摘要
目的:探讨照顾者反应对原发性肝癌患者自我感受负担(SPB)的影响。方法:采用中文版照顾者反应评估量表和SPB量表对223例原发性肝癌患者及其主要照顾者进行问卷调查,比较不同程度SPB的肝癌患者照顾者反应的差别,采用Pearson相关分析法和分层回归分析法探讨照顾者反应对肝癌患者SPB的影响。结果:不同程度SPB组的健康问题、时间安排受打扰、经济问题、家庭支持等方面缺乏评分比较,差异均有统计学意义(均P<0.05);Pearson相关分析显示,肝癌患者SPB与照顾者反应中的健康问题(r=0.362,P=0.018)、时间安排受打扰(r=0.329,P=0.029)、经济问题(r=0.341,P=0.021)、家庭支持缺乏(r=0.389,P=0.007)均显著正相关;与自尊显著负相关(r=-0.375,P=0.022)。分层回归分析显示,家庭收入、疾病分期和照顾者反应是肝癌患者SPB的影响因素。结论:原发性肝癌患者照顾者反应较差,这可能是原发性肿癌患者SPB的影响因素。
Objective： To explore the effect of caregiver reaction on the self-perceived burden （ SPB） in patients with primary hepatic car-cinoma （PHC）.Methods：223 patients with PHC and their caregiver were questionnaire by the Chinese version caregiver reaction assessment scale and self-perceived burden scale.The score of caregiver reaction was compared between the PHC patients with different levels of SPB . Pearson correlation analysis and hierarchical regression analysis were used to explore the effect of caregiver reaction on the SPB in patients with PHC.Results： there＆#39;s significant difference of the score of caregiver reaction in the PHC patients with different levels of SPB（P〈0.05）;Pearson correlation analysis showed that the score of SPB was significantly positive correlated with health problems （r=0.362, P=0.018）, time arrange-ments disturbed （r=0.329, P=0.029）, economic problems （r=0.341, P=0.021）, lack of family support （r=0.389, P=0.007）,but sig-nificantly negative correlated with self-esteem（r=-0.375,P =0.022）; Hierarchical regression analysis showed that family income, disease stage and caregiver reaction were the influence factors of SPB in patients with PHC .Conclusions：The poor caregiver reaction may be an impor-tant reason for the SPB in patients with PHC.
出处
《医学与社会》
2014年第7期72-75,共4页
Medicine and Society
关键词
照顾者反应
自我感受负担
原发性肝癌患者
Caregiver Reaction
Self-perceived Burden
Primary Hepatic Carcinoma Patient
