住院癌症病人主要照顾者综合需求与心理应激的相关性及影响因素  

Correlation and influencing factors between the comprehensive needs and psychological stress of main caregivers of hospitalized cancer patients

作　　者：林丹娜 应文娟[2] 张红[2] 郭郁莲[2] 修钰琦 郑锐华 伍艳春[2] LIN Danna;YING Wenjuan;ZHANG Hong;GUO Yulian;XIU Yuqi;ZHENG Ruihua;WU Yanchun(Medical College,Shantou University,Guangdong 515041 China)

机构地区：[1]汕头大学医学院,广东515041 [2]汕头大学医学院第一附属医院 [3]汕头大学医学院第一附属医院龙湖医院

出　　处：《护理研究》2023年第8期1364-1369,共6页Chinese Nursing Research

基　　金：汕头大学医学院护理研究专项基金项目,编号:NU202120;2020年李嘉诚基金会交叉研究项目,编号:2020LKSFG10B;汕头市第三至五批医疗卫生科技计划项目,编号:汕府科[2019]106号。

摘　　要：目的:探讨住院癌症病人主要照顾者综合需求与心理应激的相关性及影响因素。方法:选取2020年6月—2021年5月在广东省某三级甲等综合医院住院的382名癌症病人主要照顾者作为研究对象。采用自制的一般资料调查问卷、癌症病人照顾者综合需求量表(CNAT-C)及家属应激量表(RSS)进行调查。结果:住院癌症病人主要照顾者综合需求总分为48.00(34.00,65.25)分,心理应激总分为8.00(4.00,13.00)分,两者之间呈正相关(r=0.301,P<0.05);分层回归分析结果显示,住院癌症病人主要照顾者的文化程度、宗教信仰、医疗费用支付方式和心理痛苦是综合需求的独立影响因素(P<0.05)。结论:住院癌症病人主要照顾者综合需求与心理应激呈正相关,心理痛苦是照顾者综合需求水平的主要影响因素,医护人员应重点关注照顾者心理应激水平,满足其综合需求,以提高照护质量。Objective:To investigate the correlation between comprehensive needs and psychological stress of main caregivers of hospitalized cancer patients and to analyze the influencing factors.Methods:From June 2020 to May 2021,a total of 382 main caregivers of cancer patients hospitalized in a general tertiary hospital in Guangdong province were selected as the research subjects.A self⁃made general information questionnaire,the Comprehensive Needs Assessment Tool in cancer for Caregivers(CNAT⁃C),and the Relative Stress Scale(RSS)were used to investigate.Results:The CNAT⁃C score of main caregivers of hospitalized cancer patients was 48.00(34.00,65.25)points,the total score of RSS was 8.00(4.00,13.00)points,and there was a positive correlation between them(r=0.301,P<0.05).The hierarchical regression analysis showed that the education level,religious belief,payment method of medical expenses,and psychological distress of the main caregivers of hospitalized cancer patients were the independent influencing factors of comprehensive needs(P<0.05).Conclusions:The comprehensive needs of the main caregivers of hospitalized cancer patients were positively correlated with psychological stress,and psychological distress was the main influencing factor affecting the level of comprehensive needs of caregivers.Medical staff should focus on the level of psychological stress of caregivers to meet their comprehensive needs in order to improve the quality of nursing.

关 键 词：癌症 主要照顾者 心理应激 综合需求 护理 

分 类 号：R473.73[医药卫生—护理学]