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妇科恶性肿瘤患者家庭照顾负荷现状调查及影响因素分析

Current status and influencing factors of the caregiver burden of patients with gynecological malignant tumor
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摘要 目的:分析妇科恶性肿瘤患者家庭照顾负荷现状及影响因素。方法:采用便利抽样方法,选取2022年3月-2024年1月在本院就诊的妇科恶性肿瘤患者的照顾者进行问卷调查。使用照顾负荷问卷(CBI)评估照顾者照顾负荷水平,总分96分,0~32分为CBI较低组,33~96分为CBI较高组。采用单因素及logistic回归分析影响照顾者CBI评分可能影响因素。结果:共发放问卷297份,有效问卷290份,有效率97.6%。290例照顾者的CBI为60.36±5.55分,其中CBI≤32分110例(37.9%),≥33分180例(62.1%)。单因素及多元回归分析显示,照顾者年龄大、文化程度低、月收入低、居住在农村、每日照顾时间长、患者患病时间长、患者年住院次数多是妇科恶性肿瘤患者照顾者CBI评分升高影响因素(P<0.05)。结论:本次调查的妇科肿瘤患者CBI评分较高,照顾负荷相对较重,照顾者年龄大、文化程度低、月收入低、居住农村、每日照顾时间长,以及患者患病时间长、年住院次数多是影响照顾者CBI独立因素。提高恶性肿瘤患者社会及家庭支持,构建基于医院-社区-家庭三元联动的健康管理模式等将有助于缓解恶性肿瘤患者家庭照顾负荷,对恶性肿瘤患者的疾病治疗和康复有重要意义。 Objective:To analyze the current status of the caregiver burden of patients with gynecological malignant tumor,and to study its influencing factors.Methods:Convenience sampling method was used to select the caregivers of the patients with gynecological malignant tumor who visited to hospital from March 2022to January 2024in this questionnaire survey.The total score of caregivers burden inventory(CBI)used to evaluate the level of the care burden of the caregivers of the patients was 96points,and these caregivers were divided into group A(the caregivers with CBI score of 0-32points)and group B(the caregivers with CBI score of 33-96points).The univariate and multiple regression analysis were used to identify the possible influencing factors of CBI of the caregivers.Results:A total of 297survey questionnaires were distributed and 290valid questionnaires were returned,with an effective rate of 97.6%.The CBI score of 290caregivers of the patients with gynecological cancer was 60.36±5.55points,including 110(37.9%)cases in group A and 180(62.1%)cases in group B.The univariate and logistic regression analysis showed that the advanced age,the low education level,the low monthly income,the residence in rural,and the longer daily care time of the caregivers,and the longer duration of gynecological cancer and the more numbers of annual hospitalization of the patients were the factors affecting the CBI score of the caregivers(P<0.05).Conclusion:The CBI score of the caregivers of the patients with gynecological malignant tumor is higher,with the relatively heavy of care burden.The advanced age,the low education level,the low monthly income,the residence in rural and the longer daily care time of the caregivers,and the longer duration of gynecological malignant tumor and the greater number of annual hospitalization of the caregivers of the patients with gynecological malignant tumor are the independent factors affecting the CBI score of the caregivers.Improving the social and the family support,constructing a health management model based on the hospital-community-family triple linkage for the caregivers can help to alleviate their care burden,which is of great significance for the treatment and the rehabilitation of the patients with gynecological malignant tumor.
作者 张云 杨瑛 贾冬梅 ZHANG Yun;YANG Ying;JIA Dongmei(The Huaian First People's Hospital Affiliated to Nanjing Medical University,Nanjing,Jiangsu Province,223000)
出处 《中国计划生育学杂志》 2024年第5期1002-1008,共7页 Chinese Journal of Family Planning
关键词 妇科恶性肿瘤 家庭照顾负荷 调查 影响因素 Gynecological malignant tumors Care burden in family Investigation Influence factor
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