中青年宫颈癌终末期患者主要照顾者的负担及影响因素  

Primary caregiver burden and influencing factors of young and middle-aged patients with terminal stage cervical cancer

作　　者：王兰芹[1] 栗文菊[1] 吕博雅 韩姗 成巧梅[1] WANG Lanqin;LI Wenju;LYU Boya;HAN Shan;CHENG Qiaomei(Department of Radiotherapy,Henan Provincial People’s Hospital,Zhengzhou 450003,China;Department of Gynecology,Zhengzhou Central Hospital,Zhengzhou 450007,China)

机构地区：[1]河南省人民医院放疗科,河南郑州450003 [2]郑州市中心医院妇科,河南郑州450007

出　　处：《肿瘤基础与临床》2024年第5期540-543,共4页journal of basic and clinical oncology

基　　金：河南省医学科技攻关计划项目(2018020419)。

摘　　要：目的探讨中青年宫颈癌终末期患者主要照顾者的负担及影响因素。方法选取河南省人民医院收治的宫颈癌终末期患者的主要照顾者95例为研究对象,采用一般资料调查表、照顾者负担量表(ZBI)、Katz日常生活活动能力测定评价表、社会支持评定量表(SSRS)及亚健康状态测量问卷进行调查。结果中青年宫颈癌终末期患者主要照顾者的负担总分为(51.60±8.21)分,属于中度水平。经多元回归分析显示:主要照顾者的社会支持(t=4.870,P=0.001)、主要照顾者的文化程度(t=2.405,P=0.041)、患者日常生活自理能力(t=2.913,P=0.024)、主要照顾者与患者的关系(t=3.729,P=0.015)、主要照顾者的照顾者的亚健康状态(t=4.641,P=0.036)是影响主要照顾者负担的主要因素。结论中青年宫颈癌终末期患者主要照顾者的负担水平较高,主要照顾者负担受多种因素影响,医护人员应根据影响因素制订有针对性的个体化身心调理方案,降低主要照顾者负担的水平,提高生活质量。Objective To explore the main caregiver burden and influencing factors of young and middle-aged patients with cervical cancer in the end stage.Methods 95 primary caregivers of cervical cancer end-stage patients admitted to Henan Provincial People’s Hospital were selected as the research subjects,and the general information questionnaire,Zarit Burden interview(ZBI),Katz Activities of daily living measurement and evaluation scale,social support ratings scale(SSRS)and suboptimal health status measurement questionnaire were used to investigate.Results The total burden value of primary caregivers for young and middle-aged cervical cancer end-stage patients were(51.60±8.21)points,which was at a moderate level.Multiple regression analysis showed that social support of primary caregivers(t=4.870,P=0.001),education level of primary caregivers(t=2.405,P=0.041),patients’ability to take care of themselves in daily life(t=2.913,P=0.024),the relationship between primary caregivers and patients(t=3.729,P=0.015)and the suboptimal health status of primary caregivers(t=4.641,P=0.036)were the main factors affecting the burden of main caregivers.Conclusion The burden level of primary caregivers in young and middle-aged patients with end-stage cervical cancer is relatively high,and the burden of primary caregivers is influenced by multiple factors.Medical staff should develop targeted personalized physical and mental adjustment plans based on the influencing factors,reduce the burden level of primary caregivers,and improve their quality of life.

关 键 词：宫颈癌 中青年患者 终末期患者 主要照顾者 负担 影响因素 

分 类 号：R737.33[医药卫生—肿瘤]