Needs Research Of Primary Caregivers Of Patients With Gynecological Malignant Tumor

Objective:To explore the current status of comprehensive needs and analysis the influence factors of needs of major caregivers of gynecological malignant tumor patient.Then using in-depth interview to explore care needs of major caregivers in various stages of the disease and analyze the dynamic change in the framework of timing theory.Method:By convenience sampling method to select 208 major caregivers of gynaecology malignant tumor patient as the research object in a three class comprehensive hospital in Wuhan.General data questionnaire and Chinese version of cancer patient caregivers general needs scale to investigate needs of the caregivers and analysis data throngh SPSS22.0.Colaizzi analysis and purposive sampling method were used and 30 major caregivers from 4 different phases divided by gynecological malignant tumor of participated in the semi-structured interview individually.Results: 1.The total needs score in primary caregivers of gynecological malignant tumor patient is 62.13±19.31 and the average needs score is 1.52±0.47,the overall level of needs is between low needs and moderate needs.The top three needs of seven dimensions in caregivers of gynaecology malignant tumor is medical staff needs、information needs and the medical facilities and service requirements,while the religion and spiritual support needs rank lowest.2.The needs rates in 13 items is higher than 90% of the whole 41 items in the questionnaire.The highest needs rates is the item "when I needed,I hope to see a doctor quickly and easily"(99.0%),while the lowest needs rates is the item "I need the support of religion(9.6%)".3.The single factor analysis showed that the health and psychological problems needs are influenced by caregivers physical health.The family and social support needs are influenced by patient’s age and the caregivers physical health.Medical personnel needs are influenced by caregivers gender.Knowledge information needs are influenced by caregiver’s age,relationship with patients,the occupational status,place of residence and whether patients with unknown.Religion and spiritual support needs are influenced by patient’s professional.Hospital facilities and service needs are influenced by caregiver’s family income,culture degree and current professional status.Actual support needs are influenced by caregivers physical health.Aggregate needs are influenced by caregivers physical health and current professional status.4.Multiple stepwise regression analysis showed that children,towns,a job or a part-time,health of caregivers and patients know ills or not were the main factors of influencing the regression equation of the caregivers needs.5.The needs of major caregivers of the gynecologic malignant tumor in the four stages of disease conditions can be summarized as the following.They were(1)Emotional support needs,hospital environment needs,accommodation requirements;(2)Communication difficulties,the information provided is insufficient,in patients with poor sleep,patients with loss of appetite,patients mentality is bad,poor physical condition,end up psychological pressure,desire to psychological help;(3)Financial support needs,insurance demand,interpersonal needs,worry about illness change,diet confusion;(4)The effective movement needs,specialized consulting department needs,the choice of the ways of consulting,improve beds booking needs,review requirements,simplify the appointment process requirements.Conclusion: 1.The overall level of major caregivers needs of gynecological malignant tumor patient is between low needs and moderate needs.Caregivers have a strong needs on medical personnel,knowledge information and hospital facilities and service.2.Caregivers with diverse characteristics showed different needs level.3.Major factors of caregivers needs is that children,towns,a job or a part-time,health of caregivers and patients know ills or not.4.Major caregivers of gynecologic malignant tumor patient in different stages of the disease showed different needs.it is a process of dynamic change.Continuity of the nursing staff should be formulated its targeted intervention through meeting the family caregivers needs to improve the quality of life of patients and caregivers.