Lifestyle interference and emotional distress in family caregivers of advanced cancer patients
Lifestyle interference and emotional distress in family caregivers of advanced cancer patients
复制标题
DOI：
10.1002/cncr.10212
复制
发表时间：
2002-01-15
期刊：
影响因子：
6.2
通讯作者：
Stewart, DE
中科院分区：
文献类型：
--
作者：
Cameron, JI;Franche, RL;Stewart, DE
背景资料。在家中为患有晚期癌症的家庭成员提供临终关怀可能会对家庭照顾者的情绪健康产生负面影响。目前的研究在晚期癌症患者的照顾者样本中检查了提供护理对生活方式和情绪健康的影响。方法：44名家庭照顾者参加了一次结构化的定量访谈。生活方式干预由照顾者影响量表评估，提供的照顾量由照顾者援助量表评估，情绪困扰通过情绪状态简表、皮尔逊和偏相关检验生活方式干预是否在照看援助和情绪痛苦之间的关系中起中介作用。回归分析确定了情绪痛苦的总体相关性。结果：总体情绪障碍、抑郁和紧张量表满足三个标准来证实调解。一个整体回归模型发现，教育水平和生活方式干预是情绪痛苦的显著和独特的相关性。结论：目前的结果表明，无论提供多少护理，当照顾者参与有价值的活动和兴趣的能力有限时，他们都会经历更多的情绪痛苦。此外，高中以下教育程度的照顾者会经历更多的情绪困扰，因此，帮助照顾者保持其生活方式中有价值的方面应该是家庭护理的一个重要因素。(C)2002年美国癌症协会。
BACKGROUND. Providing end-of-life care at home to a family member with advanced cancer can have a negative impact on the emotional well-being of the family caregiver. The current study examined the impact of providing care on lifestyle and emotional well-being in a sample of caregivers to patients with advanced cancer. The mediation of lifestyle interference between the amount of care provided and emotional distress was specifically examined.METHODS. Forty-four family caregivers participated in a structured quantitative interview. Lifestyle interference was assessed by the Caregiving Impact Scale, amount of care provided was assessed by the Caregiver Assistance Scale, and emotional distress was assessed by the Profile of Mood States-Short Form, Pearson and partial correlations tested whether lifestyle interference mediated the relationship between caregiving assistance and emotional distress. Regression analyses determined overall correlates of emotional distress.RESULTS. Three criteria, required to substantiate mediation, were met for total mood disturbance and the depression and tension subscales. An overall regression model identified education level and lifestyle interference to be significant and unique correlates of emotional distress.CONCLUSIONS. The current results suggest that caregivers experience increased emotional distress, regardless of the amount of care provided, when limited in their ability to participate in valued activities and interests. In addition, caregivers with less than a high school education experience more emotional distress, Therefore, helping caregivers maintain valued aspects of their lifestyle should be an important element of home care. (C) 2002 American Cancer Society.