Changying Wang, Jin Wang, Yunwei Zhang, Yi Wang, Ya Yang, Hansheng Ding
{"title":"晚期癌症居家长者的愤怒/躁动与配偶照顾等因素的关系。","authors":"Changying Wang, Jin Wang, Yunwei Zhang, Yi Wang, Ya Yang, Hansheng Ding","doi":"10.1007/s00520-025-09740-y","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>There has been increasing attention on negative emotions in advanced cancer patients. The correlative factors of negative emotions (anger/agitation) and the role of spousal care in older adults with advanced cancer remain limited.</p><p><strong>Methods: </strong>This study was based on large cross-sectional sample data; a total of 117,396 individuals were included, who were conscious, cognitively intact home-dwelling older adults. Multivariable logistic regression analyses were conducted on the correlative factors of anger/agitation and the correlation between anger/agitation and spousal care.</p><p><strong>Results: </strong>Among home-dwelling older adults with advanced cancer, 8.3% reported more feelings of anger/agitation in the past week, which was significantly lower than the results previously reported for other negative emotions (depression and anxiety). It was found that significant positive correlates of anger/agitation in older adults with advanced cancer included education level, receiving formal care, and the number of chronic diseases. Significant negative correlates included advanced age (≥ 80 years), 1-12 outpatient visits, and 1-6 inpatient services in the past year. Emotional expressions among cancer patients may differ markedly between cultural contexts. Spousal care played a positive role in providing emotional support to older adults with advanced cancer and chronic diseases.</p><p><strong>Conclusions: </strong>Older adults with higher education levels were more likely to experience anger/agitation; it is suggested that strategies are tailored to educational levels. Home-dwelling older adults had a reduced likelihood of experiencing anger/agitation. At the end-of-life stage, those who received spousal care, the likelihood of experiencing anger/agitation in both the advanced cancer group and the chronic diseases group was found to be significantly reduced. It was recommended to focus on socioeconomic disparities among older adults with advanced cancer in end-of-life care and to improve home-based palliative care. There is a need to consider the specific type of emotions under different cultural surroundings. Culturally adapted hierarchical strategies are critical for China's aging cancer population on government, community, and technological levels.</p>","PeriodicalId":22046,"journal":{"name":"Supportive Care in Cancer","volume":"33 8","pages":"695"},"PeriodicalIF":2.8000,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The correlation between anger/agitation and other factors including spousal care in home-dwelling older adults with advanced cancer.\",\"authors\":\"Changying Wang, Jin Wang, Yunwei Zhang, Yi Wang, Ya Yang, Hansheng Ding\",\"doi\":\"10.1007/s00520-025-09740-y\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>There has been increasing attention on negative emotions in advanced cancer patients. The correlative factors of negative emotions (anger/agitation) and the role of spousal care in older adults with advanced cancer remain limited.</p><p><strong>Methods: </strong>This study was based on large cross-sectional sample data; a total of 117,396 individuals were included, who were conscious, cognitively intact home-dwelling older adults. Multivariable logistic regression analyses were conducted on the correlative factors of anger/agitation and the correlation between anger/agitation and spousal care.</p><p><strong>Results: </strong>Among home-dwelling older adults with advanced cancer, 8.3% reported more feelings of anger/agitation in the past week, which was significantly lower than the results previously reported for other negative emotions (depression and anxiety). It was found that significant positive correlates of anger/agitation in older adults with advanced cancer included education level, receiving formal care, and the number of chronic diseases. Significant negative correlates included advanced age (≥ 80 years), 1-12 outpatient visits, and 1-6 inpatient services in the past year. Emotional expressions among cancer patients may differ markedly between cultural contexts. Spousal care played a positive role in providing emotional support to older adults with advanced cancer and chronic diseases.</p><p><strong>Conclusions: </strong>Older adults with higher education levels were more likely to experience anger/agitation; it is suggested that strategies are tailored to educational levels. Home-dwelling older adults had a reduced likelihood of experiencing anger/agitation. At the end-of-life stage, those who received spousal care, the likelihood of experiencing anger/agitation in both the advanced cancer group and the chronic diseases group was found to be significantly reduced. It was recommended to focus on socioeconomic disparities among older adults with advanced cancer in end-of-life care and to improve home-based palliative care. There is a need to consider the specific type of emotions under different cultural surroundings. Culturally adapted hierarchical strategies are critical for China's aging cancer population on government, community, and technological levels.</p>\",\"PeriodicalId\":22046,\"journal\":{\"name\":\"Supportive Care in Cancer\",\"volume\":\"33 8\",\"pages\":\"695\"},\"PeriodicalIF\":2.8000,\"publicationDate\":\"2025-07-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Supportive Care in Cancer\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00520-025-09740-y\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Supportive Care in Cancer","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00520-025-09740-y","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
The correlation between anger/agitation and other factors including spousal care in home-dwelling older adults with advanced cancer.
Background: There has been increasing attention on negative emotions in advanced cancer patients. The correlative factors of negative emotions (anger/agitation) and the role of spousal care in older adults with advanced cancer remain limited.
Methods: This study was based on large cross-sectional sample data; a total of 117,396 individuals were included, who were conscious, cognitively intact home-dwelling older adults. Multivariable logistic regression analyses were conducted on the correlative factors of anger/agitation and the correlation between anger/agitation and spousal care.
Results: Among home-dwelling older adults with advanced cancer, 8.3% reported more feelings of anger/agitation in the past week, which was significantly lower than the results previously reported for other negative emotions (depression and anxiety). It was found that significant positive correlates of anger/agitation in older adults with advanced cancer included education level, receiving formal care, and the number of chronic diseases. Significant negative correlates included advanced age (≥ 80 years), 1-12 outpatient visits, and 1-6 inpatient services in the past year. Emotional expressions among cancer patients may differ markedly between cultural contexts. Spousal care played a positive role in providing emotional support to older adults with advanced cancer and chronic diseases.
Conclusions: Older adults with higher education levels were more likely to experience anger/agitation; it is suggested that strategies are tailored to educational levels. Home-dwelling older adults had a reduced likelihood of experiencing anger/agitation. At the end-of-life stage, those who received spousal care, the likelihood of experiencing anger/agitation in both the advanced cancer group and the chronic diseases group was found to be significantly reduced. It was recommended to focus on socioeconomic disparities among older adults with advanced cancer in end-of-life care and to improve home-based palliative care. There is a need to consider the specific type of emotions under different cultural surroundings. Culturally adapted hierarchical strategies are critical for China's aging cancer population on government, community, and technological levels.
期刊介绍：
Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease.
Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.
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