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希望水平在肝癌患者主要照顾者益处发现与照顾负担间的中介效应分析

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目的 探讨希望水平在肝癌患者主要照顾者益处发现与照顾者负担间的中介效应.方法 选取2022年4月至11月山东省肿瘤防治研究院介入微创科的305例肝癌患者主要照顾者为调研对象,采用自行设计的一般资料调查问卷、主要照顾者希望量表、中文版益处发现评定量表、照顾者负担量表对肝癌患者主要照顾者的一般人口学资料、益处发现水平、希望特质及照顾负担进行调查,对调查结果进行Pearson相关性分析,同时采用Bootstrap检验探讨中介作用.结果 305例肝癌患者主要照顾者的益处发现评分为(79.76±8.16)分,希望水平得分为(34.66±3.28)分,照顾负担评分为(50.54±14.72)分.经Pearson法分析,照顾负担与益处发现、希望水平之间呈负相关(P<0.001).使用Bootstrap抽样检验法(在95%CI下抽样2 000次)进行中介效应研究,结果显示,益处发现→希望水平→照顾负担路径分析95%CI不包括数字0,肝癌患者主要照顾者的希望水平在益处发现与照顾者照顾负担间起部分中介作用.结论 肝癌患者主要照顾者的照顾负担处于中等水平,与益处发现、希望水平呈负相关关系,希望水平在益处发现与照顾者照顾负担间起部分中介作用.因此,临床医护人员应加强对主要照顾者的心理疏导及相关知识宣教,以提升其益处发现和希望水平,进而降低癌症照顾者的照顾负担.
Analysis of the mediating effect of hope level between benefit finding and caregiver burden in patients with liver cancer
Objective:To explore the mediating effect of hope level between primary caregiver benefit finding and caregiver burden in patients with liver cancer.Methods:The main caregivers of 305 patients with liver cancer in minimally invasive department of a Grade A cancer hospital in Shandong Province from April 2022 to November 2022 were selected as the research objects.General data questionnaire,Primary caregiver Hope Scale,Chinese version of Benefit Finding Rating Scale and caregiver Burden Scale were designed to investigate the general demographic data,benefit finding level,hope traits and caregiver burden of primary caregivers of liver cancer patients,and Pearson correlation analysis was conducted on the survey results.Meanwhile,Bootstrap test was performed to explore the mediating effect.Results:In 305 patients with liver cancer,the benefit finding score of primary caregivers was(79.76±8.16),the hope level score was(34.66±3.28),and the care burden score was(50.54±14.72).There was a negative correlation between caring burden and benefit finding and hope level by Pearson method(P<0.001).The mediation effect was studied with Bootstrap sampling test.The 95%confidence interval of benefit finding,hope level and caregiver burden pathway analysis did not include the number 0.Hope level of primary caregivers of liver cancer patients played a mediating role between benefit finding and caregiver burden.Conclusion:The caring burden of primary caregivers of patients with liver cancer is at a medium level,which is negatively correlated with benefit discovery and hope level.Hope level plays an intermediary role between benefit discovery and care burden of caregivers.Clinical medical staff should strengthen the psychological counseling and related knowledge education of primary caregivers,so as to improve their benefit discovery and hope level,thus reducing the care burden of caregivers.

primary caregiverbenefit discoverylevel of hopecare burdenmediating effect

张彦红、孟英涛、杨德艳、尚美美、王倩、常旭

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山东省肿瘤防治研究院(山东省肿瘤医院)介入一科,山东 济南 250117

山东第一医科大学(山东省医学科学院)临床与基础医学院,山东 济南 250117

主要照顾者 益处发现 希望水平 照顾负担 中介效应

山东省自然科学基金

2020003014

2024

山东第一医科大学(山东省医学科学院)学报
泰山医学院

山东第一医科大学(山东省医学科学院)学报

影响因子:0.6
ISSN:2097-0005
年,卷(期):2024.45(1)
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