A Study On The Application Of Family-centered Supportive Education Programs In Primary Caregivers Of Patients With Advanced Cancer

Objective: To evaluate the intervention effect of family-centered supportive education program on the care burden,positive feeling level and simple coping style of the main caregivers of patients with advanced cancer,and to provide a reference for exploring effective intervention methods in clinical practice.Methods: This study belongs to experimental research.From December 2019 to May2020,the caregivers of advanced cancer patients hospitalized in the Department of Oncology of a third Class A Hospital in Yunnan Province were selected strictly according to the standard of Na Pai.The subjects were divided into control group and intervention group by random digital table method.The control group carried out routine health education,and the intervention group carried out family-centered supportive education programs on the basis of routine health education,including setting up research teams,providing information and social support,interpersonal communication and coping skills,self-health promotion,stress management,mental health education,etc.Caregiver’s burden scale(CBI)used The caregivers’ positive feelings scale(PAC)and the simple coping style questionnaire(SCSQ)were used to evaluate the care burden,positive feelings and coping styles of the two groups of patients with advanced cancer before and after intervention(1 month and 2 months),and the statistical software was used SPSS25.0analyze the data.Results:1.Before the intervention,the basic data,care burden score,positive feeling level score and coping style score of the main caregivers of the two groups of advanced cancer patients were compared,the difference was not statistically significant(P>0.05),which was comparable.2.Comparison of caregiving burden between the two groups: after intervention(1 month,2months),the caregiving burden score(time-dependent burden,development-limited burden,physiological burden,social burden,emotional burden and total score of caregiving burden)in the two groups of patients with advanced cancer was significantly lower than that in the control group(P<0.(05);There were statistically significant differences in time effect,inter-group effect and interaction effect between the two groups of caregivers in the care burden score except the development-limited burden dimension(P<0.01);3.The scores of positive feeling level of caregivers of patients with advanced cancer in the two groups were compared: after intervention(1 month,2 months),the scores of positive feeling level(self-affirmation dimension,life outlook dimension,total score of positive feeling level of caregivers),the scores of positive feeling level of caregivers in intervention group were significantly higher than those in control group(P<0.05);the time effect,inter-group effect and interaction effect of caregivers in total positive feeling level score and each dimension score were statistically significant(P<0.01);4.There was significant difference in coping style between the two groups: after intervention(1 month,2 months),the scores of active coping style in intervention group were significantly higher than those in control group(P<0.01),and the difference in time effect,group effect and interaction effect was statistically significant(P<0.After intervention,the negative coping style of the intervention group was lower than that of the control group,and the negative coping style of the two groups was worse than that of the control group except for the time effect Differences were not statistically significant(P>0.05).Conclusion:1.This study shows that family-centered supportive education programs for primary caregivers of patients with advanced cancer can reduce the care burden of caregivers to a certain extent,improve the positive perception level of primary caregivers of patients with advanced cancer,and promote the positive coping style of primary caregivers of patients with advanced cancer,and the effect is better than that of group;2.supportive family-centred education programmes will be able to play an important role in the management of the physical and mental health of the main caregivers for patients with advanced cancer;...