Research On The Self-Perceived Burden Of Women With Breast Cancer And Explore The Influencing Factors

Object: The purpose of this study was to investigate the present self-perceived burden ofthe women with breast cancer, and explored its relationship with quality of life andcaregivers’ burden, comprehensive identified factors that affect self-perceived burden ofwomen with breast cancer and provided guidance for clinical care workers to carry outtargeted care measures for patients.Methods: A face-to-face survey was conducted among300female breast cancer patientsand their caregivers by using purposive sampling method in Breast Center of a Three-levelTumor Hospital, Hunan province, from June2011to December2012. Investigatedsociology of population data for patients and their caregivers using general informationquestionnaires, applied Self-Perceived Burden Scale (SPBS) to investigate self-perceivedburden of women with breast cancer, made an investigation by using Quality of LifeQuestionnaire-Breast Cancer Module23(QLQ-BR23) to get the quality of life of patients,and explored caregivers’ burden by means of Zarit Caregiver Burden Interview (ZBI).Analyzied the connection between patients’ self-perceived burden and patients’ generalinformation, analyzied the relationship between caregivers’ basic information and theirnursing burden, and explored the relation among patients’ self-perceived burden andquality of life and Caregivers’ Burden separately. Thus provide guidance for thedevelopment of a comprehensive care plan. We used SPSS17.0to make statistical analysis.Research methods include descriptive analysis, Kruskal-wallis H test, multiple linearregression, rank correlation analysis and Canonical correlation analysis.Results:1. General demographic data of the patients in the study showed that: female breast cancermostly happened in the35to60age group, accounting for87.3%, most of them wereunemployed, accounting for62%, their family income were lower,35.9%of patients witha monthly income of less than1,000yuan,48.6%of patients’ medical expenses paymentwere paid by the rural cooperative medical care,53.1%of patients received only junior high school or elementary school education,78%of patients only understood partial of thedisease, surgery combined with chemotherapy account most in this survey,accounting for45.9%,89%of patients got married,72.9%of patients were looked after by their spouseduring the illness.2. General demographic data of the caregivers in the study showed that:62.8%of thecaregivers in the35to60age group, the majority of caregivers were employed, accountingfor43%,35%of patients with a monthly income of less than1,000yuan,43.8%ofcaregivers received only junior school or elementary school education which account mostin the survey population, the majority of caregivers were male, accounting for56.6%,80.2%of cargivers got married,48.6%of the caregivers were patients’ spouses.3. From the total score of the Self-Perceived burden of breast cancer patients can be foundthat the majority of breast cancer patients (56.5%) felt in the mild to moderate burden(29.4811.58).4. From the total score of the burden of caregivers can be seen that a large majority ofcaregivers (77.4%) in a high level of care burden response (46.81±12.019).5. In the description of the quality of life of women with breast cancer showed that patientsgot lower scores in four dimensions, which were “Hair loss concerns”,“sexual function”,”sexual desire” and “vision for the future”.6. Results of Kruskal-wallis H test showed that:①Occupation and knowledge of the stateof illness had statistically significant influence on patients’ self-perceived burden score.②Patients’ occupation, age, education level, knowledge of the state of illness, family incomeper month, patient’s primary caregiver as well as the medical expenses were factorsinfluence each dimension score of patients’ self-perception burden.③Caregivers’ age,gender, family income per month, whether hired nanny and the number of involvedcaregivers had statistically significant influence on the total score of caregivers’ burden.④Age had a statistically significant impact on the burden of responsibility dimension score,gender, whether to hire a nanny, the number of involved caregivers and family income hadstatistically significant impact on the personal burden dimension score.7. Results from multiple regression analysis showed that the final factors impacted eachdimension of self-perceived burden of patients were family income per month, educationlevel, knowledge of the state of illness, patient’s primary caregiver and marital status, factors ultimately affected each dimension of the caregiver burden were caregivers’ gender,age, family income per month and whether to hire a nanny.8. We used rank correlation analysis to explore the correlation between patients’ perceivedburden and patients’ quality of life and caregivers’ burden. The results showed that the totalscore of patients’ quality of life had a certain association with the total score of thepatients’ perceived burden p0.05. The economic dimension and the emotionaldimension had no correlation with sexual function; there was no correlation between libidodimension and the economic dimension. Beside these, other dimensions were testedpositive correlation with each other. Canonical correlation analysis was used on the basisof each entry to check the overall relevance, results showed that there exist a moderatecorrelation between patients’ self-perceived burden and patients’ quality of life and theburden of caregivers, and the Canonical correlation coefficients were0.58and0.49,respectively. Results on the basis of each dimension showed that the Canonical correlationcoefficients were0.49,0.13respectively, value of Canonical correlation coefficientwere102.93、4.88respectively, P value were <0.001,0.559respectively.Conclusion:1. The self-perceived burden of female breast cancer patients were in the mild to moderatelevel.2. Caregivers of female breast cancer patients were in the high reactivity load.3. Family income per month, education level, knowledge of the state of illness, patient’sprimary caregiver, marital status as well as patients’ quality of life were factors affected theself perceived burden of patients.