Symptoms as the Main Predictors of Caregivers' Perception of the Suffering of Patients With Primary Malignant Brain Tumors.
Symptoms as the Main Predictors of Caregivers' Perception of the Suffering of Patients With Primary Malignant Brain Tumors.
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症状是护理人员对原发性恶性脑肿瘤患者痛苦感知的主要预测因素。
DOI：
10.1097/ncc.0000000000000261
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发表时间：
2016
期刊：
影响因子：
2.6
通讯作者：
Sherwood,PaulaR
中科院分区：
文献类型：
--
作者：
Zeleníková,Renáta;Ren,Dianxu;Schulz,Richard;Given,Barbara;Sherwood,PaulaR
背景：对痛苦的感知会导致痛苦。对于预测护理人员痛苦感知的因素知之甚少。目的：本研究的目的是确定护理人员对原发性恶性脑肿瘤患者痛苦感知的预测因素，并找出感知的痛苦在多大程度上预测护理人员的负担和抑郁。方法：数据是作为对原发性恶性脑肿瘤患者的成年家庭护理人员的描述性纵向研究的一部分而获得的。招募是在门诊神经肿瘤科和神经外科诊所进行的。护理人员对护理接受者痛苦的看法通过 1 到 6 级的 1 个项目进行测量。结果：接受者被诊断后 4 个月的护理者访谈样本由 86 组组成。在控制年龄、受教育年限、肿瘤类型、配偶照顾者、精神健康和焦虑的同时，对整体痛苦的感知是通过理解困难、记忆困难、注意力不集中、苦恼感、虚弱和疼痛等症状来预测的。护理人员对患者痛苦程度的感知是诊断后 4 个月内护理人员负担的主要预测因素。结论：护理对象症状在护理人员对护理对象痛苦的感知中发挥着重要作用。对护理接受者痛苦的看法可能会影响护理人员的负担。对实践的启示：确定总体痛苦的具体预测因素为神经肿瘤学和神经外科领域的医疗保健提供者提供了有意义的信息。
Background:The perception of suffering causes distress. Little is known about what predicts the perception of suffering in caregivers.Objective:The aims of this study were to determine the predictors of caregivers’ perceptions of the suffering of patients with a primary malignant brain tumor and to find to what extent perceived suffering predicts the caregivers’ burden and depression.Methods:Data were obtained as part of a descriptive longitudinal study of adult family caregivers of persons with a primary malignant brain tumor. Recruitment took place in outpatient neuro-oncology and neurosurgery clinics. Caregiver perception of care recipient suffering was measured by 1 item on a scale from 1 to 6.Results:The sample of caregiver interviews 4 months after recipients were diagnosed consisted of 86 dyads. While controlling for age, years of education, tumor type, being a spousal caregiver, spiritual well-being, and anxiety, perception of overall suffering was predicted by such symptoms as difficulty understanding, difficulty remembering, difficulty concentrating, feeling of distress, weakness, and pain. Caregivers’ perception of the patient’s degree of suffering was the main predictor of caregiver burden due to schedule 4 months following diagnosis.Conclusions:Care recipient symptoms play an important role in caregivers’ perception of the care recipients’ suffering. Perception of care recipient suffering may influence caregiver burden.Implications for Practice:Identifying specific predictors of overall suffering provides meaningful information for healthcare providers in the field of neuro-oncology and neurosurgery.