Influencing Factors And Latent Class Analysis Of Psychological Health Among Caregivers Of Patients With Lymphoma

ObjectiveTo investigate the psychological health, caregiver burden, self-efficacy level among caregivers of patients with lymphoma. To analysis the influencing factors of psychological health among caregivers of patients with lymphoma. To analysis the latent class of psychological health among caregivers of patients with lymphoma. To improve the psychological health among caregivers.MethodsTotally 234 caregivers of patients with lymphoma from the first affiliated hospital of zhengzhou university in January 2015 to September 2015 were investigated with Symptom Checklist 90(SCL-90), Caregiver Burden Inventory(CBI)and General Self-efficacy Scale(GSES). The data were processed by SPSS Software Package(Version 17.0) and LatentGOLD(Version 5.0). Descriptive Statistics,Mann-Whitney U sample rank test, Spearman correlation analysis, Logistic regression and exploratory latent class analysis were used.Results1. Totally 250 caregivers of patients with lymphoma meeting the inclusion criteria were investigated, only 234 questionnaires were qualified, so the effective collect rate was 93.6%.2. The total score of SCL-90 was 144.94±47.12, and the positive factor detection rate was 69.7%. The total score of SCL-90, somatization, depression, anxiety, terror,sleep and eating were higher than domestic norm, and the differences were statistically significant(P < 0.05).3. The total score of CBI among caregivers was 30.75±5.90. The top three were time dependent burden, limited development burden and physiological burden. The total score of GSES among caregivers was 2.64±0.66.4. Logistic regression analysis results show that the influencing factors of somatization symptoms among caregivers of patients with lymphoma were caregivers' age, literacy level, the presence of chronic diseases and caregiver burden(P<0.05). The influencing factors of depressive were care time, caregiver burden, caregivers' gender, general self-efficacy and working condition(P<0.05). The influencing factors of anxiety were caregivers' age, the relationship with patients caregiver burden and the presence of chronic diseases(P<0.05). The influencing factors of terrorist symptom were the stage, course and caregiver burden(P<0.05).The influencing factors of sleep and eating were caregivers' age, caregiver burden and the presence of chronic diseases(P<0.05). The influencing factors of psychological health were literacy level, course, caregiver burden and the relationship with patients(P<0.05).5. The latent class analysis of psychological health among caregivers of patients with lymphoma was divided into three categories, respectively named "fine psychological healthy condition group", "anxiety and somatization group" and "high-risk of psychological health group".Conclusions1. The caregivers of patients with lymphoma present poor psychological symptom, the heavier caregiver s burden and the lower general self-efficacy.2. The influencing factors of psychological health among caregivers of patients with lymphoma were caregiver burden, caregivers' age, the presence of chronic diseases, literacy level, the relationship with patients, et al.3. The latent class analysis of psychological health among caregivers of patients with lymphoma was divided into three categories, respectively named "fine psychological healthy condition group", "anxiety and somatization group" and "high-risk of psychological health group". Intervention be treated according to the different categories of psychological health among caregivers.