胃癌复发患者家庭照顾者死亡焦虑现状及影响因素分析  

Death anxiety and its influencing factors in family caregivers of recurrent gastric cancer patients

作　　者：刘贺 郑蔚[1] 苏闪闪 康婷婷 刘梦丽 王丹丹[1] LIU He;ZHENG Wei;SU Shan-shan;KANG Ting-ting;LIU Meng-li;WANG Dan-dan(The Second Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan 450014,China)

机构地区：[1]郑州大学第二附属医院,河南郑州450014

出　　处：《现代预防医学》2021年第18期3448-3451,3456,共5页Modern Preventive Medicine

基　　金：2017年度河南省医学科技攻关省部共建项目(201701014)。

摘　　要：目的了解胃癌复发患者家庭照顾者死亡焦虑现状并分析其影响因素。方法便利抽取205例胃癌复发患者及其家庭照顾者,使用死亡焦虑量表(T-DAS),并结合一般资料问卷、自我调节疲劳量表(SRF-S)、照顾者积极感受量表(PAC)对其进行调查。结果胃癌复发患者家庭照顾者死亡焦虑得分为(37.94±6.92)分。回归分析结果显示,患者的日常生活能力指数,照顾者的健康自评、年龄、自我调节疲劳和积极感受影响照顾者死亡焦虑,可解释总体变异度的63.7%。结论胃癌复发患者家庭照顾者死亡焦虑呈较高水平,患者的日常生活能力指数,照顾者的健康自评、年龄、自我调节疲劳和积极感受是其影响因素。医护人员应针对以上因素制定有效的护理措施,减轻照顾者死亡焦虑。Objective To investigate the status and influencing factors of death anxiety among family caregivers of recurrent gastric cancer patients.Methods In total 205 patients with recurrent gastric cancer and their family caregivers were investigated by using convenient sampling with general information questionnaire,Templer’s Death Anxiety Scale(T-DAS),Self-regulated Fatigue Scale(SRF-S),and Positive Aspects of Caregiver(PAC).Results Death anxiety in family caregivers of recurrent gastric cancer patients was(37.94±6.92)points.Regression results showed that patients’Barthel Index,caregivers’self-rated health,age,self-regulated fatigue and positive aspects affected death anxiety of caregivers,which could explain63.7%of the total variance.Conclusion Family caregivers of recurrent gastric cancer patients have a higher level of death anxiety.Patients’Barthel Index,caregivers’self-rated health,age,self-regulated fatigue and positive aspects are the influencing factors.Medical staff should formulate effective nursing measures to help reduce caregivers’death anxiety.

关 键 词：胃癌 肿瘤复发 家庭照顾者 死亡焦虑 自我调节疲劳 

分 类 号：R473.73[医药卫生—护理学]