护理学报2017，Vol.24Issue(18)：5-8,4.DOI:10.16460/j.issn1008-9969.2017.18.005
晚期癌症姑息治疗患者照顾负荷和家庭亲密度及适应性的相关性分析
Correlation between Caregiver Burden and Family Cohesion and Adaptability among Advanced Cancer Patients with Palliative Care
摘要
Abstract
Objective To investigate the caregiver burden and family cohesion and adaptability of advanced cancer patients with palliative care, and to study the effects of family cohesion and adaptability on caregiver burden. Methods The caregiver burden scale and family adaptability and cohesion scale of terminal cancer (FACES Ⅱ-CV) were used to investigate the main caregivers of 102 cases of advanced cancer patients with palliative care. According to the survey results, 49 cases with score ≥52 were included in high score group and 53 cases with score <52 points in low score group. The score of family cohesion and adaptability in 2 groups were compared and analyzed using two samples t test and the effect of family cohesion and adaptability on care burden was analyzed using Pearson correlation analysis and multivariate linear regression analysis. Results The average score of the caregiver burden scale of patients with palliative care was 52.29 ±10.83. The scores of intimacy dissatisfaction and adaptability dissatisfaction in high score group were significantly higher than those in low score group (P<0.05) but the scores of genuine intimacy and actual adaptability were significantly lower than those of low score group (P<0.01). The total load was negatively correlated with actual cohesion (r=-0.512, P=0.011) and actual adaptability (r=-0.498, P=0.024), but significantly positively correlated with the degree of intimacy dissatisfaction (r=0.421, P=0.042)and adaptive dissatisfaction (r=0.489, P=0.038). Multiple regression analysis showed that actual cohesion, actual adaptability, intimacy dissatisfaction and adaptability dissatisfaction were influence factors of caregiver burden. Conclusion The caregiver burden of advanced cancer patients with palliative care is moderate load. Improve family cohesion and adaptability should help to reduce the patient's care load.关键词
照顾负荷/家庭亲密度和适应性/晚期癌症/主要照顾者/姑息治疗Key words
caregiver burden/family cohesion and adaptability/advanced cancer/main caregiver/palliative treatment分类
医药卫生引用本文复制引用
张明君,康璇,张翠萍..晚期癌症姑息治疗患者照顾负荷和家庭亲密度及适应性的相关性分析[J].护理学报,2017,24(18):5-8,4.基金项目
新疆维吾尔自治区自然科学基金(2015211C129) （2015211C129）
