Cancer caregivers' quality of life: Effects of gender, relationship, and appraisal

Cancer caregivers' quality of life: Effects of gender, relationship, and appraisal
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DOI:
10.1016/j.jpainsymman.2006.11.012
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发表时间:
2007-09-01
影响因子:
4.7
通讯作者:
Spillers, Rachel L.
Spillers, Rachel L.
中科院分区:
医学2区
文献类型:
--
作者:
Kim, Youngmee;Baker, Frank;Spillers, Rachel L.

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本研究的目的是探讨照顾者的性别和关系的癌症幸存者作为合理的预测他们的评价提供照顾,并进一步研究照顾者的评价与自己的生活质量的关联。在参加美国癌症协会护理人员生活质量调查的739名护理人员中,627人是癌症幸存者的配偶或后代。其中,448名提供了研究变量的完整信息的人被纳入本研究。多变量分析显示,男性照顾者更有可能评价的经验,提高他们的自尊(积极)比女性照顾者,而成年的女儿评价的经验,压力我(消极),和儿子评价的经验,压力最小。更重要的是,照顾者的尊重和照顾压力是照顾者生活质量的强预测力。在控制了潜在的混杂变量后,这些影响是显著的。研究结果表明,癌症护理人员可能会受益于旨在帮助他们将参与癌症护理视为有意义和个人成长经历的计划,以及帮助他们寻求支持以最大限度地减少他们的工作压力。
The objective of this study was to examine caregivers' gender and relationship to the cancer survivor as plausible predictors of their appraisals of providing care, and to further examine the association of the caregivers' appraisal with their own quality of life. Of the 739 caregivers who participated in the American Cancer Society's Quality of Life Survey for Caregivers, 627 were either the spouse or the offspring of a cancer survivor. Of those, 448 who provided complete information on study variables were included in this study. Multivariate analyses revealed that male caregivers were more likely to appraise the caregiving experience as boosting their self-esteem (positive) than female caregivers, whereas adult daughters appraised the experience as stress I (negative), and sons appraised the experience as the least stressful. More importantly, caregivers' esteem and caregiving stress were strong predictors of the caregivers' quality of life. These effects were significant after controlling for potentially confounding variables. The findings suggest that cancer caregivers may benefit from programs designed to assist them in viewing their involvement in cancer care as meaningful and as a personal growth experience, as well as helping them to seek support to minimize their caregiving stress.