Abstract：
OBJECTIVE: This study aimed to investigate the level of family caregivers\' (FC) burden and the extent to which patient- and caregiver-related factors influence the caregiving burden among FCs of urologic cancer (UC) patients.
METHODS: A cross-sectional survey was conducted on caregivers of UC patients who sought cancer care. The modified caregiver strain index (MCSI) was used to assess FC burden.
RESULTS: Just over half (54.3%) of FCs had moderate/high MCSI scores (score 9-26). By demographics, FCs who were unemployed (OR = 5.55, 95%CI 1.50-20.60) and perceived their current health condition as moderate/poor (OR = 6.05, 95%CI 1.95-18.78) reported higher odds of increased FC burden. Patient performance status played a pivotal role in exacerbating FC burden, whereby the odds of higher FC burden was 13 times higher in caregivers of UC patients having an Eastern Cooperative Oncology Group (ECOG) performance rating score of 3-4 (OR = 13.06, 95%CI 1.44-111.26) than those with a score of 0. Perceived lower levels of confidence in care provision were significantly associated with a higher level of strain (OR = 6.76, 985%CI 1.02-44.90).
CONCLUSIONS: Care recipient performance status was a strong patient-related factor associated with higher FC burden regardless of duration of caregiving and other caregiver-related factors after adjusting for caregiver demographics.
METHODS: A cross-sectional survey was conducted on caregivers of UC patients who sought cancer care. The modified caregiver strain index (MCSI) was used to assess FC burden.
RESULTS: Just over half (54.3%) of FCs had moderate/high MCSI scores (score 9-26). By demographics, FCs who were unemployed (OR = 5.55, 95%CI 1.50-20.60) and perceived their current health condition as moderate/poor (OR = 6.05, 95%CI 1.95-18.78) reported higher odds of increased FC burden. Patient performance status played a pivotal role in exacerbating FC burden, whereby the odds of higher FC burden was 13 times higher in caregivers of UC patients having an Eastern Cooperative Oncology Group (ECOG) performance rating score of 3-4 (OR = 13.06, 95%CI 1.44-111.26) than those with a score of 0. Perceived lower levels of confidence in care provision were significantly associated with a higher level of strain (OR = 6.76, 985%CI 1.02-44.90).
CONCLUSIONS: Care recipient performance status was a strong patient-related factor associated with higher FC burden regardless of duration of caregiving and other caregiver-related factors after adjusting for caregiver demographics.
摘要：
目的：本研究旨在调查泌尿系癌症（UC）患者家庭照顾者（FC）负担水平以及患者和照顾者相关因素对其照顾负担的影响程度。
方法：对寻求癌症治疗的UC患者的照顾者进行了横断面调查。改良的照顾者应变指数（MCSI）用于评估FC负担。
结果：超过一半（54.3%）的FC有中等/高的MCSI评分（评分9-26）。根据人口统计，失业的FCs（OR=5.55，95CI1.50-20.60）并认为他们目前的健康状况为中等/较差（OR=6.05，95CI1.95-18.78）报告了FC负担增加的可能性较高。患者的表现状况在加重FC负担中起着关键作用，由此,对于东部肿瘤协作组(ECOG)表现评分为3~4分(OR=13.06,95CI1.44~111.26)的UC患者,护理人员的FC负担较高的几率是0分的13倍.对护理提供的信心水平较低与较高的应变水平显着相关（OR=6.76，985CI1.02-44.90）。
结论：在调整照顾者人口统计学后，无论照顾者的持续时间和其他照顾者相关因素如何，照顾者的表现状况都是与较高的FC负担相关的强患者相关因素。
方法：对寻求癌症治疗的UC患者的照顾者进行了横断面调查。改良的照顾者应变指数（MCSI）用于评估FC负担。
结果：超过一半（54.3%）的FC有中等/高的MCSI评分（评分9-26）。根据人口统计，失业的FCs（OR=5.55，95CI1.50-20.60）并认为他们目前的健康状况为中等/较差（OR=6.05，95CI1.95-18.78）报告了FC负担增加的可能性较高。患者的表现状况在加重FC负担中起着关键作用，由此,对于东部肿瘤协作组(ECOG)表现评分为3~4分(OR=13.06,95CI1.44~111.26)的UC患者,护理人员的FC负担较高的几率是0分的13倍.对护理提供的信心水平较低与较高的应变水平显着相关（OR=6.76，985CI1.02-44.90）。
结论：在调整照顾者人口统计学后，无论照顾者的持续时间和其他照顾者相关因素如何，照顾者的表现状况都是与较高的FC负担相关的强患者相关因素。
