介入治疗肝癌患者主要照顾者负担水平现状调查及影响因素  

Investigation on the burden level of main caregivers for HCC patients receiving interventional therapy: the present situation and its influencing factors

作　　者：周碧芳 蔡益民[1] 吴贤琳 刘爱兰[1] 李玉莲[1] ZHOU Bifang;CAI Yiming;WU Xianlin;LIU Ailan;LI Yulian(Department of Interventional Vascular Surgery,Hunan Provincial People’s Hospital(Affiliated First Hospital of Hunan Normal University),Changsha,Hunan Province 410005,China)

机构地区：[1]湖南省人民医院(湖南师范大学附属第一医院)介入血管外科,长沙410005

出　　处：《介入放射学杂志》2021年第1期88-91,共4页Journal of Interventional Radiology

基　　金：湖南省自然科学基金(2018JJ2227)。

摘　　要：目的了解行介入治疗肝癌患者主要照顾者负担水平的现状并分析其影响因素。方法选取2018年1至8月住院行介入治疗的肝癌患者的140例主要照顾者作为研究对象,采用照顾者负荷能量表(CBI)对照顾者进行问卷调查。同时,以CBI评分为因变量,以患者及照顾者一般资料为自变量进行单因素分析,将有统计学意义的因素再进行logistic回归分析,分析患者主要照顾者负担水平的现状及影响因素。结果患者主要照顾者CBI评分为(65.3±17.5)分,82位(58.5%)处于重度负荷水平,52位(37.1%)处于中度负担。单因素分析显示患者因素(疾病是否发生转移)、照顾者因素(性别、工作状况、与患者的关系良好程度、是否能胜任护理工作、性格特征、教育程度、健康状况)、经济因素(医疗费用压力)均为主要照顾者CBI评分的影响因素。Logistic回归分析显示患者疾病有无转移、照顾者性别、照顾者与患者的关系良好程度、医疗费用压力为照顾者负担水平的主要影响因素(P<0.05)。结论行介入治疗肝癌患者主要照顾者负担水平较高,医护人员应高度重视对该人群负担水平的评估,及时采取针对性的整体干预措施,预防和降低肝癌行介入治疗患者主要照顾者高负担的发生及发展。Objective To investigate present situation about the burden level of main caregivers for patients with hepatocellular carcinoma(HCC) receiving interventional therapy,and to analyze its influencing factors. Methods A total of 140 primary caregivers for admitted HCC patients,who underwent interventional therapy during the period from January to August in 2018,were enrolled in this study. Caregiver Burden Energy Scale(CBI) was used to conduct a questionnaire survey among these caregivers. Using CBI score as dependent variable and the general data of both patients and caregivers as independent variables,the univariate analysis was carried out. Logistic regression analysis was used to analyze the statistically significant factors so as to evaluate the present situation and influencing factors of burden level of primary caregivers for HCC patients.Results The CBI score of primary caregivers for HCC patients was(65.3±17.5). Up to 82 caregivers(58.5%)were at a heavy load level and 52 caregivers(37.14%) were at a moderate load level. Univariate analysis showed that patient’s factors(with or with no metastasis),caregiver’s factors(including gender,working condition,harmony degree with patients,competent extent in nursing work,personality characteristics,education level,and health status),and economic factors(pressure from medical expenses) were all influencing factors for CBI score of primary caregivers. Logistic regression analysis revealed that metastasis,caregiver gender,caregiverpatient harmony degree,pressure from medical expense were the main factors affecting caregiver burden level(P<0.05). Conclusion The burden of primary caregivers for HCC patients receiving interventional therapy is higher. Medical staff should pay great attention to the evaluation of the burden level of this kind of caregivers. The targeted overall intervention measures should be timely adopted in order to prevent and reduce the occurrence and development of the high-burden situation in primary caregivers for HCC patients receiving interven

关 键 词：肝癌 主要照顾者 介入治疗 负担水平 现状调查 影响因素 

分 类 号：R735.7[医药卫生—肿瘤]