文章摘要
引用本文:杨志芳 付菊芳 左秀萍 王宏枚 王美霞 武惠丽 李小宁 周喜春.晚期癌症患者家庭照顾者希望水平影响因素及与社会支持的相关性研究[J].中国护理管理,2017,17(5):625-630 本文二维码信息
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晚期癌症患者家庭照顾者希望水平影响因素及与社会支持的相关性研究
Influencing factors of the level of hope and its associations with the social support among family caregivers of patients with advanced cancer
  
DOI:10.3969/j.issn.1672-1756.2017.05.013
中文关键词:  晚期癌症  照顾者  希望水平  社会支持
English Keywords:advanced cancer  caregivers  level of hope  social support
基金项目:陕西省社会发展攻关项目(2012SF2-08-4)
作者单位
杨志芳 付菊芳 左秀萍 王宏枚 王美霞 武惠丽 李小宁 周喜春 第四军医大学第一附属医院疾病预防控制科710032 西安市(杨志芳付菊芳)呼吸科(左秀萍)消化科(王美霞)第四军医大学第二附属医院肿瘤科(王宏枚)西安交通大学第一附属医院肿瘤科(武惠丽)西安交通大学第二附属医院肿瘤科(李小宁)西安市中心医院肿瘤科(周喜春) 
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中文摘要:
      目的:调查晚期癌症患者家庭照顾者希望水平的影响因素及与社会支持的相关性。方法:采用便利抽样法选取西安市5所三级甲等医院的住院晚期癌症患者及其家庭照顾者为研究对象,使用Herth希望指数量表及社会支持评定量表对晚期癌症患者家庭照顾者的希望水平及社会支持进行调查,采用自制调查问卷对晚期癌症患者及其照顾者进行一般情况、疾病情况及照顾相关情况进行调查。结果:晚期癌症患者家庭照顾者希望水平总分为(36.57±4.65)分,总体处于中至高等水平;社会支持总分为(37.27±7.38)分,高于我国常模(P<0.01);希望水平总分与社会支持总分呈正相关(r=0.412);多元逐步回归分析显示,照顾者支持利用度、自评患者身体状况、客观支持、主观支持、家庭总月收入及年龄是影响其希望水平的主要因素。结论:医务人员应加强对年龄较大、家庭总月收入较低、患者近两周身体状况较差及社会支持较少的家庭照顾者的关注,着重为其提供来自医务人员方面的知识信息及关怀支持,以提高其希望水平。
English Summary:
      Objective: To investigate the influencing factors of the level of hope and its associations with the social support among family caregivers of patients with advanced cancer. Methods: A convenient sample of advanced cancer patients and their family caregivers from five tertiary level first class hospitals in Xi'an were selected. The hope level and social support of family caregivers of advanced cancer patients were investigated with Herth Hope Index and Social Support Rating Scale, and self-designed questionnaire was used to investigate the general, disease and care related conditions of advanced cancer patients and their caregivers. Results: The hope level score of family caregivers of advanced cancer patient was 36.57±4.65, which was a medium to high level; the total score of social support was 37.27±7.38, and it was higher than the Chinese norm (P<0.01); the hope level was positively correlated with social support (r=0.412). Multiple regression analysis showed that the influencing factors of level of hope in caregivers were caregiver support utilization, evaluated physical condition of the patient by caregiver, objective and subjective support, the total household monthly income and age. Conclusion: The medical workers should pay more attention to caregivers of cared patient with poor condition in two weeks, lack of social support, older and economic difficulties and provide knowledge and care support for them to improve their level of hope.
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