Quantifying the burden of informal caregiving for patients with cancer in Europe
Quantifying the burden of informal caregiving for patients with cancer in Europe
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DOI：
10.1007/s00520-014-2122-6
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发表时间：
2014-06-01
影响因子：
3.1
通讯作者：
DiBonaventura, Marco daCosta
中科院分区：
文献类型：
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作者：
Goren, Amir;Gilloteau, Isabelle;DiBonaventura, Marco daCosta
非正式护理人员为癌症患者提供重要的情感和工具支持，但这种角色可能会造成沉重的负担。这项研究拓展了我们对欧洲癌症相关护理负担的理解。通过 2010 年和 2011 年欧盟国家健康与保健调查，通过互联网对法国、德国、意大利、西班牙和英国的成年人进行调查，确定了癌症患者的护理人员 (n = 1,713) 和非护理人员 (n = 103,868)。受访者完成了社会人口统计和健康行为、健康相关生活质量（使用 SF-12v2）、工作生产力和活动障碍（使用 WPAI）、医疗资源使用（急诊室就诊、住院和传统医疗服务提供者就诊）的测量，并报告了与压力相关的合并症（抑郁、焦虑、失眠、头痛、偏头痛和胃肠道问题）的诊断。对照顾者与非照顾者进行平均值或比例的双边测试进行比较。多变量回归模型，比较任何癌症患者的护理人员与非护理人员的所有健康结果，并调整协变量（年龄、性别、大学、收入、婚姻状况、就业、体重指数、酒精、吸烟和查尔森合并症指数）。癌症患者的护理人员与非护理人员报告所有健康结果均存在显着（P < 0.05）损害，即使在调整了几个混杂因素（例如，心理健康状况降低 3.26 分，健康效用降低 0.043 分，工作障碍增加 1.46 倍，焦虑几率增加 1.97 倍。癌症患者的护理人员经历了显着的障碍。鉴于护理人员在为患者提供支持方面发挥着关键作用，这些发现强调需要加强我们对护理体验的理解，并为护理人员制定支持性和个性化的多成分干预措施。
Informal caregivers for patients with cancer provide critical emotional and instrumental support, but this role can cause substantial burden. This study expands our understanding of cancer-related caregiving burden in Europe.Caregivers (n = 1,713) for patients with cancer and non-caregivers (n = 103,868) were identified through the 2010 and 2011 European Union National Health and Wellness Survey, administered via the Internet to adult populations in France, Germany, Italy, Spain, and the United Kingdom. Respondents completed measures of sociodemographics and health behaviors, health-related quality of life (using SF-12v2), work productivity and activity impairment (using WPAI), healthcare resource use (emergency room visits, hospitalizations, and traditional provider visits), and reported diagnosis of stress-related comorbidities (depression, anxiety, insomnia, headache, migraine, and gastrointestinal problems). Two-sided tests of means or proportions compared caregivers against non-caregivers. Multivariable regression models, comparing caregivers for patients with any cancer vs. non-caregivers on all health outcomes, adjusted for covariates (age, sex, college, income, marital status, employment, body mass index, alcohol, smoking, and Charlson comorbidity index).Caregivers for patients with cancer vs. non-caregivers reported significant (P < 0.05) impairment across all health outcomes, even after adjusting for several confounds (e.g., 3.26-point lower mental health status, 0.043-point lower health utilities, 1.46 times as much work impairment, and 1.97 times the odds of anxiety).Caregivers for patients with cancer experienced significant impairments. These findings reinforce the need for enhancing our understanding of the caregiving experience and developing supportive and personalized multicomponent interventions for caregivers, given their pivotal role in providing support for patients.