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Depression and physical health among family caregivers of geriatric patients with cancer – a longitudinal view

机译:纵向观察老年癌症患者的家庭护理人员的抑郁和身体健康

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Background:We investigated, in a sample of 491 cancer patient/caregiver dyads, the impact of caregiving on caregivers’ mental and physical health over a period of one year (four assessments). Our model postulates that patient and caregiver characteristics impact caregiver experiences, and all of these in turn affect the mental and physical health of the caregiver.Material/Methods: Random-effects regression methods were employed to investigate how patient and caregiver characteristics affect caregiver experiences, and how these same patient and caregiver characteristics affect caregiver physical and psychological health, and are mediated by caregiver experiences.Results: Caregivers’ personal perceptions of the caregiving experience (impact on schedule, social functioning, abandonment) played a central role as determinants of caregiver outcomes (depression and physical health). The contextual elements that came to the foreground as either direct or indirect determinants of caregiver outcomes were the patient characteristics symptoms, depression, treatment, comorbidity and cancer site, and the caregiver characteristics education, esteem derived from caregiving, and living arrangement.Conclusions: Our findings suggest that physicians, oncologists and other health care providers involved in the care of cancer patients should be cognizant of the demands put on caregivers. Periodic assessments and dialogue with the caregiver about their experiences, needs and concerns in combination with a review of the patient’s illness trajectory may be necessary to insure that caregivers are able to provide quality care to their patients and not succumb to the burdens of caregiving.
机译:背景:我们调查了491名癌症患者/护理人员二联样本,在一年的时间内进行护理对护理人员心理和身体健康的影响(四项评估)。我们的模型假设患者和护理者特征会影响护理者的体验,而所有这些反过来都会影响护理者的心理和身体健康。材料/方法:采用随机效应回归方法研究患者和护理者特征如何影响护理者的体验,结果:看护者对看护经历的个人看法(如日程安排,社交功能,遗弃)对看护者的决定性起着核心作用。结果(抑郁和身体健康)。作为照料者结果的直接或间接决定因素而引起关注的背景因素是患者特征症状,抑郁,治疗,合并症和癌症部位,以及照料者特征教育,源自照料者的自尊和生活安排。研究结果表明,参与癌症患者护理的医师,肿瘤学家和其他医疗保健提供者应意识到护理人员的需求。可能需要定期与护理人员进行评估和对话,并结合对患者的病情进行回顾,以确保护理人员能够为患者提供优质的护理,而不会使护理负担加重。

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