Factors associated with high burden in caregivers of older adults with cancer.
Factors associated with high burden in caregivers of older adults with cancer.
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DOI：
10.1002/cncr.28765
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发表时间：
2014-09-15
期刊：
影响因子：
6.2
通讯作者：
Hurria, Arti
中科院分区：
文献类型：
--
作者：
Hsu, Tina;Loscalzo, Matthew;Ramani, Rupal;Forman, Stephen;Popplewell, Leslie;Clark, Karen;Katheria, Vani;Feng, Tao;Strowbridge, Rex;Rinehart, Redmond;Smith, Dan;Matthews, Keith;Dillehunt, Jeff;Hurria, Arti
患有癌症的老年人很容易出现功能衰退，这给照顾者带来了更大的负担。很少有研究前瞻性地研究老年癌症患者的照顾者的负担。我们试图确定与高照顾者负担相关的因素。100名年龄≥65岁的癌症患者的护理人员，在一个单一的机构招募，完成问卷调查，衡量他们对患者的身体，情绪和社会健康的看法。通过多变量分析确定这些项目、癌症相关因素、社会人口学因素和照顾者负担[由照顾者压力指数（CSI）测量]之间的关联。患者的中位年龄为70岁（范围65-91），70%患有晚期疾病，98%正在接受治疗。照顾者大多为女性（73%）、配偶（68%）和与患者同住（79%）。提供的护理时间中位数为10小时/周。平均CSI评分为3.1±3.2。大多数照顾者（75%）报告了一些负担，15%报告了高照顾者负担（CSI ≥7）。在多变量分析中，有工作的照顾者（OR 4.5; 95% CI 1.1-18.4，p=0.04）和那些照顾需要更多工具性日常生活活动帮助的患者（OARS-IADL评分<12/14）（OR 12.4; 95% CI 2.4-62.5，p<0.001）更有可能经历高照顾者负担（CSI ≥7）。照顾者负担在照顾老年癌症患者的人中很常见。高负担更可能发生在受雇的护理人员和那些护理需要增加功能辅助的患者的人身上。需要进一步的研究来确定老年癌症患者的照顾者所经历的独特挑战，以及减轻这些照顾者负担的潜在干预措施。
Older adults with cancer are vulnerable to functional decline, placing greater onus on caregivers. Few studies have prospectively examined burden in caregivers of older cancer patients. We sought to determine factors associated with high caregiver burden. 100 caregivers of patients age ≥65 with cancer, recruited at a single-institution, completed questionnaires gauging their perception of the patient’s physical, emotional, and social health. The association between these items, cancer-related factors, sociodemographic factors, and caregiver burden [measured by the Caregiver Strain Index (CSI)] was determined through multivariate analysis. Patients were a median age of 70 (range 65–91), 70% had advanced disease, and 98% were receiving treatment. Caregivers were mostly female (73%), spouses (68%), and lived with the patient (79%). Median hours of care provided was 10 hours/week. Mean CSI score was 3.1±3.2. Most caregivers (75%) reported some burden, with 15% reporting high caregiver burden (CSI ≥7). In multivariate analysis, employed caregivers (OR 4.5; 95% CI 1.1–18.4, p=0.04) and those who cared for patients requiring more help with instrumental activities of daily living (OARS-IADL score <12 of 14) (OR 12.4; 95% CI 2.4–62.5, p<0.001) were more likely to experience high caregiver burden (CSI ≥7). Caregiver burden is common in those who care for older cancer patients. High burden is more likely in employed caregivers and those who care for patients who require increased functional assistance. Further studies are needed to determine unique challenges experienced by caregivers of older adults with cancer and potential interventions to alleviate burden in these caregivers.
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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：
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LOPRINZI, CL;LAURIE, JA;MOERTEL, CG
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影响因子：
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作者：
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