Abstract: Objective: To investigate the current status and influencing factors of psychological detachment among the primary caregivers of colorectal cancer patients. Methods: A survey was conducted among 247 primary caregivers of colorectal cancer patients using a general information questionnaire, psychological detachment scale, care burden scale, social support scale, and disease cognition scale. Univariate and multiple linear regression analyses were used to analyze the influencing factors of psychological detachment among primary caregivers. Results: The total score of psychological detachment among the primary caregivers of colorectal cancer patients was 11.00±2.60. Daily care duration, daily sleep duration, assistance from others, care burden, social support, and disease cognition were the main influencing factors of caregivers′ psychological detachment. Conclusion: The psychological detachment of the primary caregivers of colorectal cancer patients needs to be improved. Medical staff should pay attention to the physical and mental health of the caregivers, develop targeted intervention measures, improve caregivers′ psychological detachment level, and thereby improve their quality of life.

Key words: Colorectal cancer, Caregivers, Psychological detachment, Care burden, Disease cognition, Social support

摘要： 目的：探讨结直肠癌患者主要照顾者的心理脱离水平及其影响因素。方法：采用一般资料调查表、心理脱离量表、照顾负担量 表、社会支持量表和疾病认知量表对247例结直肠癌患者主要照顾者进行调查，采用单因素、多重线性回归分析主要照顾者心理脱离影响因素。 结果：结直肠癌患者主要照顾者心理脱离得分为（11.00±2.60）分，每日照顾时长、每日睡眠时长、有无他人协助、照顾负担、社会支持和疾病认知是照顾者心理脱离的主要影响因素。结论：结直肠癌患者主要照顾者的心理脱离水平有待提高，医护人员可根据影响心理脱离水平的因素制定针对性干预措施，以提高照顾者的心理脱离水平，从而提高其照顾能力。

关键词: 结直肠癌, 照顾者, 心理脱离, 照顾负担, 疾病认知, 社会支持