Abstract：
OBJECTIVE: This cross-sectional study explored the associations between intrapersonal and interpersonal emotional competence (EC) and the unmet supportive care needs (SCN), anxiety, and depression of informal caregivers at the beginning of gastrointestinal or haematological cancer care, i.e. during chemotherapy and within 6 months after diagnosis.
METHODS: The participants completed a self-reported questionnaire, comprising the Short Profile of Emotional Competence (S-PEC), the SCN survey for partners and caregivers (SCNS-P&C), and the Hospital Anxiety and Depression Scale (HADS). Multivariate logistic regression models were performed to explore the influence of EC on unmet SCN and the presence of moderate/severe anxiety or depression.
RESULTS: Most of the 203 caregivers were women (n = 141, 69.80%) and the partners of patients (n = 148, 73.27%) suffering from gastrointestinal (n = 112, 55.17%) and haematological (n = 91, 44.83%) cancer. Only intrapersonal EC showed a significant influence out of all the dimensions of unmet SCN related to healthcare services and information (odds ratio (OR) = 0.35 [95%CI 0.19; 0.65]), emotional and psychological needs (OR = 0.43 [95%CI 0.25; 0.74]), work and social security (OR = 0.57 [95%CI 0.37; 0.88]), and communication and family support (OR = 0.61 [95%CI 0.39; 0.95]). A one-unit increase in the intrapersonal EC score significantly reduced the probability of anxiety (OR = 0.42, [95%CI 0.26; 0.68]) and depression (OR = 0.34, [95%CI 0.21; 0.55]).
CONCLUSIONS: Intrapersonal EC of caregivers is crucial to reduce the risk of unmet SCN, anxiety, and depression from the beginning of care. Identifying caregivers with lower intrapersonal EC may be necessary to increase vigilance from healthcare professionals and psychologists.
METHODS: The participants completed a self-reported questionnaire, comprising the Short Profile of Emotional Competence (S-PEC), the SCN survey for partners and caregivers (SCNS-P&C), and the Hospital Anxiety and Depression Scale (HADS). Multivariate logistic regression models were performed to explore the influence of EC on unmet SCN and the presence of moderate/severe anxiety or depression.
RESULTS: Most of the 203 caregivers were women (n = 141, 69.80%) and the partners of patients (n = 148, 73.27%) suffering from gastrointestinal (n = 112, 55.17%) and haematological (n = 91, 44.83%) cancer. Only intrapersonal EC showed a significant influence out of all the dimensions of unmet SCN related to healthcare services and information (odds ratio (OR) = 0.35 [95%CI 0.19; 0.65]), emotional and psychological needs (OR = 0.43 [95%CI 0.25; 0.74]), work and social security (OR = 0.57 [95%CI 0.37; 0.88]), and communication and family support (OR = 0.61 [95%CI 0.39; 0.95]). A one-unit increase in the intrapersonal EC score significantly reduced the probability of anxiety (OR = 0.42, [95%CI 0.26; 0.68]) and depression (OR = 0.34, [95%CI 0.21; 0.55]).
CONCLUSIONS: Intrapersonal EC of caregivers is crucial to reduce the risk of unmet SCN, anxiety, and depression from the beginning of care. Identifying caregivers with lower intrapersonal EC may be necessary to increase vigilance from healthcare professionals and psychologists.
摘要：
目的：这项横断面研究探讨了人际关系和人际关系情绪能力（EC）与未满足的支持性护理需求（SCN）之间的关联，焦虑,以及在胃肠道或血液癌症护理开始时非正式护理人员的抑郁，即在化疗期间和诊断后6个月内。
方法：参与者完成了一份自我报告的问卷，包括情绪能力的简短概况(S-PEC)，针对合作伙伴和护理人员的SCN调查(SCNS-P&C)，和医院焦虑和抑郁量表（HADS）。采用多因素logistic回归模型探讨EC对未满足SCN和中/重度焦虑或抑郁的影响。
结果：203名护理人员中大多数是女性（n=141，69.80％）和患有胃肠道（n=112，55.17％）和血液（n=91，44.83％）癌症的患者的伴侣（n=148，73.27％）。只有内部EC在与医疗保健服务和信息相关的未满足SCN的所有维度中显示出显著影响(比值比(OR)=0.35[95CI0.19;0.65])，情感和心理需求(OR=0.43[95CI0.25;0.74])，工作和社会保障(OR=0.57[95CI0.37；0.88])，以及沟通和家庭支持(OR=0.61[95CI0.39;0.95])。一个单位内EC评分的增加显著降低了焦虑(OR=0.42,[95CI0.26;0.68])和抑郁(OR=0.34,[95CI0.21;0.55])的概率。
结论：护理人员的内部EC对于降低未满足SCN的风险至关重要，焦虑,从护理开始就有抑郁症。确定内部EC较低的护理人员可能是必要的，以提高医疗保健专业人员和心理学家的警惕性。
方法：参与者完成了一份自我报告的问卷，包括情绪能力的简短概况(S-PEC)，针对合作伙伴和护理人员的SCN调查(SCNS-P&C)，和医院焦虑和抑郁量表（HADS）。采用多因素logistic回归模型探讨EC对未满足SCN和中/重度焦虑或抑郁的影响。
结果：203名护理人员中大多数是女性（n=141，69.80％）和患有胃肠道（n=112，55.17％）和血液（n=91，44.83％）癌症的患者的伴侣（n=148，73.27％）。只有内部EC在与医疗保健服务和信息相关的未满足SCN的所有维度中显示出显著影响(比值比(OR)=0.35[95CI0.19;0.65])，情感和心理需求(OR=0.43[95CI0.25;0.74])，工作和社会保障(OR=0.57[95CI0.37；0.88])，以及沟通和家庭支持(OR=0.61[95CI0.39;0.95])。一个单位内EC评分的增加显著降低了焦虑(OR=0.42,[95CI0.26;0.68])和抑郁(OR=0.34,[95CI0.21;0.55])的概率。
结论：护理人员的内部EC对于降低未满足SCN的风险至关重要，焦虑,从护理开始就有抑郁症。确定内部EC较低的护理人员可能是必要的，以提高医疗保健专业人员和心理学家的警惕性。
