肝癌照顾者家庭功能与积极感受的相关性研究  

Study on the correlation between family function and positive feelings in caregivers of liver cancer

作　　者：张依珍[1] 钟富秀[1] 黄思婷[1] ZHANG Yi-zhen;ZHONG Fu-xiu;HUANG Si-ting(Nursing Department of Hepatobiliary Surgery,Fujian Medical University Union Hospital,Fuzhou 350000,China)

机构地区：[1]福建医科大学附属协和医院肝胆外科护理部,350000

出　　处：《中国现代药物应用》2024年第21期161-166,共6页Chinese Journal of Modern Drug Application

摘　　要：目的调查肝癌照顾者的家庭功能与积极感受的现状,并分析探讨两者的相关性。方法采用一般资料调查表、中文版家庭亲密度和适应性量表(FACESⅡ-CV)及照顾者积极感受量表(PAC)对184例肝癌照顾者进行问卷调查,统计分析患者一般资料及家庭功能、积极感受评分,比较不同特征肝癌照顾者的家庭功能、积极感受评分,并分析家庭功能与积极感受的相关性。结果184例肝癌照顾者年龄18~77岁,平均(48.03±12.74)岁。其中,男107例,女77例,大多数为已婚。肝癌照顾者家庭功能总分为(125.50±17.98)分,亲密度评分为(73.29±10.05)分,适应性评分为(52.21±9.64)分;积极感受总分为(36.82±6.77)分,自我肯定评分为(20.36±3.84)分,生活展望评分为(16.46±3.73)分。在与患者关系、照顾时间及患者有无合并其他疾病、住院次数、医保费用、治疗方式方面,肝癌照顾者的亲密度和适应性评分均无明显差异(P>0.05)。在有无经历(3个月内发生其他重大负性事件)、患者有无术后并发症、居住地、职业性质、受教育程度方面,肝癌照顾者的亲密度和适应性评分均具有统计学差异(P<0.05)。在居住地、照顾时间、职业性质及患者有无术后并发症、有无合并其他疾病、住院次数、医保费用、治疗方式方面,肝癌照顾者的自我肯定、生活展望评分均无明显差异(P>0.05)。在有无经历方面,肝癌照顾者的自我肯定和生活展望评分均具有统计学差异(P<0.05)。在与患者关系方面,肝癌照顾者的自我肯定评分具有统计学差异(P<0.05),但生活展望评分无明显差异(P>0.05)。在受教育程度方面,肝癌照顾者的生活展望评分具有统计学差异(P<0.05),但自我肯定评分无明显差异(P>0.05)。Pearson相关性分析显示:肝癌照顾者家庭功能总分、亲密度评分、适应性评分与积极感受总分、自我肯定评分、生活展望评分均呈正相关(P<0.05)。结论肝癌照顾Objective To investigate the current status of family function and positive feelings of caregivers of liver cancer,and analyze the correlation between the two.Methods The general information questionnaire,the Chinese version of the Family Adaptability and Cohesion Evaluation ScaleⅡ(FACESⅡ-CV)and the Positive Aspects of Caregiving(PAC)were used to conduct a questionnaire survey on 184 caregivers of liver cancer.The general information,family function and positive feelings scores of patients were statistically analyzed,and the family function and positive feelings scores of caregivers of liver cancer with different experience were compared.The correlation between family function and positive feelings was also analyzed.Results 184 caregivers of liver cancer aged 18-77 years,with an average age of(48.03±12.74)years.Among them,there were 107 males and 77 females,most of whom were married.Caregivers of liver cancer had a total family functioning score of(125.50±17.98)points,a closeness score of(73.29±10.05)points,a resilience score of(52.21±9.64)points;a total positive feelings score of(36.82±6.77)points,a self-affirmation score of(20.36±3.84)points,a life outlook score of(16.46±3.73)points.There were no significant differences in the closeness score and adaptability score among caregivers of liver cancer in terms of relationship with the patient,duration of caregiving and the presence of other comorbidities,the number of hospitalizations,medical insurance costs,and treatment modalities(P>0.05).In terms of experience(other significant negative events occurring within 3 months),postoperative complications,place of residence,occupational nature and education level,the closeness score and adaptability score of caregivers of liver cancer had statistical differences(P<0.05).There were no significant differences in the self-affirmation score and life outlook score of caregivers of liver cancer in terms of the place of residence,duration of caregiving,occupational nature,presence of postoperative complications,pres

关 键 词：肝癌 照顾者 家庭功能 积极感受 

分 类 号：R473.73[医药卫生—护理学]