晚期肝癌患者家属照顾者承受压力与应对方式的相关性研究

Study of the Burden and Coping Strategies of Family Caregivers of Patients with Terminal Primary Liver Cancer

目的描述晚期肝癌患者家属照顾者的压力水平、应对方式情况,并探讨两者之间的关系。方法采用描述性相关性研究设计,调查70名晚期肝癌患者家属照顾者,并在相同医院调查80名中期肝癌患者家属照顾者作为对照。结果晚期肝癌患者家属照顾者的总体压力水平为中度,明显高于中期肝癌患者家属照顾者(P<0.01);两组应对压力的方式无统计学差异;晚期肝癌患者家属照顾者的积极应对与其压力水平呈负相关(P<0.05),消极应对与其压力水平呈正相关(P<0.01)。结论晚期肝癌患者家属照顾者普遍存在中度水平压力,积极应对有助于降低其压力,消极应对则可加重家属照顾者的压力。

Objective To describe the burden and coping strategies of family caregivers of patients with terminal primary liver cancer, and to explore the relationship among burden and coping strategies. Methods A descriptive and correlative design was used in this study. Seventy family caregivers of patients with terminal primary liver cancer were included in this study, while 80 family caregivers of patients with developing primary liver cancer in the same hospital were selected as control. Results The burden of family caregivers of patients with terminal primary liver cancer was in the middle level, which was higher than that of family caregivers of patients with developing primary significant difference of coping strategies between the liver cancer（ P 〈 0.01 ）. There was no statistically 2 groups. Positive coping was negatively related to the level of burden of family caregivers of patients with terminal primary liver cancer （ P 〈 0.05 ）. Negative coping was positively related to the level of burden of family caregivers of patients with terminal primary liver cancer（ P 〈 0.01 ）. Conclusion The level of burden of family caregivers of patients with terminal primary liver cancer is in the middle level. The level of burden of family caregivers of patients with terminal primary liver cancer is related to their coping strategies. Positive coping is helpful to decrease the level of burden of family caregivers, while negative coping may increase their level of burden.