靜脈輸液治療對晚期癌症患者家庭照顧者疲憊的影響

Tzu-Yun Hwang; Wen-Chi Chou; Shu-He Huang

doi:10.6386/CGN.202312_34(4).0002

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P14 - 27

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.6386/CGN

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静脉输液治疗对晚期癌症患者家庭照顾者疲惫的影响

The Effects of Intravenous Fluid Therapy on Family Caregivers' Fatigue of Advanced Cancer Patients

黄子芸(Tzu-Yun Hwang) ；周文其(Wen-Chi Chou) ；黄淑鹤(Shu-He Huang)

长庚护理； 34 卷 4 期 (2023 / 12 / 01) ， P14 - 27

繁体中文;英文 DOI： 10.6386/CGN.202312_34(4).0002

癌症晚期；静脉输液治疗；照顾者；疲惫； Advanced cancer ； Intravenous fluid therapy ； Caregiver ； fatigue

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摘要 │ 参考文献 (29) │ 国际计量

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Background: The dietary challenges and declining health associated with advanced head and neck cancer and gastrointestinal cancer often impact both the nutritional intake and overall well-being of affected patients. Additionally, the appetite status of cancer patients is known to contribute to fatigue experienced by family caregivers. Goal: This study assesses the effectiveness of intravenous fluid therapy administered during hospitalization in alleviating fatigue among family caregivers of patients with advanced head, neck, and gastrointestinal cancer, particularly those facing poor dietary intake. Methods: The study employed purposeful sampling and longitudinal structured questionnaires to investigate patients with advanced head, neck, and gastrointestinal cancers and their primary family caregivers in the Department of Hematology and Oncology at a medical center in northern Taiwan. Research instruments included a demographic questionnaire for both patients and caregivers, the ECOG Performance Status Scale, Patient-Generated Subjective Global Assessment (PG-SGA), and Brief Fatigue Inventory-Taiwan Form (BFT-T) for caregivers. Participants were enrolled from July 2018 to February 2019, completing questionnaires upon admission and after seven days of intravenous fluid therapy. Descriptive and comparative statistical analyses were conducted using SPSS 22.0. Results: The study included 155 patients, with 44 relying on tube feeding and 111 consuming food orally. Predominantly male (65.2%) and averaging 60 years old, patients exhibited ECOG scores of 0-4 and PGSGA scores of 0-12. Insufficient food intake was the primary reason for hospital admission, with 77.4% recommended intravenous fluids by their medical team. Most family caregivers were spouses (49.0%), lacked professional nursing training, were aged ≥ 60 years (42.6%), and were predominantly women (64.5%). Statistical analysis revealed no significant difference in family caregivers' overall fatigue levels before and after the patients received seven days of infusion therapy. However, specific aspects of fatigue related to social interactions and life enjoyment were significantly worse. Conclusion: The findings suggest that hospitalization and intravenous infusion therapy for advanced cancer may not alleviate caregiver fatigue and could even have a negative impact. Future research should explore additional factors influencing caregiver fatigue in hospitalized patients with advanced head and neck cancer and gastrointestinal cancer undergoing intravenous infusion therapy.

参考文献 ( 29 ) 〈TOP〉

张晓婷, H. T.,林明慧, M. H.,陈曾基, Z. J.,黄信彰, S. J.(2017)。浅谈不予和撤除维生医疗伦理、法律、决策与病人照护。临床医学月刊，79(2)，106-111。
连结：
全国法规资料库(2021年01月20日)。病人自主权利法。https://law.moj.gov.tw/LawClass/LawAll.aspx?pcode=L0020189[Laws & regulations database of the republic of China (Taiwan) (2021, January 20). Patient Autonomy Act, https://law.moj.gov.tw/LawClass/LawAll.aspx?pcode=L0020189]
Amano, K.,Morita, T.,Miyamoto, J.,Uno, T.,Katayama, H.,Tatara, R.(2018).Perception of need for nutritional support in advanced cancer patients with cachexia: A survey in palliative care settings.Support Care Cancer,26(8),2793-2799.
Arends, J.,Bachmann, P.,Baracos, V.,Barthelemy, N.,Bertz, H.,Bozzetti, F.,Preiser, J. C.(2017).ESPEN guidelines on nutrition in cancer patients.Clinical nutrition (Edinburgh),36(1),11-48.
Bauer, J.,Capra, S.,Ferguson, M.(2002).Use of the scored Patient-generated subjective global assessment (PG-SGA) as a nutrition assessment tool in patients with cancer.European Journal of Clinical Nutrition,56(8),779-785.

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