Longitudinal associations between caregiver burden and patient and spouse distress in couples coping with lung cancer.
Longitudinal associations between caregiver burden and patient and spouse distress in couples coping with lung cancer.
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护理人员负担与患者的纵向关联与应对肺癌的夫妻的伴侣困扰。
DOI：
10.1007/s00520-013-1795-6
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发表时间：
2013-09
影响因子：
3.1
通讯作者：
Carmack, Cindy L.
中科院分区：
文献类型：
--
作者：
Milbury, Kathrin;Badr, Hoda;Fossella, Frank;Pisters, Katherine M.;Carmack, Cindy L.
虽然配偶在癌症患者的护理中起着至关重要的作用，但离婚会造成身体和心理上的损失。照料负担不仅可能损害配偶的生活质量，而且可能损害他们能够提供的照料和支助的质量。因此，配偶负担也可能对患者的心理适应产生负面影响。然而，医疗负担对患者心理困扰的影响尚不清楚。因此，这项为期6个月的纵向研究调查了肺癌患者及其配偶的生育负担和痛苦之间的关系。患者及其配偶分别在治疗开始（基线）1个月内以及3个月和6个月随访时完成问卷调查。痛苦是用简明症状量表和照顾者反应评估来衡量的。来自158对夫妇的数据的多水平建模显示，即使在控制了基线痛苦和二元调整的情况下，基线配偶对离婚相关健康问题的报告与患者和配偶的3个月（p<0.001）和6个月（p=0.01）随访痛苦显著相关。此外，有证据表明，基线配偶对日程安排中断的报告（p=0.05）预测了3个月患者的痛苦，基线配偶对财务紧张（p<0.05）和缺乏支持（p<0.10）的报告预测了他们自己在6个月时的痛苦。照顾负担对患者和配偶都是一个问题。配偶报告与婚姻有关的健康问题的夫妇可能特别容易长期感到痛苦。未来夫妇为重点的干预措施，如自我保健和使用社会支持的目标进行了讨论。
While spouses play a vital role in the care of cancer patients, caregiving exerts a physical and psychological toll. Caregiving burden may not only compromise spouses’ quality of life but also the quality of care and support they are able to provide. Consequently, spousal caregiving burden may also negatively impact patients’ psychological adjustment. However, the effect of caregiving burden on patients’ psychological distress is unknown. Thus, this 6-month longitudinal study examined the associations between caregiving burden and distress in both lung cancer patients and their spouses. Patients and their spouses individually completed questionnaires within 1 month of treatment initiation (baseline) and at 3-month and 6-month follow-up. Distress was measured with the Brief Symptom Inventory and caregiving burden with the Caregiver Reaction Assessment. Multilevel modeling of data from 158 couples revealed that baseline spouses’ reports of caregiving-related health problems were significantly associated with 3-month (p<0.001) and 6-month (p=0.01) follow-up distress in both patients and spouses even when controlling for baseline distress and dyadic adjustment. Further, there was evidence that baseline spouses’ reports of schedule disruption (p=0.05) predicted 3-month patients’ distress and baseline spouses’ reports of financial strain (p<0.05) and lack of support (p<0.10) predicted their own distress at 6-months. Caregiving burden is problematic for both patients and spouses. Couples in which spouses report caregiving-related health problems may be at particular high risk of long-term elevated distress. Targets of future couple-focused interventions such as self-care and use of social support are discussed.
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关系维持对应对肺癌的夫妇的心理困扰和二元调整的影响。
影响因子：
4.2
作者：
Badr, Hoda;Taylor, Cindy L. Carmack
通讯作者：
Taylor, Cindy L. Carmack
影响因子：
1.6
作者：
Campbell, L;Kashy, DA
通讯作者：
Kashy, DA
影响因子：
2
作者：
GIVEN, CW;GIVEN, B;FRANKLIN, S
通讯作者：
FRANKLIN, S
影响因子：
3.8
作者：
Kim, Youngmee;Kashy, Deborah A.;Smith, Tenbroeck G.
通讯作者：
Smith, Tenbroeck G.
影响因子：
2.6
作者：
Brant, Jeannine M.;Beck, Susan;Miaskowski, Christine
通讯作者：
Miaskowski, Christine