Correlation Analysis between the Caregiver Burden and Life Meaning in Patients with the Early Diagnosis of Lung Cancer
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摘要:
目的 探讨确诊初期肺癌患者的照顾者负担与患者生命意义的关系，为初期肺癌患者的后期干预提供参考。 方法 采用便利抽样法，对197例确诊初期（≤6个月）肺癌的患者，采用生命意义感量表（C-MLQ）进行调查。对患者的照顾者采用Zarit照顾者负担量表（zarit caregiver burden interview，ZBI）进行调查，最终分析照顾者负担对患者生命意义的影响。 结果 患者照顾者负担总分为（47.93±3.23）分；患者生命意义总分为（33.64±4.63）分。照顾者负担与患者生命意义总分及各维度得分呈负相关（P < 0.05）。 结论 患者照顾者负担处于中度水平，患者生命意义处于低水平，照顾者负担负向影响患者生命意义；医护人员应注意患者心理健康，制定合适的干预方案，提高患者生命意义感，减轻照顾者心理负担。 Abstract:Objective To explore the relationship between the caregiver burden and life meaning of patients with the early stage lung cancer, and to provide the reference for later intervention of patients with the early stage lung cancer. Methods The Life Meaning Scale （C-MLQ） was used to investigate 197 patients with the lung cancer at the early stage of diagnosis （≤6 months） by convenience sampling method. The Zarit Caregiver Burden Interview （ZBI） was used to investigate the caregivers of patients, and the impact of caregiver burden on patients’ life meaning was finally analyzed. Results The total caregiver burden was 47.93±3.23; The total meaning of life score was 33.64±4.63. Caregiver burden was negatively correlated with the total score of life meaning and scores of all dimensions （all P < 0.05）. Conclusion The caregiver burden of patients is at a moderate level, the life meaning of patients is at a low level, and the caregiver burden negatively affects the life meaning of patients. Medical staff should pay attention to the mental health of patients, formulate appropriate intervention programs, improve patients’ sense of life meaning, and reduce the psychological burden of caregivers. -
Key words:
- Early stage /
- Lung cancer /
- Caregiver burden /
- Meaning of life
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表 1 确诊初期肺癌患者的照顾者负担得分[（
$ \bar x \pm s $ ），分]Table 1. Caregiver burden score of lung cancer patients in the early stage of diagnosis [（
$\bar x \pm s $ ），points]项目 条目均分 得分 照顾者负担 2.18 ± 0.15 47.93 ± 3.23 个人负担 2.08 ± 0.19 27.01 ± 2.43 责任负担 2.32 ± 0.20 20.92 ± 1.77 n = 197。 
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表 2 确诊初期肺癌患者生命意义得分[（
$ \bar x \pm s $ ），分]Table 2. Life significance score of lung cancer patients in the early stage of diagnosis [（
$\bar x \pm s $ ），points]项目 条目数 得分 生命意义 9 33.64 ± 4.63 存在生命意义 5 18.53 ± 2.85 寻找生命意义 4 15.11 ± 2.06 n = 197。
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表 3 确诊初期肺癌患者的照顾者负担与生命意义的相关性
Table 3. Correlation between caregiver burden and life significance of lung cancer patients in the early stage of diagnosis
项目 存在生命
意义寻找生命
意义生命意义
总分个人负担 −0.524** −0.520** −0.554** 责任负担 −0.199** −0.113 −0.173* 照顾者负担总分 −0.504** −0.454** −0.512** n = 197，*P < 0.05，**P < 0.01。
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