关键词: cancer caregivers carers depression digital health literacy low-middle income online quality of life support

来  源:   DOI:10.1080/07347332.2024.2345115

Abstract:
UNASSIGNED: To evaluate a co-designed intervention using digital resources \"Vietnam Cancer Caring Coping\" (V-CCC) on the health literacy, depression, and quality of life of caregivers supporting a cancer patient in oncology hospitals in Vietnam.
UNASSIGNED: A pre-post quantitative evaluation with adult cancer caregivers across regional Oncology hospitals in Vietnam (Ho Chi Minh City, Da Nang, Can Tho, and Hue). Participants completed baseline and follow-up measures of health literacy (HLS-SF12) depression (PHQ-9) and Health-related Quality of Life (5Q-5D-5L). Participants accessed and reviewed V-CCC for a 2-week period.
UNASSIGNED: Two hundred and thirty-four caregivers completed pre and post-tests. Most participants were female (n = 143, 61%), married (n = 165, 70%), aged 18-44 (n = 155, 66%), lived rurally (n = 157, 67%). All health literacy scores of participants in post-intervention were significantly higher than that in pre-intervention across all domain\'s healthcare, disease prevention, and health promotion as well as the total score (p < 0.001). A significant reduction in the proportion of caregivers reporting PHQ-9 moderately severe/severe depression post-intervention was demonstrated (10.2 vs. 6.1%, respectively (p ≤ 0.001). No significant differences were observed pre and post-intervention across four 5Q-5D-5L health dimensions: mobility, self-care, usual activities, and pain/discomfort. Regarding anxiety/depression as measured by 5Q-5D-5L the proportion of participants who reported having moderate, severe, and extreme problems in pre- and post-intervention was statistically significant (32 vs. 24%), respectively (p = 0.0028).
UNASSIGNED: Co-designed digital resources can reduce health literacy inequities and improve psychological outcomes for cancer caregivers.
摘要:
使用数字资源“越南癌症护理应对”(V-CCC)对健康素养进行评估,抑郁症,以及在越南肿瘤医院支持癌症患者的护理人员的生活质量。
对越南各地区肿瘤医院的成人癌症护理人员进行的事后定量评估(胡志明市,岘港,CanTho,和色调)。参与者完成了健康素养(HLS-SF12)抑郁症(PHQ-9)和健康相关生活质量(5Q-5D-5L)的基线和随访测量。参与者访问并审查了V-CCC2周。
两百三十四名护理人员完成了前后测试。大多数参与者是女性(n=143,61%),已婚(n=165,70%),18-44岁(n=155,66%),生活在农村(n=157,67%)。在所有领域的医疗保健中,干预后参与者的所有健康素养得分均显着高于干预前,疾病预防,和健康促进以及总分(p<0.001)。干预后报告PHQ-9中度重度/重度抑郁症的护理人员比例显着降低(10.2vs.6.1%,分别(p≤0.001)。在四个5Q-5D-5L健康维度上,干预前后没有观察到显著差异:移动性,自我照顾,平时的活动,和疼痛/不适。关于5Q-5D-5L测量的焦虑/抑郁,严重,干预前后的极端问题具有统计学意义(32vs.24%),分别(p=0.0028)。
共同设计的数字资源可以减少健康素养不平等并改善癌症护理人员的心理结果。
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