摘要
目的探究晚期妇科恶性肿瘤患者家庭照顾者反应的潜在类别及其特征差异,并分析相关影响因素。方法采用便利抽样法,选取2022年1—12月复旦大学附属妇产科医院收治的210名晚期妇科恶性肿瘤患者家庭照顾者作为调查对象。使用一般资料调查表、照顾者反应评估量表、疾病不确定感家属量表、领悟社会支持量表进行横断面调查。使用潜在剖面分析探索晚期妇科恶性肿瘤患者家庭照顾者反应的潜在类别,通过多元Logistic回归探讨其影响因素。结果有效回收问卷208份。208名晚期妇科恶性肿瘤患者家庭照顾者男163名,女45名,年龄(53.89±12.61)岁。晚期妇科恶性肿瘤患者家庭照顾者反应类别可分为低负担-增益型(24.5%,51/208)、中等负担-常规型(30.8%,64/208)和高负担-低效型(44.7%,93/208)。相比于低负担-增益型照顾者,社会支持水平越低的照顾者归属于中等负担-常规型和高负担-低效型的概率越大(OR=0.563、0.407,均P<0.01);中等负担-常规型和高负担-低效型的照顾者疾病不确定感水平更高(OR=1.328、2.064,均P<0.01)。照顾者的年龄、家庭人均月收入、文化程度、有无共同照顾者亦是晚期妇科恶性肿瘤患者家庭照顾者反应的影响因素(OR值为0.207~6.422,均P<0.05)。结论晚期妇科恶性肿瘤患者家庭照顾者反应有明显的分类特征,医护人员应根据其反应特征实施针对性的护理干预措施,以降低家庭照顾者的照顾负担,提升照顾质量。
Objective To explore the different reaction patterns among family caregivers of patients with advanced gynecological malignancies,and to analyze the influencing factors of different profiles.Methods A cross-sectional study was conducted with 210 family caregivers of patients with advanced gynecological malignancies from Obstetrics and Gynecology Hospital in Shanghai from January 2022 to December 2022.Data were collected by Caregiver Reaction Assessment,Mishel's Uncertainty in Illness Scale-Family Member Form and Perceived Social Support Scale.Latent profile analysis was used to explore the different reaction patterns among family caregivers of patients with advanced gynecological malignancies.The influencing factors of caregiver reaction were identified by multivariate Logistic regression.Results Totally 208 questionnaires were effectively collected.The family caregivers among patients with advanced gynecological malignancies included 163 males and 45 females,aged(53.89±12.61)years old.The reaction characteristics of 208 family caregivers among patients with advanced gynecological malignancies were divided into three categories:low burden and high benefit group(24.5%,51/208),moderate burden and benefit group(30.8%,64/208),and high burden and low benefit group(44.7%,93/208).Compared to the low burden and high benefit group,caregivers with lower levels of social support were more likely to be classified as moderate burden and benefit group,high burden and low benefit group(OR=0.563,0.407,both P<0.01).Caregivers with moderate burden and benefit group,high burden and low benefit group had higher levels of disease uncertainty(OR=1.328,2.064,both P<0.01).The caregiver′s age,monthly family income,education level,and co-caregivers were also influencing factors regarding to care reaction among family caregivers of patients with advanced gynecological malignancies(OR values were 0.207-6.422,all P<0.05).Conclusions The care reaction of family caregivers among patients with advanced gynecological malignancies has obvious categorical features.Healthcare professionals should implement targeted nursing interventions according to their reaction characteristics,so as to reduce the care burden of family caregivers and improve the quality of care for patients with advanced gynecological malignancies.
作者
张燕丽
王霞
游菁
蔡慧媛
王丽
Zhang Yanli;Wang Xia;You Jing;Cai Huiyuan;Wang Li(Department of Gynecology,Obstetrics and Gynecology Hospital,Fudan University,Shanghai 200090,China;School of Nursing,Fudan University,Shanghai 200032,China)
出处
《中国实用护理杂志》
2024年第11期801-808,共8页
Chinese Journal of Practical Nursing
基金
复旦大学-复星护理科研基金(FNF202234)
上海市护理学会2022年优秀青年人才育苗计划(沪护会〔2021〕69号)。
关键词
横断面研究
照顾者
妇科恶性肿瘤
照顾者反应
潜在剖面分析
Cross-sectional studies
Caregivers
Gynecologic neoplasms
Caregiver reaction
Latent profile analysis
