|
|
Factors affecting the disease uncertainty among caregivers of colorectal cancer patients undergoing chemotherapy |
ZENG Longwu1, TANG Xiaohong2, ZHANG Suxia3, LIU Qiang1, LIANG Chaocong2, TANG Manman2
|
1. Department of Pathology, Hunan Cancer Hospital, Changsha, Hunan 410031, China; 2. The Third Xiangya Hospital of Central South University, Changsha, Hunan 410013, China; 3. The Second Xiangya Hospital of Central South University, Changsha, Hunan 410012, China |
|
|
Abstract Objective To investigate the status and influencing factors of disease uncertainty among caregivers of colorectal cancer patients receiving chemotherapy, so as to provide insights into psychological interventions among caregivers. Methods Caregivers of colorectal cancer patients hospitalized in Hunan Cancer Hospital, the Third Xiangya Hospital and the Second Xiangya Hospital for chemotherapy from March 2020 to December 2021 were recruited. Caregivers' demographics, health status, medical and nursing support and social support, as well as patients' demographics, frequency of chemotherapy and disease stage were collected using questionnaire surveys. Caregivers' disease uncertainty was evaluated using Chinese version of the Uncertainty in Illness Scale for Family Members, and factors affecting caregivers' disease uncertainty were identified using a multivariable linear regression model. Results A total of 318 caregivers were enrolled, including 115 men (36.16%) and 203 women (63.84%), with a mean age of (45.89±6.57) years, and there were 186 caregivers as patients' spouses (58.49%). The mean score of disease uncertainty was (86.65±10.82) points, and the scores of the unpredictability dimension, uncertainty dimension, complexity, and lack of information dimension were (3.21±0.35), (2.98±0.48), (2.84±0.49) and (2.36±0.59) points, respectively. There were 285 participants with a high level of disease uncertainty (89.62%), and multivariable linear regression analysis identified social support (β′=-0.199), medical and nursing support (β′=-0.118), patient's age (β′=-0.155) and stage Ⅲ and Ⅳ of colorectal cancer (β′=0.151) as factors affecting caregiver's disease uncertainty. Conclusion Caregivers of colorectal cancer patients with chemotherapy have a high level of disease uncertainty, which is affected by social support, medical and nursing support, patient's age and duration of disease.
|
Received: 20 March 2023
Revised: 17 April 2023
Published: 15 May 2023
|
|
|
|
|
[1] 刘宗超,李哲轩,张阳,等.2020全球癌症统计报告解读[J].肿瘤综合治疗电子杂志,2021,7(2):1-14. [2] 李伟,所剑.日本《大肠癌治疗指南(2022年版)》解读[J].中国实用外科杂志,2022,42(8):863-878. [3] MISHEL M H.Uncertainty in illness[J].Image J Nurs Sch,1988,20(4):225–232. [4] 崔洪艳. 慢性病患者家属疾病不确定感与社会支持、应对方式的相关性研究[D].延吉:延边大学,2010. [5] 徐川川. 肠癌住院患者家属的疾病不确定感、健康信念与肠癌筛查行为的关系研究[D].武汉:武汉轻工业大学,2021. [6] 许丽,李萌,南士英.肝硬化住院患者及家属疾病不确定感现状及影响因素的研究[J].中华护理杂志,2020,55(8):1206-1211. [7] 赵慧敏,毛靖,李育玲,等.慢性阻塞性肺疾病患者家属疾病不确定感与社会支持相关性研究[J].齐鲁护理杂志,2018,24(15):1-4. [8] BROADHEAD W E,KAPLAN B H.Social support and the cancer patient:lmplacations for future research and clinical care[J].Cancer,1991,67(S3):794-799. [9] THOMAS J,WANG H.Association between progression-free survival and patients' quality of life in cancer clinical trials[J].Int J Cancer,2019,144(7):1746-1751. [10] 王彬. 乳腺癌术后化疗患者家属疾病不确定感现状及影响因素研究[D].开封:河南大学,2017. [11] 向斌. 青年结直肠癌患者临床病理及预后分析[J].当代医学,2022,28(16):93-95. [12] 马晓燕,高彩萍,徐琳隽,等.ICU患者家属针对性需求下多元化阶段式健康教育模式的应用[J].护理实践与研究,2021,18(24):3749-3753. [13] 王彬,阮丽娟,马景丹.乳腺癌术后化疗患者家属疾病不确定感现状及影响因素[J].国际护理学杂志,2021,40(3):421-425. [14] 蒲晓玲,杨眉.慢性阻塞性肺疾病患者照护人负担及影响因素分析[J].预防医学,2019,31(11):1124-1127. |
|
|
|