护理学报2026，Vol.33Issue(7)：20-25,6.DOI:10.16460/j.issn2097-6569.2026.07.020
癌症患者家庭主要照顾者沟通模式与照顾负担及心理脱离的关系研究
Relationships among communication patterns,caregiving burden and psychological detachment of primary family caregivers of cancer patients
摘要
Abstract
Objective To explore the relationship between different family communication patterns and psychological detachment and the mediating effect of caregiving burden,and to provide reference for improving the level of psychological detachment.Methods A total of 388 primary family caregivers of cancer patients were selected by convenience sampling and investigated with the Family Caregiver Burden Scale for Cancer patients,Family Caregiver Communication Model Scale and Psychological Detachment scale.The direct effect of different family communication models on psychological detachment and the mediating effect of caregiving burden were tested by the mediating effect analysis of multi-category independent variables.Results The total score of psychological detachment of primary family caregivers of cancer patients was 7.63±3.35.Mediation effect analysis showed that compared to cooperative communi-cation mode,the commitment,dominant and lonely communication modes had a relatively direct effect on psychological detachment(β=-0.289,-0.665,-0.685,all P<0.001),and the relatively indirect effect of caregiving burden was significant(β=-0.207,-0.935,-0.897,all P<0.05),and care burden played a partial mediating role.Conclusions The psychological detachment of primary family caregivers of cancer patients is at a lower middle level.The main family caregivers of cancer patients with different communication modes have different performances in care burden and psychological detachment.Caregiving burden plays a partial mediating role between family communication mode and psychological detachment.Medical staff should provide personalized communication guid-ance for caregivers according to diverse family communication modes,cultivate their awareness of active communication,improve their willingness to active communication,and reduce caregiving burden,so as to promote the improvement of psychological detachment.关键词
癌症/家庭主要照顾者/心理脱离/照顾负担/沟通/分类中介效应Key words
cancer/major family caregivers/psychological detachment/caregiving burden/communicate/classification mediating effect分类
医药卫生引用本文复制引用
朱凯丽,李思宇,郭章蓉,王晓庆,许睿,段培蓓..癌症患者家庭主要照顾者沟通模式与照顾负担及心理脱离的关系研究[J].护理学报,2026,33(7):20-25,6.基金项目
江苏省研究生科研与实践创新计划项目(SJCX24_0827) （SJCX24_0827）
2024年度江苏省老年健康科研重点项目(KZ2024003) （KZ2024003）
