| Objective: Cancer incidence and mortality was increasing every year. Cancer not only brings patients physical suffering but also serious psychologically, spiritually trauma. Communication can change patients'negative emotion, and promote their positive mental. Effective communication plays a positive role in patient's emotional and psychological rehabilitation. However, the present study focused on doctor-patient and nurse-patient communication, the survey showed doctor-patient and nurse-patient communications have many problems, it can not meet the communication needs of cancer patients. There are few studies about primary caregivers of cancer patients. This study aimed at investigating the primary caregivers of cancer patients of communicates status and analysis the factors that affect communication between the cancer patients and their primary caregivers to provide the theoretical foundation for clinical cancer care.Methods: This study adopted descriptive method. 411 primary caregivers of cancer patients in the Fourth Hospital of Hebei Medical University were collected in this questionnaire survey. The questionnaire were designed by the researcher bibliographic search, in order to get a better understanding of the primary caregivers communication situation, the researcher adds the range and depth of survey according to actual situation of caregivers. The questionnaire was modified by some experts who studied the nursing education, supervision and scientific research for a long time after the first draft and based on it taking a pilot study of small sample to perfect the questionnaire. The questionnaire concentrated on its three aspects such as communication cognitive, willingness and attitudes, contents, time, ways, skills. Statistical analysis used SPSS11.5 statistical software.Results: 1 communication status: Primary caregivers'will and attitude in communication got the highest scores; primary caregivers got lowest scores in communication content. Other scores between high and low are communication cognitive, communication skills, communication timing, and communication ways. 2 Dimensional analysisIn primary caregivers'communicate the wishes and attitudes, the item"willing to communicate with patients"got the highest scores, the"often to communicate with patients"got the lowest score. In communication cognitive, the highest score of the item is"communication may be given to patient's emotional support", the lowest score of the item is"communication could allow patients to a correct understanding of the disease". In listening skills, the"appropriate response"items got the highest scores,"to verify the patient's understanding"item received the lowest scores; in empathy skills, the item"caring for idea of patients"got the highest scores; the"verification of understanding the patient feel"got the lowest scores; In guiding skills,"choose the interest topic to start a conversation "got the highest scores,"find a way to enable patients to vent their emotions"got lowest scores. In communication time, the primary caregivers in the"choose a relaxed and happy atmosphere"item got the highest scores, and in the"choice sufficient time"item received the lowest scores. In the language, the primary caregiver got the highest scores in"conversation", using"mobile phones, letters"was the lowest scores, in the use of non-verbal communication, the"observation of the patient's facial expressions"got the highest scores, but the item"through their facial expression of emotion to the patients"got lowest scores. In communication content, the item"exchanging daily life"got the highest scores, but lowest sores in"Information disclosure".3 Univariate analysis3.1 Communication cognition: The primary caregivers who were different ages, educational level, and the availability of health care guide in communicate cognition were significant deviations.31-50-year-old primary caregivers got higher communication cognitive; the higher education level caregivers got higher scores in communication cognitive; and the caregivers who received medical guidance got a higher scores in cognitive communicate.3.2 Communicate wishes and attitudes: primary caregivers who had different experiences, relationships with patients, mood, with or without medical guidance and the availability of communication support have more statistical significance in comparison of communication wishes and attitude.Cancer caregivers who had care experiences got higher score than those without experience in communication wishes and attitudes; cancer patients'children got higher scores than all other caregivers in communicate wishes and attitudes; those who had better emotions got higher scores in communication willingness and attitudes; those who received medical care guidance got higher scores; those who could get family support had higher scores.3.3 Communication content: there were significant deviation between different gender, educational level, residence, care experiences, relationships with patients and mood, with or without medical guidance caregivers in communication content.Female caregivers got higher scores than males in communication content; those who were educational level got higher scores; caregivers living in the city's scored higher than those living in rural areas; cancer caregivers who had care experiences got higher score than those without experience; cancer patients'spouse got higher scores than all other caregivers; those who had better emotions, got higher scores; those who received medical guidance got higher scores than not received.3.4 Communication time: there was no statistical significance between the different caregivers in communication the time.3.5 Communication methods: there was statistical significance between caregivers of different age, education, care experience, health, emotional, with or without family support.31-50 years of age caregivers got higher scores; the higher education level caregivers could get higher scores in communication; caregivers who had no care experience got higher scores than those who had care experience; physical condition of caregivers were better, the higher score they got; those whose emotion were better got higher scores; caregivers with family support got higher score than those had no support.3.6 communication skills: comparison of caregivers who were different age, sex, education, relationships, physical conditions, emotional, with or without medical guidance were statistical significance.31-40 year-old caregivers got highest scores in communication skills; female caregivers'communication skills scored higher than men; those who had higher education level got higher the score; in the patient's caregivers, their children scored higher than other care persons in communication skills; caregivers who had better health got higher score; those whose emotion were better got higher scores; caregivers who received medical care got higher score than those who received no.4 Communication cognition of primary caregivers mainly was affected by their educational level; communication contents mainly was affected by health care guidance, residence, relationships with patients, care experience, emotions, and educational level; communication method mainly was affected by their residence and caregiver's health; Communication skills mainly was affected by caregivers'educational level and health care guidance.Conclusion: Primary caregivers have strong communication wills with cancer patients; Primary caregivers have a strong will and good attitude to communicate with patients;primary caregivers have not yet realized that the knowledge about diseases could improve their rehabilitation; communication methods that primary caregivers used is mainly face to face conversation. communication and cognitive was affected by education; communication content was affected by the situation of health care guide, residence, and the relationship between patients, care history, emotional, educational level; communication ways was affected the physical condition, residence; communication skills was affected by education and health care guidance.
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