Economic and social changes among distressed family caregivers of lung cancer patients.
Economic and social changes among distressed family caregivers of lung cancer patients.
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DOI：
10.1007/s00520-012-1585-6
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发表时间：
2013-03
影响因子：
3.1
通讯作者：
Ostroff, Jamie S.
中科院分区：
文献类型：
--
作者：
Mosher, Catherine E.;Champion, Victoria L.;Azzoli, Christopher G.;Hanna, Nasser;Jalal, Shadia I.;Fakiris, Achilles J.;Birdas, Thomas J.;Okereke, Ikenna C.;Kesler, Kenneth A.;Einhorn, Lawrence H.;Monahan, Patrick O.;Ostroff, Jamie S.
虽然肺癌治疗的费用已被记录在案，但肺癌患者家庭照顾者的经济和社会变化尚未得到充分研究。此外，研究没有集中在更需要支持服务的照顾者身上。这项研究调查了在美国癌症治疗的最初几个月里，痛苦的肺癌患者家庭照顾者之间的各种经济和社会变化。有明显焦虑或抑郁症状的肺癌患者的主要家庭照顾者在患者新肿瘤就诊的12周内从三个医疗中心招募。护理人员（N=83）报告了基线时的人口统计和医疗信息以及护理负担。74名护理人员在三个月后报告了焦虑和抑郁症状以及经济和社会变化。自患者患病以来，74%的痛苦护理人员经历了一次或多次不利的经济或社会变化。常见的变化包括护理人员脱离大多数社交和休闲活动（56%），在受雇的护理人员中（n=49），减少了工作时间（45%）。在18%的案例中，一位家庭成员因为照顾孩子而辞职或改变了生活方式。此外，28%的照顾者报告失去了家庭收入的主要来源，18%的人报告失去了大部分或全部家庭储蓄。失去家庭收入的主要来源，脱离大多数社交和休闲活动，预示着更大的照顾者痛苦。研究结果表明，肺癌患者的痛苦照顾者经历了高比率的不利经济和社会变化，值得临床和研究的关注。
Although costs of lung cancer care have been documented, economic and social changes among lung cancer patients’ family caregivers have yet to be fully examined. In addition, research has not focused on caregivers with greater need for support services. This study examined various economic and social changes among distressed family caregivers of lung cancer patients during the initial months of cancer care in the United States. Lung cancer patients’ primary family caregivers with significant anxiety or depressive symptoms were recruited from three medical centers within 12 weeks of the patient’s new oncology visit. Caregivers (N=83) reported demographic and medical information and caregiving burden at baseline. Seventy-four caregivers reported anxiety and depressive symptoms and economic and social changes three months later. Seventy-four percent of distressed caregivers experienced one or more adverse economic or social changes since the patient’s illness. Common changes included caregivers’ disengagement from most social and leisure activities (56%) and, among employed caregivers (n=49), reduced hours of work (45%). In 18% of cases, a family member quit work or made another major lifestyle change due to caregiving. Additionally, 28% of caregivers reported losing the main source of family income, and 18% reported losing most or all of the family savings. Loss of the main source of family income and disengagement from most social and leisure activities predicted greater caregiver distress. Findings suggest that distressed caregivers of lung cancer patients experience high rates of adverse economic and social changes that warrant clinical and research attention.
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影响因子：
6.2
作者：
Ell, Kathleen;Xie, Bin;Vourlekis, Betsy
通讯作者：
Vourlekis, Betsy
影响因子：
14.6
作者：
Grunfeld, E;Coyle, D;Glossop, R
通讯作者：
Glossop, R
影响因子：
5.8
作者：
Van Houtven, Courtney Harold;Ramsey, Scott D.;van Ryn, Michelle
通讯作者：
van Ryn, Michelle
影响因子：
45.3
作者：
Vanderwerker, LC;Laff, RE;Prigerson, HG
通讯作者：
Prigerson, HG
影响因子：
120.7
作者：
COVINSKY, KE;GOLDMAN, L;PHILLIPS, RS
通讯作者：
PHILLIPS, RS