医学与社会
醫學與社會
의학여사회
MEDICINE AND SOCIETY
2014年
7期
72-75
,共4页
照顾者反应%自我感受负担%原发性肝癌患者
照顧者反應%自我感受負擔%原髮性肝癌患者
조고자반응%자아감수부담%원발성간암환자
Caregiver Reaction%Self-perceived Burden%Primary Hepatic Carcinoma Patient
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Pear-son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。
目的：探討照顧者反應對原髮性肝癌患者自我感受負擔（ SPB ）的影響。方法：採用中文版照顧者反應評估量錶和SPB量錶對223例原髮性肝癌患者及其主要照顧者進行問捲調查，比較不同程度SPB的肝癌患者照顧者反應的差彆，採用Pear-son相關分析法和分層迴歸分析法探討照顧者反應對肝癌患者SPB的影響。結果：不同程度SPB組的健康問題、時間安排受打擾、經濟問題、傢庭支持等方麵缺乏評分比較，差異均有統計學意義（均P＜0．05）； Pearson相關分析顯示，肝癌患者SPB與照顧者反應中的健康問題（r＝0．362，P＝0．018）、時間安排受打擾（r＝0．329，P＝0．029）、經濟問題（r＝0．341，P＝0．021）、傢庭支持缺乏（r＝0．389，P＝0．007）均顯著正相關；與自尊顯著負相關（r＝-0．375，P＝0．022）。分層迴歸分析顯示，傢庭收入、疾病分期和照顧者反應是肝癌患者SPB的影響因素。結論：原髮性肝癌患者照顧者反應較差，這可能是原髮性腫癌患者SPB的影響因素。
목적：탐토조고자반응대원발성간암환자자아감수부담（ SPB ）적영향。방법：채용중문판조고자반응평고량표화SPB량표대223례원발성간암환자급기주요조고자진행문권조사，비교불동정도SPB적간암환자조고자반응적차별，채용Pear-son상관분석법화분층회귀분석법탐토조고자반응대간암환자SPB적영향。결과：불동정도SPB조적건강문제、시간안배수타우、경제문제、가정지지등방면결핍평분비교，차이균유통계학의의（균P＜0．05）； Pearson상관분석현시，간암환자SPB여조고자반응중적건강문제（r＝0．362，P＝0．018）、시간안배수타우（r＝0．329，P＝0．029）、경제문제（r＝0．341，P＝0．021）、가정지지결핍（r＝0．389，P＝0．007）균현저정상관；여자존현저부상관（r＝-0．375，P＝0．022）。분층회귀분석현시，가정수입、질병분기화조고자반응시간암환자SPB적영향인소。결론：원발성간암환자조고자반응교차，저가능시원발성종암환자SPB적영향인소。
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'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.
