摘要
目的 调查非住院期乳腺癌患者疾病家庭负担状况,并分析其影响因素.方法 选取2016年3—4月上海中医药大学附属龙华医院门诊就诊的201例乳腺癌患者及其照顾者进行横断面调查,采用一般资料调查问卷、疾病家庭负担量表（FBS）和家庭关怀度指数问卷（APGAR）进行调查.结果 201例乳腺癌患者FBS总分为（23.03±10.77）分,经济负担、日常活动、娱乐活动、家庭关系、躯体健康、心理健康维度得分分别为（1.26±0.57）、（0.95±0.49）、（0.87±0.55）、（0.75±0.52）、（0.82±0.52）、（0.92±0.60）分;单因素分析提示不同性别、年龄、文化程度、职业、婚姻状况、病程、手术、肿瘤分级、家庭关怀度患者FBS总分差异均有统计学意义（P〈0.05）;多元逐步回归分析显示,癌症分级、文化程度、家庭关怀度影响FBS评分,可解释家庭负担总变异的36%;相关性分析显示,患者的家庭关怀度与疾病家庭负担存在显著负相关（r=-0.485,P〈0.01）.结论 非住院期乳腺癌患者疾病家庭负担处于中度水平,患者的文化程度和癌症分级是乳腺癌患者疾病家庭负担的独立影响因素,家庭关怀与疾病家庭负担存在相关性.
Objective To investigate the status and influencing factors of family burden for non-hospitalized patients with breast cancer. Methods General information of the patients, family burden scale of disease （FBS） and family APGAR index questionnaire were used to carry out the cross-sectional study in 201 patients with breast cancer and their care givers in Affiliated Longhua Hospital, Shanghai University of Traditional Chinese Medicine from March to April, 2016. Results Total score of FBS for the 201 breast cancer patients was （23.03±10.77） points; scores of dimentions of economic burden, daily activities, recreational activities, family relationship, physical health, mental health were （1.26±0.57）, （0.95±0.49）, （0.87±0.55）, （0.75±0.52）, （0.82± 0.52）, （0.92±0.60） points, respectively. Univariate analysis showed that FBS scores of different gender, age, educational level, occupation, marital status, course of disease, surgery, tumor grade, family care were different （P〈 0.05）; multiple stepwise regression analysis showed that cancer classification, educational level , family APGAR index would affect FBS score which could explain 36% of the total variation of the family burden. Correlation analysis showed that the patients＇ family care and family burden were negative related （r=-0.485, P〈0.01）. Conclusions Family burden of non-hospitalized patients with breast cancer is at moderate level. Educational level and tumor grade are independent factors affecting breast cancer patients＇ family burden. The family burden of the breast cancer patierrts is related with their family care.
出处
《中华现代护理杂志》
2017年第8期1122-1126,共5页
Chinese Journal of Modern Nursing
关键词
乳腺肿瘤
疾病家庭负担
家庭关怀度
影响因素
Breast neoplasms
Family burden of disease
Family care degree
Influencing factors
