植入静脉通道的心理、家庭社会支持与家庭护理质量的关系。

IF 3.9 4区 医学 Q1 PSYCHIATRY
Heng-Ya Jia, Li-Qun Yan, Xiao-Bei Liu, Jie Cao
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引用次数: 0

摘要

背景:植入静脉通道(IVAP)的癌症患者通常在化疗间隔期间在家进行护理,包括维护设备、监测并发症和遵循药物指导。家庭护理确保出院后继续得到支持。然而,由于年龄、性别、文化、心理状况、家庭支持等因素的影响,家庭护理的质量存在显著差异。了解这些因素有助于提供有针对性的指导,以改善癌症患者的护理。目的:探讨IVAP化疗对癌症患者家庭护理质量的影响及其与心理健康和家庭支持的关系。方法:本调查研究基于病案系统。本研究调查了180例接受IVAP化疗的癌症患者的心理状态、家庭支持和家庭护理质量的关系。采用状态焦虑量表(S-AI)评估心理状态;采用感知社会支持量表(PSSS)评估家庭支持,采用欧洲癌症研究与治疗组织生活质量问卷(EORTC QLQ-C30)评估家庭护理质量。采用Pearson’s correlation和结构方程模型分析这些因素之间的相互作用。结果:S-AI评分为47.52±14.47分,PSSS评分为52.48±12.64分,EORTC QLQ-C30评分为70.09±17.32分。EORTC QLQ-C30与S-AI评分呈显著负相关(r = -0.712)。EORTC QLQ-C30与PSSS呈显著正相关,相关系数为(r = 0.744)。多元线性回归分析显示,家庭社会支持、心理状态和家庭月平均收入是影响家庭护理质量变化的主要因素,解释了71.9%的变化。结构方程建模结果表明,心理状态在家庭社会支持与家庭护理生活质量的关系中起部分中介作用,解释了32.78%的中介效应。结论:心理状态和家庭社会支持对癌症患者家庭护理质量有正向影响,心理在其中起部分中介作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Correlation between psychological, family social support, and home nursing quality for an implanted venous access port.

Background: Cancer patients with an implanted venous access port (IVAP) often manage their care at home during chemotherapy intervals, including maintaining the device, monitoring complications, and following medication instructions. Home care ensures continued support after discharge. However, due to factors such as age, gender, culture, psychological status, and family support, the quality of home care varies significantly. Understanding these factors can help provide targeted guidance to improve the care of cancer patients.

Aim: To explore IVAP chemotherapy on home care quality and its association with mental health and family support for cancer patients.

Methods: This investigative study was based on a medical records system. It investigated the relationship between psychological status, family support, and home care quality in 180 patients with cancer undergoing IVAP chemotherapy. Psychological status was assessed using the State Anxiety Inventory (S-AI); family support was assessed using the Perceived Social Support Scale (PSSS), and home care quality was evaluated using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30). Pearson's correlation and Structural Equation Modeling were used to analyze the interplay between these factors.

Results: The average S-AI score was 47.52 ± 14.47, PSSS was 52.48 ± 12.64, and EORTC QLQ-C30 was 70.09 ± 17.32. A substantial inverse relationship was observed between the EORTC QLQ-C30 and S-AI scores (r = -0.712). A significant positive correlation was found between the EORTC QLQ-C30 and the PSSS, with a correlation coefficient of (r = 0.744). The multiple linear regression analysis indicated that family social support, psychological status, and average monthly family income were the main factors influencing the variation in the quality of home care, explaining 71.9% of the variation. The Structural Equation Modeling results indicated that psychological status acted as a partial mediator in the association between family social support and home care quality of life, explaining 32.78% of the mediation effect.

Conclusion: Psychological status and family social support positively impacted cancer patients' home care quality, with psychology partially mediating this effect.

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来源期刊
自引率
6.50%
发文量
110
期刊介绍: The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.
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