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肺癌患者家庭照顾者创伤后应激障碍的现状及影响因素研究

Post-traumatic stress disorder of family caregivers of lung cancer patients and the influencing factors

中文摘要英文摘要

目的 了解肺癌患者家庭照顾者创伤后应激障碍的现状,并分析其影响因素,为针对性的护理干预提供参考依据 方法 采用一般资料问卷、创伤后应激障碍症状问卷平民版(PCL-C)、家庭韧性量表(FHI)对150 例肺癌患者的家庭照顾者进行问卷调查,采用单因素分析、相关性分析筛选出具有统计学意义的变量,然后进行多元线性回归分析,筛选出肺癌患者家庭照顾者PTSD的影响因素。结果 肺癌患者家庭照顾者PTSD得分为(43.73±13.75)分;PTSD水平与家庭韧性水平呈负相关(P<0.01);多元线性回归分析显示,女性、无业、与患者的关系为配偶和父母是肺癌患者家庭照顾者PTSD的危险因素,而受教育水平越高、家庭韧性水平越高的家庭照顾者,其PTSD水平越低。结论 肺癌患者家庭照顾者PTSD水平处于中等偏上水平,受多种因素影响,护理人员可探索以家庭为基础的干预措施,以增强家庭照顾者的家庭韧性,减少肺癌患者家庭照顾者PTSD的发生,改善其生活质量。

Objective:To investigate the post-traumatic stress disorder (PTSD) status of the family caregivers of lung cancer patients and analyse the influencing factors ,and to provide reference for targeted nursing intervention.Methods:Totally 150 family caregivers of lung cancer patients were investigated with General Information Questionnaire,Family Hardiness Index(FHI),and PTSD Checklist-Civilian Version(PCL-C).Single factor analysis and correlation analysis were applied to screen the statistical significant variables. Then the multiple linear regression analysis was used to screen the influencing factors of PTSD. Results:The total score of PTSD was(43.7313.75).The total score of PTSD was negatively correlated with the total score of family resilience (P < 0.01). Multiple linear regression analysis showed that female, unemployed, spouse and parents were the risk factors of PTSD in family caregivers of lung cancer patients, while the higher the level of education and family resilience, the lower the level of PTSD..Conclusion:The PTSD level of family caregivers of lung cancer patients is above the medium level. Affected by many factors, nurses can explore family-based intervention measures to enhance the family resilience of family caregivers, reduce the occurrence of PTSD and improve their quality of life.

黄小程、李雪科

10.12074/202408.00026

肿瘤学神经病学、精神病学

肺癌家庭照顾者创伤后应激障碍家庭韧性影响因素

lung cancerfamily caregiversPTSDfamily resilienceinfluencing factors

黄小程,李雪科.肺癌患者家庭照顾者创伤后应激障碍的现状及影响因素研究[EB/OL].(2024-08-04)[2025-08-16].https://chinaxiv.org/abs/202408.00026.点此复制

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