乳腺癌患者子女照顾负担及影响因素研究  

The level and influencing factors of caregiver burden on children of the patients with breast cancer

作　　者：胡杰[1] 杨磊[1] 刘莹[1] 黄云辉[1] 杨宏伟[1] 

机构地区：[1]遂宁市中心医院乳腺甲状腺外科,四川遂宁629000

出　　处：《华西医学》2017年第7期1015-1018,共4页West China Medical Journal

摘　　要：目的研究以子女作为照顾主体的乳腺癌患者诊治过程中子女照顾负担及其影响因素。方法选择遂宁市中心医院2014年1月—2015年7月期间诊断为乳腺癌并进行后续治疗的153例患者及其子女(照顾者)为研究对象,采用照顾者负担量表(Zarit Burden Interview,ZBI)、照顾者压力量表评定乳腺癌患者照顾者的照顾负担、照顾压力及生活质量,分析影响因素。结果乳腺癌患者照顾者ZBI评分为(38.09±14.41)分,总体处于中度负担水平。其影响因素中,照顾不同肿瘤分期乳腺癌患者及不同文化程度、经济收入、居住地、睡眠时间的照顾者间ZBI得分比较差异有统计学意义(P<0.05)。Ⅱ、Ⅲ、Ⅳ期患者照顾者的ZBI得分比较差异无统计学意义(P>0.05)。乳腺癌患者照顾者压力平均分提示身体社交压力最大,工作经济压力居中,心理压力最小。结论乳腺癌患者子女照顾负担总体处于中度水平,影响因素主要有乳腺癌患者的肿瘤分期及其照顾者的文化程度、经济收入、居住地、睡眠时间。诊疗过程中医务人员应给予乳腺癌患者照顾者针对性干预及引导,减轻其照顾负担,提高乳腺癌患者的家庭生活质量。Objective To explore the level and influencing factors ofcaregiver burden of children of the patients with breast cancer. Methods We collected 153 patients with breast cancers and their children in Suining Central Hospital from January 2014 to July 2015. Their children were investigated with Zarit Burden Interview and Caregiver Strain Idex. Results The ZBI score of the patients＇ children was in the middle level with a total score of 38.09±14.41. The differences in ZBI scores of the influencing factors including different daily sleep time, education, family income and cancer stages of patients were significant （P〈0.05）. The caregiver strain showed that social pressure was the largest, economy pressure was in the middle, and the psychological pressure was the minimal. Conclusions The children caregivers of the patients with breast cancer suffer from middle level of burden. Doctors should provide targeted intervention to ease the caregiver burden and improve the life quality of the patients＇ family.

关 键 词：乳腺癌 子女 照顾负担 干预 

分 类 号：R473.73[医药卫生—护理学]