CAJ | 학술논문

目的探讨肝癌患者主要家庭照顾者的心理状态、压力负荷以及社会支持的相关性。方法选择住院治疗的106名肝癌患者主要家庭照顾者为研究对象，应用一般资料调查问卷、症状自评量表（ SCL-90）、照顾者压力指标（ CSI ）和社会支持量表进行调查评定。结果106名肝癌患者主要照顾者SCL-90量表中躯体化（1．60±0．15）分，抑郁（1．76±0．42）分，焦虑（1．68±0．53）分，均高于江苏省常模，差异有统计学意义（t 值分别为-2．844，-2．744，-3．587；P ＜0．05）。主要照顾者 CSI 总分为（8．23±2．69）分，其中≥7分者占81．1％。主要照顾者的压力负荷与社会支持、心理状态与社会支持的各维度之间均呈负相关（r＝-0．23～-0．61；P＜0．05），心理状态与压力负荷的各维度之间均呈正相关（r＝0．11～0．63；P＜0．05）。结论肝癌患者主要照顾者存在不良心理健康状况，应采取更多的措施以提高照顾者社会支持水平，减轻其压力负荷。
목적탐토간암환자주요가정조고자적심리상태、압력부하이급사회지지적상관성。방법선택주원치료적106명간암환자주요가정조고자위연구대상，응용일반자료조사문권、증상자평량표（ SCL-90）、조고자압력지표（ CSI ）화사회지지량표진행조사평정。결과106명간암환자주요조고자SCL-90량표중구체화（1．60±0．15）분，억욱（1．76±0．42）분，초필（1．68±0．53）분，균고우강소성상모，차이유통계학의의（t 치분별위-2．844，-2．744，-3．587；P ＜0．05）。주요조고자 CSI 총분위（8．23±2．69）분，기중≥7분자점81．1％。주요조고자적압력부하여사회지지、심리상태여사회지지적각유도지간균정부상관（r＝-0．23～-0．61；P＜0．05），심리상태여압력부하적각유도지간균정정상관（r＝0．11～0．63；P＜0．05）。결론간암환자주요조고자존재불양심리건강상황，응채취경다적조시이제고조고자사회지지수평，감경기압력부하。
Objective To explore the relationship between pressure burden , psychological status and social support in main caregivers of hepatic cancer patients .Methods A total of 106 main family caregivers of hospitalized hepatic cancer patients were recruited in the study .The general data questionnaire , Symptom Checklist 90 (SCL-90), Caregiver Strain Index (CSI), and Social Support Rating Scale (SSRS) were used in the investigation .Results The factors of main family caregivers of hepatic cancer patients on somatization (SOM), Obsessive-Compulsive (O-C), depression (DEP), and anxiety (ANX) were significantly higher than the norm of Jiangsu(χ2 =8.306,P<0.01).The differences were significant (t=-2.844,-2.744,-3.587, respectively;P<0.05).The total score of SCI was (8.23 ±2.69), within which 81.1%caregivers had a score≥7.Relationship between pressure burden and social support , and the psychological status and social support was negatively correlated (r =-0.23--0.61; P<0.05).But the psychological status was associated with the pressure burden of family caregivers of hepatic cancer patients (r=0.11-0.63;P<0.05).Conclusions Mental disorders are common in main family caregivers of hepatic cancer patients , mainly in the aspect of SOM , O-C, DEP and ANX.Therefore, more attention should to be paid , and more efforts should be taken to improve their social support and decrease their pressure burden .