晚期癌症患者生存质量对家庭照顾者生存质量的影响  

The impact of advanced cancer patients' quality of life on family caregivers' quality of life

作　　者：肖惠敏[1] 郑建伟[2] 兰秀燕 彭美慈[3] 

机构地区：[1]福建医科大学护理学院,福州市350108 [2]福建医科大学附属协和医院 [3]香港理工大学护理学院

出　　处：《中华护理杂志》2015年第4期415-419,共5页Chinese Journal of Nursing

基　　金：国家自然科学基金项目(81401863)

摘　　要：目的探讨晚期癌症患者生存质量对家庭照顾者生存质量的影响。方法采用晚期患者生存质量量表与家庭照顾者生存质量量表对196对患者及其照顾者进行横断面调查。结果Pearson相关分析显示：家庭照顾者生存质量（qualityoflife，QOL）总分与患者QOL各维度、QOL总分及单条目整体QOL＆正相关；家庭照顾者的照顾者状况、照顾者价值观、照顾质量、经济等维度与患者QOL总分呈正相关，而关系与患者QOL总分呈负相关，均具有统计学意义（r=-0．147～0．475，P〈0．05）。多元回归分析结果显示：照顾场所、患者QOL总分、照顾者健康自评、照顾者文化程度、患者整体QOL、癌症病程等进入回归方程，共同解释了家庭照顾者生存质量水平总变异的46．4％。结论癌症患者生存质量可预测家庭照顾者的生存质量，以家庭为中心的护理模式有利于提高其生存质量。Objective To examine the impact of advanced cancer patients＇ quality of life（QOL） on family care- givers＇ QOL. Methods Totally 196 pairs of advanced cancer patients and their family caregivers were investigated using Quality of life Concerns in the End of Life Questionnaire and Quality of Life in Life-threatening Illness-Family Caret Questionnaire. Results Pearson correlation analysis showed that caregivers＇ total QOL score and factor scores were significantly correlated with patients＇ total QOL score and factor scores. Multiple regression analysis indicated that the caring setting,patients＇ QOL seore,caregivers＇ self-reported health status,caregivers＇ educational level,and cancer courses explained 46.4% of the total variance of caregivers＇ QOL score. Conclusion Advanced cancer patients＇ QOL has an important impact on caregivers＇ QOL. Family-centered care should be delivered to improve their QOL.

关 键 词：癌症  晚期 生活质量 医疗护理提供者 家庭 

分 类 号：R473.2[医药卫生—护理学]