住院肿瘤患者亲属照顾者主观负担及相关因素

山东大学学报(医学版) ›› 2011, Vol. 49 ›› Issue (4): 146-.

住院肿瘤患者亲属照顾者主观负担及相关因素

李文杰1，王峰2，李树秋3，吕丽1，王力1，薛艳2，张红静1

1. 山东大学医学院医学心理学研究所，济南 250012； 2. 滨州医学院附属医院肿瘤科，山东滨州 256600；
3. 山东省无棣县人民医院骨科，山东滨州 251900

收稿日期:2010-10-08 出版日期:2011-04-10 发布日期:2011-04-10
通讯作者: 张红静，副教授，主要从事健康心理学及儿童、大学生心理健康研究。 E-mail: zhjing@sdu.edu. cn
作者简介:李文杰（1985- ），女，硕士研究生，主要从事医学心理学研究。

Subjective burden of family caregivers for hospitalized cancer patients and related factors

LI Wen-jie1， WANG Feng2， LI Shu-qiu3， L Li1， WANG Li1， XUE Yan2， ZHANG Hong-jing1

1. Institute of Medical Psychology, School of Medicine, Shandong University, Jinan 250012, China；
2. Department of Oncology, Affiliated Hospital of Binzhou Medical College, Binzhou 256600, Shandong, China;
3. Department of Orthopaedics, Wudi Country People′ Hospital, Binzhou 251900, Shandong, China

Received:2010-10-08 Online:2011-04-10 Published:2011-04-10

摘要/Abstract

摘要：

目的探讨肿瘤患者亲属照顾者主观负担现状及其与一般社会性因素、家庭关系质量的相关性。方法用一般社会学指标、照顾者反应评估工具、家庭关系指数和家庭功能评定问卷对71名住院肿瘤患者照顾者和45名普通内科住院患者照顾者（对照组）进行测量。结果肿瘤患者照顾者的健康问题(P<0.05)、时间受打扰(P<0.01)和经济压力(P<0.001)显著高于对照组。家庭关系指数与健康问题(P<0.01)、时间受打扰(P<0.05)、经济压力(P<0.01)、家庭支持缺乏(P<0.05)呈显著正相关，与自尊(P<0.001)呈显著负相关；情感介入与健康问题(P<0.05)、家庭支持缺乏(P<0.05)呈显著正相关，与自尊(P<0.05)显著负相关。年龄、婚姻状况等与主观负担的部分维度呈显著相关。结论住院肿瘤患者照顾者的主观负担高于一般内科患者照顾者；照顾者的主观负担与家庭关系、情感介入、年龄、婚姻状况等因素相关。

关键词: 肿瘤患者；照顾者；主观负担；家庭关系

Abstract:

Objective To explore the state of subjective burden among family caregivers for cancer patients and its associations with the caregiver′s family relationship and other sensitive factors. Methods 71 caregivers for hospitalized cancer patients were assessed by the general sociological survey, Caregiver Reaction Assessment（CRA）, Index of Family Relations （IFR）and Family Assessment Device (FAD), and 45 caregivers for general medicine as the control group were studied by CRA. Results The burden in health (P<0.05), scheduling (P<0.01) and finances (P<0.001) of caregivers for cancer was higher than that in the control group. Higher quality of family relationship was related to lower burden in caregiver′s health (P<0.01), scheduling (P<0.05), finances (P<0.01) and family abandonment (P<0.05), while it was related to higher self-esteem (P<0.05). Affect intervention was related to lower burden in caregiver′s health (P<0.05) and family abandonment (P<0.05), while it was related to higher self-esteem. The age, marriage state, job and care time of caregivers were related to burden outcomes. Conclusions Subjective burden of caregivers for cancer is higher than that of caregivers for general medicine. The burden is related to the caregiver′s family relationship quality, age, marriage state, job, care time and family income.

Key words: Cancer patient; Caregiver; Subjective burden; Family relationship

中图分类号:

B842.6

李文杰1，王峰2，李树秋3，吕丽1，王力1，薛艳2，张红静1. 住院肿瘤患者亲属照顾者主观负担及相关因素[J]. 山东大学学报(医学版), 2011, 49(4): 146-.

LI Wen-jie1， WANG Feng2， LI Shu-qiu3， L Li1， WANG Li1， XUE Yan2， ZHANG Hong-jing1. Subjective burden of family caregivers for hospitalized cancer patients and related factors[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(4): 146-.

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