Patients with adanced cancer self- perceived burden with family cohesion and adaptability correlation studies
10.3760/cma.j.issn.1672-7088.2017.36.001
- VernacularTitle:晚期癌症患者自我感受负担与家庭亲密度和适应性的相关性研究
- Author:
Wenlan WANG
1
;
Yanjun HE
;
Huiling ZHOU
;
Qiaoping CHEN
;
Yinghui SHEN
;
Jihong GUAN
Author Information
1. 南方医科大学顺德医院康复医学科
- Keywords:
Tumour;
Self-perceived burden;
Family adaptability and cohesion evaluation
- From:
Chinese Journal of Practical Nursing
2017;33(36):2801-2806
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the correlation of self perceived burden, family cohesion and adaptability in advanced cancer patients. Methods The Chinese version self perceived burden scale (SPBS), Chinese version of family cohesion and Adaptability Scale (FACES-CV) were used to investigate 139 cases of patients with advanced cancer, and to analyze their correlation with family cohesion and adaptability compared with the norm. Results Patients' self perceived burden score (35.83 ± 5.59) points in the moderate level. The 3 dimensions of the item score from high to low was economic burden (4.12 ± 0.86), body burden (3.63 ± 0.53), emotional burden (3.49 ± 0.63); survey of patients with family cohesion and adaptability, intimacy score (67.96 ± 9.35) points, the ideal intimacy score (83.68 ± 6.05), satisfaction score (15.71 ± 9.39) points, were higher than the national norm, the actual adaptability score (48.00 ± 6.92) and ideal adaptability score (56.47 ± 4.99) points lower than the national norm, the difference was statistically significant (P<0.01 or 0.05). Patients' self perceived burden score and intimacy was negatively correlated (r=-0.186, P<0.05), and positively correlated with intimacy satisfaction (r=0.175, P<0.05). Regression analysis, gender (B=0.236, P<0.01), family medical burden (B=0.183, P<0.05), actual family cohesion (B=-0.111, P<0.05) was the influencing factors of patients' self perceived burden. Conclusions The burden of self perception in advanced cancer patients is closely related to family cohesion and adaptability. It is suggested that the medical staff should pay attention to the family psychological intervention and provide emotional connection for the patients and their families, so as to reduce the negative emotion of the patients with advanced cancer.