The Psychosocial Impact of Spouse-Caregiver Chronic Health Conditions and Personal History of Cancer on Well-being in Patients With Advanced Cancer and Their Caregivers.
The Psychosocial Impact of Spouse-Caregiver Chronic Health Conditions and Personal History of Cancer on Well-being in Patients With Advanced Cancer and Their Caregivers.
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DOI：
10.1016/j.jpainsymman.2020.12.008
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发表时间：
2021-08
影响因子：
4.7
通讯作者：
Reblin M
中科院分区：
文献类型：
--
作者：
Ketcher D;Otto AK;Vadaparampil ST;Heyman RE;Ellington L;Reblin M
晚期癌症期间的护理面临许多身体和心理挑战，特别是对于正在应对自己的癌症病史或慢性健康状况的护理人员而言。人们越来越认识到护理人员的健康和患者的健康是相互依赖的。使用定量和访谈数据来检查和探索护理人员的个人癌症病史和慢性健康状况对护理人员和患者社会心理健康的影响。这是对 88 名晚期肺癌/胃肠癌患者及其配偶照顾者的数据进行的二次分析。参与者自我报告主观健康状况、慢性健康状况（包括癌症）、焦虑和抑郁症状以及社会支持和社会压力。护理人员自我报告护理负担和护理准备情况。护理人员还完成了半结构化访谈。参与者大多是 60 多岁的非西班牙裔白人。护理人员平均报告 1.40 (SD = 1.14) 种慢性病； 11 人报告了个人癌症史（“幸存者照顾者”）。护理人员慢性健康状况的数量与患者抑郁症状呈正相关。幸存者照顾者的患者也报告了比没有癌症的照顾者的患者更多的抑郁症状 (t(85) = -2.35，p = .021）。幸存者护理人员报告的护理准备程度高于未罹患癌症的护理人员 (t(85) = -2.48，p = .015）。访谈数据丰富了定量研究结果，并确定了可能导致患者抑郁的因素，包括怨恨或内疚等情绪。亲身经历癌症可能会让护理人员对患者的经历有独特的见解。鉴于对患者心理健康的潜在负面影响，提供者应了解护理人员的慢性病和癌症病史。
Caregiving during advanced cancer presents many physical and psychological challenges, especially for caregivers who are coping with their own history of cancer or their own chronic health conditions. There is growing recognition that caregiver health and patient health are interdependent. Use quantitative and interview data to examine and explore the impact of a caregiver’s personal cancer history and chronic health conditions on the psychosocial well-being of both caregiver and patient. This was a secondary analysis of data from 88 advanced lung/gastrointestinal cancer patients and their spouse-caregivers. Participants self-reported subjective health, chronic health conditions (including cancer), anxiety and depression symptoms, and social support and social stress. Caregivers self-reported caregiving burden and preparedness for caregiving. Caregivers also completed semi-structured interviews. Participants were mostly White, non-Hispanic, and in their mid-60s. Caregivers reported 1.40 (SD = 1.14) chronic conditions on average; eleven reported a personal history of cancer (“survivor-caregivers”). Number of caregiver chronic health conditions was positively associated with patient depression symptoms. Patients of survivor-caregivers also reported more depression symptoms than patients of caregivers without cancer (t(85) = −2.35, p = .021). Survivor-caregivers reported higher preparedness for caregiving than caregivers without cancer (t(85) = −2.48, p = .015). Interview data enriched quantitative findings and identified factors that may drive patient depression, including emotions like resentment or guilt. Experiencing cancer personally may provide caregivers unique insight into the patient experience. Providers should be aware of caregiver chronic conditions and cancer history given the potential negative effects on patient psychosocial well-being.
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影响因子：
120.7
作者：
Bevans, Margaret;Sternberg, Esther M.
通讯作者：
Sternberg, Esther M.
影响因子：
3.6
作者：
Ellis, Katrina R.;Janevic, Mary R.;Northouse, Laurel
通讯作者：
Northouse, Laurel
影响因子：
2.1
作者：
Badr, Hoda;Herbert, Krista;Gupta, Vishal
通讯作者：
Gupta, Vishal
影响因子：
2.8
作者：
Kenny, DA
通讯作者：
Kenny, DA
影响因子：
3.1
作者：
Lyons, Karen S.;Lee, Christopher S.
通讯作者：
Lee, Christopher S.