Association of Family-Centered Care With Psychological Distress Among Caregivers of Children With Cancer at a Tertiary-Level Hospital in Ethiopia: Cross-Sectional Study.

IF 3.3 Q2 ONCOLOGY
JMIR Cancer Pub Date : 2024-10-10 DOI:10.2196/54715
Leul Deribe, Eshetu Girma, Nataliya Lindström, Abdulkadir Gidey, Solomon Teferra, Adamu Addissie
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引用次数: 0

Abstract

Background: Psychological distress (PD) is a common mental health problem faced by caregivers of children with cancer. The involvement of families in childcare was found to be associated with lower levels of distress.

Objective: The study aims to determine the associations between family-centered care (FCC) and PD among caregivers of children with cancer receiving treatment at Tikur Anbessa Specialized Hospital (TASH), Ethiopia.

Methods: An institution-based, cross-sectional study was conducted from June to December 2022. Caregivers of children with cancer aged 0-14 years receiving cancer treatment at the pediatric oncology unit completed a face-to-face, interviewer-administered, structured questionnaire during a routine inpatient or outpatient visit. The questionnaire included questions on the characteristics of the child and caregiver, PD (measured by the Kessler Psychological Distress Scale [K10]), FCC (measured by the Measure of Processes of Care [MPOC-20]), and social support (measured by the Oslo-3 Social Support Scale [OSS-3]). Data were collected using the Kobo toolbox and exported to SPSS (version 26; IBM Corp) for cleaning and analysis. A multivariable logistic regression model was used. An odds ratio with a 95% CI was calculated, and a P value less than .05 was considered statistically significant.

Results: A total of 384 caregivers of children with cancer participated in the study. The total PD score ranged from 10 to 50, with a mean score of 17.30 (SD 8.96; 95% CI 16.84-18.60). The proportion of caregivers found to have mild, moderate, and severe levels of PD was 43 (11.2%), 35 (9.1%), and 51 (13.3%), respectively. The overall prevalence of mild to severe PD symptoms was 33.6% (95% CI 28.9%-38.3%). A statistically significant negative association was found between FCC and PD (adjusted odds ratio [AOR] 0.68, 95% CI 0.53-0.86). In addition, having no formal education (AOR 2.87, 95% CI 1.28-6.45), having a history of relapse (AOR 3.24, 95% CI 1.17-9.02), beginning cancer treatment at TASH (AOR 2.82, 95% CI 1.4-4.85), beginning treatment within the last 3 months (AOR 3.99, 95% CI 1.73-9.23), and beginning treatment within the last 4 to 18 months (AOR 2.68, 95% CI 1.25-5.76) were significantly associated with higher level of PD.

Conclusions: A total of 1 in 3 caregivers have reported PD. FCC was found to be protective of PD. The finding of this study suggests the need for FCC intervention to improve the mental health condition of caregivers. In addition, the intervention needs to consider the educational status of the caregivers, the time since the cancer diagnosis, and the history of relapse.

以家庭为中心的护理与埃塞俄比亚一家三级医院癌症患儿护理者心理压力的关系:横断面研究
背景:心理困扰(PD)是癌症儿童照顾者面临的常见心理健康问题。研究发现,家庭参与儿童护理与较低程度的心理困扰相关:本研究旨在确定在埃塞俄比亚 Tikur Anbessa 专科医院(TASH)接受治疗的癌症患儿的照顾者中,以家庭为中心的护理(FCC)与 PD 之间的关系:方法:2022 年 6 月至 12 月期间开展了一项以医院为基础的横断面研究。在儿科肿瘤科接受癌症治疗的 0-14 岁癌症患儿的照顾者在例行住院或门诊就诊时填写了一份面对面、由访谈者主持的结构化问卷。问卷内容包括儿童和照顾者的特征、PD(通过凯斯勒心理压力量表[K10]测量)、FCC(通过护理过程量表[MPOC-20]测量)和社会支持(通过奥斯陆-3社会支持量表[OSS-3]测量)。数据使用 Kobo 工具箱收集,并导出至 SPSS(26 版;IBM 公司)进行清理和分析。采用多变量逻辑回归模型。计算出带有 95% CI 的几率比率,P 值小于 0.05 即为具有统计学意义:共有 384 名癌症患儿的照顾者参与了研究。PD总分从10分到50分不等,平均分为17.30分(SD 8.96;95% CI 16.84-18.60)。被发现患有轻度、中度和重度帕金森病的护理人员比例分别为 43 人(11.2%)、35 人(9.1%)和 51 人(13.3%)。轻度至重度帕金森病症状的总体患病率为 33.6%(95% CI 28.9%-38.3%)。在统计学上,FCC 与肢端麻痹症之间存在明显的负相关(调整赔率 [AOR] 0.68,95% CI 0.53-0.86)。85)、过去 3 个月内开始治疗(AOR 3.99,95% CI 1.73-9.23)和过去 4 至 18 个月内开始治疗(AOR 2.68,95% CI 1.25-5.76)与较高的 PD 水平显著相关:结论:每三名护理人员中就有一人患有帕金森病。结论:每三名护理人员中就有一人患有帕金森氏症。这项研究结果表明,有必要采取 FCC 干预措施来改善照顾者的心理健康状况。此外,干预措施还需要考虑照顾者的教育状况、癌症诊断后的时间以及复发史。
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来源期刊
JMIR Cancer
JMIR Cancer ONCOLOGY-
CiteScore
4.10
自引率
0.00%
发文量
64
审稿时长
12 weeks
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