肝癌TACE治疗患者主要照顾者负担现状及其危险因素分析

Current Status and Risk Factors of Primary Caregiver Burden in Patients with Liver Cancer Treated with TACE

目的:探讨肝癌经导管肝动脉化疗栓塞(TACE)治疗患者主要照顾者负担现状及其危险因素。方法:用方便抽样方式选择2020年1月-2021年12月在赣州市人民医院微创介入科行TACE治疗114例患者的主要照顾者为研究对象,分析肝癌TACE治疗患者主要照顾者负担现状及其危险因素。结果:肝癌TACE治疗患者主要照顾者负担总分为(47.52±12.16)分,其中轻度负担29例(25.44%),中度负担51例(44.74%),重度负担34例(29.82%);单因素分析显示,照顾者年龄≥50岁、在职、患者医疗费用自费、患者有疾病转移、每日照顾时间≥6 h的照顾者负担总分较高,差异均有统计学意义(P<0.05);不同性别、文化程度、家庭人均月收入、婚姻状况、与患者关系的照顾者负担总分比较,差异均无统计学意义(P>0.05);多因素分析显示,年龄≥50岁、在职、患者医疗费用自费、患者疾病转移、每日照顾患者时间长是影响肝癌TACE治疗患者主要照顾者负担的高危因素(P<0.05)。结论:肝癌TACE治疗患者主要照顾者负担多处于中等水平,其受年龄、工作状况、患者医疗费用支付方式、患者疾病转移、每日照顾患者时间影响。

Objective:To investigate the current status and risk factors of primary caregiver burden in patients with liver cancer treated with transcatheter arterial chemoembolization (TACE).Method:The main caregivers of 114 patients who received TACE treatment in the Minimally Invasive Interventional Department of Ganzhou City People’s Hospital from January 2020 to December 2021 were selected as the research objects by convenience sampling method,and the burden of the main caregivers of patients with liver cancer TACE treatment and its risk factors were analyzed.Result:The total score of the main caregiver burden of patients treated with TACE for liver cancer was (47.52±12.16) points,including 29 cases (25.44%) with mild burden,51 cases (44.74%) with moderate burden,and 34 cases (29.82%) with severe burden.The caregivers aged ≥50 years old,in-service,patients with self-funded medical expenses,patients with disease transfer,and daily care time ≥6 h had higher burden score,the differences were all statistically significant (P<0.05);total score of the main caregiver burden of patients treated with TACE for liver cancer in different gender,education level,family per capita monthly income,marital status,and relationship with patients had no significant differences (P>0.05).Multivariate analysis showed that age ≥50 years old,in-service,self-funded medical expenses of patients,disease transfer of patients,and long time of caring for patients’ daily were high risk factors affecting the burden of main caregivers of patients with liver cancer treated with TACE (P<0.05).Conclusion:The main caregiver burden of patients with liver cancer treated with TACE treatment is at a moderate level,which is affected by age,work status,payment method of medical expenses,disease metastasis of patients,and daily care time for patients.