Resilience, preparedness, and distress among family caregivers of patients with advanced cancer.
Resilience, preparedness, and distress among family caregivers of patients with advanced cancer.
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DOI：
10.1007/s00520-021-06265-y
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发表时间：
2021-11
影响因子：
3.1
通讯作者：
Rosenberg, Abby R.
中科院分区：
文献类型：
--
作者：
Dionne-Odom, J. Nicholas;Azuero, Andres;Taylor, Richard A.;Wells, Rachel D.;Hendricks, Bailey A.;Bechthold, Avery C.;Reed, Rhiannon D.;Harrell, Erin R.;Dosse, Chinara K.;Engler, Sally;McKie, Peggy;Ejem, Deborah;Bakitas, Marie A.;Rosenberg, Abby R.
韧性已被提出作为一个主要因素，有多少晚期癌症患者的家庭照顾者能够抵抗心理压力，并有效地履行角色，同时承担高负荷的照顾任务。为了评估这一假设，我们研究了自我感知的弹性是否与痛苦（焦虑和抑郁症状），照顾者的准备，并准备替代决策之间的种族多样性样本的家庭照顾者新诊断的晚期癌症患者。对两项小规模试点临床试验的基线数据进行二次分析，这两项试验都招募了新诊断的晚期癌症患者的家庭护理人员。使用多变量线性回归，我们分析了弹性的关系，作为情绪的预测因子，准备就绪，并准备替代决策，控制社会人口统计学。护理参与者（N = 112）平均年龄为56岁，大多数为女性（76%）、患者的配偶/伴侣（52%）和白色（56%）或非洲裔美国人/黑人（43%）。在控制了人口统计学因素后，标准化结果表明，较高的弹性与较高的照顾者准备（β = 0.46，p <0.001），较高的替代决策准备（β = 0.20，p <0.05）和较低的焦虑（β =-0.19，p <0.05）和抑郁症状（β =-0.20，p <0.05）相关。这些结果表明，弹性可能是至关重要的照顾者的能力，以管理压力，支持病人的有效来源，并感到准备代表病人作出未来的医疗决定。未来的工作应该探索，临床医生应该考虑是否可以提高癌症护理人员的复原力，以优化他们的福祉和在替代和代理决策角色中的表现能力。
Resilience has been proposed as a primary factor in how many family caregivers of patients with advanced cancer are able to resist psychological strain and perform effectively in the role while bearing a high load of caregiving tasks. To evaluate this hypothesis, we examined whether self-perceived resilience is associated with distress (anxiety and depressive symptoms), caregiver preparedness, and readiness for surrogate decision-making among a racially diverse sample of family caregivers of patients with newly diagnosed advanced cancer. Secondary analysis of baseline data from two small-scale, pilot clinical trials that both recruited family caregivers of patients with newly diagnosed advanced cancer. Using multivariable linear regression, we analyzed relationships of resilience as a predictor of mood, caregiving preparedness, and readiness for surrogate decision-making, controlling for sociodemographics. Caregiver participants (N = 112) were mean 56 years of age and mostly female (76%), the patient’s spouse/partner (52%), and White (56%) or African-American/Black (43%). After controlling for demographics, standardized results indicated that higher resilience was relevantly associated with higher caregiver preparedness (beta = .46, p < .001), higher readiness for surrogate decision-making (beta = .20, p < .05) and lower anxiety (beta = − .19, p < .05), and depressive symptoms (beta = − .20, p < .05). These results suggest that resilience may be critical to caregivers’ abilities to manage stress, be effective sources of support to patients, and feel ready to make future medical decisions on behalf of patients. Future work should explore and clinicians should consider whether resilience can be enhanced in cancer caregivers to optimize their well-being and ability to perform in the caregiving and surrogate decision-making roles.
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影响因子：
7.4
作者：
Connor, KM;Davidson, JRT
通讯作者：
Davidson, JRT
影响因子：
254.7
作者：
Jemal, Ahmedin;Siegel, Rebecca;Thun, Michael J.
通讯作者：
Thun, Michael J.
影响因子：
5
作者：
Denckla CA;Cicchetti D;Kubzansky LD;Seedat S;Teicher MH;Williams DR;Koenen KC
通讯作者：
Koenen KC
影响因子：
1.7
作者：
Ejem D;Bauldry S;Bakitas M;Drentea P
通讯作者：
Drentea P
影响因子：
45.3
作者：
Ferrell, Betty R.;Temel, Jennifer S.;Smith, Thomas J.
通讯作者：
Smith, Thomas J.