摘要
目的 探讨结直肠癌家庭照顾者的家庭韧性现状及影响因素.方法 采用便利抽样法,选取2022年3-7月收治于云南省某三级甲等肿瘤专科医院结直肠外科的结直肠癌患者家庭照顾者327名作为研究对象.采用一般人口学问卷、家庭韧性评估量表(FRAS)进行调查.将单因素分析具有统计学意义的变量纳入多元回归进行多因素分析.结果 327名结直肠癌患者家庭照顾者的FRAS得分为(147.08±13.91)分.多元线性回归分析显示,照顾者的文化程度、是否为家庭主要经济支柱、照顾技能的掌握程度、社会支持、照顾负担以及患者有无其他治疗(如靶向治疗、中医治疗、免疫治疗等)是照顾者家庭韧性的主要影响因素(P<0.05).结论 结直肠癌家庭照顾者的家庭韧性得分处于中等偏上水平,医护人员在关注结直肠癌患者的同时,需重点关注文化程度低、照顾技能掌握较差、社会支持低、照顾负担重、患者有其他治疗且非家庭主要经济支柱的家庭照顾者,及时评估其家庭韧性并进行针对性干预,以促进家庭的适应和恢复.
Abstract
Objective To explore the status quo and influencing factors associated with family resilience among family caregivers of colorectal cancer patients.Methods A total of 327 family caregivers were selected by convenience sampling who cared for colorectal cancer patients admitted to the colorectal surgery department of a Grade Ⅲ-A cancer hospital in Yunnan Province from March to July 2022.They were investigated by using the General Demographic Questionnaire and the Family Resilience Assessment Scale(FRAS).Statistically significant variables from univariate analysis were included in multiple regression for multivariate analysis.Results The FRAS score was(147.08±13.91)points for the 327 family caregivers of colorectal cancer patients.Multivariate linear regression analysis revealed several influencing factors associated with family resilience of family caregivers:1)caregivers'level of education,2)caregivers'role as the primary earner in the family or not,3)caregivers'proficiency in care skills,4)availability of social support,5)care burden,and 6)patients on other treatments or not(such as targeted therapy,TCM therapy and immunotherapy)(P<0.05).Conclusion The family resilience score for family caregivers of colorectal cancer patients is above average.While focusing on the conditions of colorectal cancer patients,healthcare providers should also identify family caregivers who have influencing factors associated with a low level of family resilience(limited education,poor care skills,insufficient social support,heavy care burden,patients on other treatments,not being the primary earner in the family,etc.),then timely evaluate their family resilience and carry out targeted interventions to enhance both family adaptation and patient recovery.
基金项目
昆明医科大学2022年研究生教育创新基金(2022S173)
维普
万方数据