摘要
Abstract
Objective To explore the extent of third-party disability among caregivers of head and neck cancer patients with dyspha-gia and to examine the influencing factors,based on the framework of the International Classification of Func-tioning,Disability and Health.
Methods From January,2023 to December,2024,54 pairs of head and neck cancer patients with dysphagia and their caregivers were included in the study.The patients were assessed using the general information questionnaire,Penetration-Aspiration Scale(PAS),Functional Oral and Intake Scale(FOIS)and Functional Assessment of Can-cer Therapy-Head and Neck(FACT-H&N).The caregivers were evaluated with the general information question-naire,Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)and the MOS Health Survey 36-item short-form(SF-36).
Results The total score of SF-36 of caregivers was(59.63±20.10).In univariate analysis,there was significant difference in the total score of SF-36 among different types of tumor(F=3.494,P<0.05).Correlation analysis showed that the scores of PAS(r=-0.371),FOIS(r=0.384)and FACT-H&N(r=0.484)of patients,and the scores of HA-MA(r=-0.378)and HAMD(r=-0.374)of caregivers were all correlated with the total score of SF-36(P<0.05).Multiple linear regression analysis showed that the score of PAS of patients(β=-0.340)and the score of HAMA of caregivers(β=-0.346)were correlated with the total score of SF-36(P<0.05).
Conclusion There are third-party disabilities in caregivers of head and neck cancer patients with dysphagia,and the se-verity of the patient's swallowing and the caregiver's emotional state influence the caregiver's quality of life.关键词
头颈癌/吞咽障碍/照料者/第三方残疾/生活质量Key words
head and neck cancer/dysphagia/caregivers/third-party disability/quality of life分类
医药卫生
