CONCLUSION

HCW caregivers face unique role conflicts and burdens beyond those of non-HCWs. Addressing their specific challenges through tailored psychosocial interventions and institutional support is crucial for improving caregiver well-being and patient care. Future research should explore long-term coping mechanisms and support strategies for HCW caregivers in oncology settings.

摘要

目的

癌症护理带来了重大的心理和情感挑战。虽然医护人员具备医学专业知识,但他们作为专业人员和护理者的双重角色可能会带来额外负担。本研究调查了照顾肿瘤患者的医护人员和非医护人员的心理困扰及护理负担。

方法

对一家三级医院中83名正在接受治疗的肿瘤患者的护理者(46名医护人员,37名非医护人员)进行了一项横断面研究。参与者完成了社会人口学调查和心理评估,包括汉密尔顿抑郁量表、汉密尔顿焦虑量表、马氏职业倦怠量表和成人复原力量表。

结果

与健康对照组相比,医护人员和非医护人员的抑郁和焦虑水平均显著更高。两组护理者在职业倦怠或心理复原力方面未发现显著差异。然而,医护人员报告称,由于专业期望、处理医疗决策和协调护理工作而承受了额外压力。尽管他们具备专业知识,但医护人员表示非常需要情感和信息支持。

结论

医护人员护理者面临着非医护人员所没有的独特角色冲突和负担。通过量身定制的心理社会干预措施和机构支持来应对他们的具体挑战,对于改善护理者的幸福感和患者护理至关重要。未来的研究应探索肿瘤环境中医护人员护理者的长期应对机制和支持策略。

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