Perceived control and hot flashes in treatment-seeking breast cancer survivors and menopausal women.
Perceived control and hot flashes in treatment-seeking breast cancer survivors and menopausal women.
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DOI：
10.1097/ncc.0b013e31822e78eb
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发表时间：
2012-05
期刊：
影响因子：
2.6
通讯作者：
Yu M
中科院分区：
文献类型：
--
作者：
Carpenter JS;Wu J;Burns DS;Yu M
在中年女性中，对潮热的控制力较低与较少的应对策略、更多的灾难化、更大的潮热严重性和痛苦有关；然而，这个重要的概念还没有在乳腺癌幸存者中进行过研究。探讨与未患癌症的中年妇女相比，乳腺癌幸存者对潮热和潮热的感知控制。99名幸存者和138名中年妇女完成了问卷调查和一份前瞻性的电子热闪日记。所有数据都是在行为干预研究随机化之前的基线评估中收集的。两组对潮热都有适度的控制。对照组与热闪频率无显著相关，但与两组热闪严重程度、困扰和干扰显著相关。与中年女性相比，幸存者的控制和热闪干扰之间的联系明显更强。使用潮热疗法的幸存者比没有使用潮热疗法的幸存者感受到更少的控制力，而在中年女性中则相反。研究结果扩展了我们对幸存者和中年妇女对潮热的感知控制的认识。研究结果强调了持续的更年期症状评估和管理的重要性，支持了持续护理的重要性，即使对已经使用潮热治疗的幸存者也是如此，并建议旨在改善对潮热控制的护理干预可能对幸存者比中年妇女更有帮助。
Lower perceived control over hot flashes has been linked to fewer coping strategies, more catastrophizing, and greater hot flash severity and distress in midlife women; yet, this important concept has not yet been studied in breast cancer survivors. To explore perceived control over hot flashes and hot flashes in breast cancer survivors compared to midlife women without cancer. 99 survivors and 138 midlife women completed questionnaires and a prospective, electronic hot flash diary. All data were collected at a baseline assessment prior to randomization in a behavioral intervention study. Both groups had moderate perceived control over hot flashes. Control was not significantly related to hot flash frequency, but was significantly related to hot flash severity, bother, and interference in both groups. A significantly stronger association between control and hot flash interference was found for survivors than for mid-life women. Survivors using hot flash treatments perceived less control than survivors not using hot flash treatments, whereas the opposite was true in midlife women. Findings extend our knowledge of perceived control over hot flashes in both survivors and midlife women. Findings emphasize the importance of continued menopausal symptom assessment and management, support the importance of continuing nursing care even for survivors who are already using hot flash treatment, and suggest that nursing interventions aimed at improving perceived control over hot flashes may be more helpful for survivors than for midlife women.