照顾者反应对胃癌患者自我感受负担的影响

摘要

Objective:To study the effect of caregiver response on the self perceived burden of patients with gastric cancer.Method:80 cases of gastric cancer were selected who hospitalized in our hospital from January2013 to December 2014. Their spouse or immediate family members and other caregivers for a long time were chose for the main caregivers. The caregivers were investigated by caregivers response assessment scale, the patients’ self feel burden were investigated by the SPB scale. Influence of caregivers reaction self feel burden in patients with gastric cancer were analyzed.Result: The gastric cancer patients’ SPB average score was (33.82±4.56) points, 10 patients (12.50%) did not exist SPB, 18 cases (22.50%), mild to moderate were 35 cases (43.75%), severe were 17 cases (21.25%). Feel burden yourself four different groups of patients with gastric cancer caregivers reaction comparison, the difference was statistically significant (P<0.05). Gastric cancer patients feel burden score and caregivers reaction of economic issues, health problems, lack of family support, time arrangement disturbed were positively correlated, and negatively correlated with self-esteem(P<0.05). Hierarchical regression analysis showed that household income, disease stage and caregivers reaction is the influence factors of gastric cancer patients feel burden yourself(P<0.05).Conclusion:Caregivers reaction affect self feel burden in patients with gastric cancer, nursing staff can undertake comprehensive nursing intervention for caregivers, to reduce the self feelings of patients with gastric cancer burden.%目的：研究照顾者反应对胃癌患者自我感受负担（SPB）的影响。方法：选择2013年1月-2014年12月在本院接受治疗的胃癌患者80例。选择其配偶或直系亲属等长期照顾者为主要照顾者。采用照顾者反应评估量表对照顾者进行调查，采用SPB量表对患者进行自我感受负担调查，分析照顾者反应对胃癌患者自我感受负担的影响。结果：胃癌患者的SPB平均得分为（33.82±4.56）分，其中有10例（12.50%）患者不存在SPB，轻度18例（22.50%），中度35例（43.75%），重度17例（21.25%）。不同自我感受负担组别的胃癌患者的照顾者反应比较差异有统计学意义（P<0.05）。胃癌患者的自我感受负担得分与照顾者反应中的经济问题、健康问题、家庭支持缺乏、时间安排受打扰呈正相关，与自尊呈负相关（P<0.05）。分层回归分析显示，家庭收入、疾病分期和照顾者反应是胃癌患者自我感受负担的影响因素（P<0.05）。结论：照顾者反应会影响胃癌患者自我感受负担，护理人员可以对照顾者进行综合护理干预，以降低胃癌患者的自我感受负担。