The relationship between communication and health-related quality of life in survivorship care for Chinese-American and Korean-American breast cancer survivors.
The relationship between communication and health-related quality of life in survivorship care for Chinese-American and Korean-American breast cancer survivors.
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DOI：
10.1007/s00520-012-1641-2
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发表时间：
2013-04
影响因子：
3.1
通讯作者：
Paek, Min-so
中科院分区：
文献类型：
--
作者：
Lim, Jung-won;Paek, Min-so
关键词：
本研究旨在(1)比较中韩两族乳腺癌存活者的家庭沟通、决策支持(即支持患者决策)、医患沟通中的自我效能感(即患者与医生沟通的信心水平)和健康相关生活质量(HRQOL)；(2)探讨中韩两族乳腺癌存活者的家庭沟通、决策支持和自我效能感对其HRQOL的影响。采用横断面设计。共有157名中国人(n=86)和韩裔美国人(n=71)从加州癌症监测项目和洛杉矶县的地区医院招募。采用慢性护理模式。华裔和韩裔美国人仅在决策支持上存在显著差异。在华裔美国人中，医患沟通的自我效能感与HRQOL直接相关，而在韩裔美国人中，家庭沟通与HRQOL相关。医患沟通中的决策支持和自我效能感在家庭沟通与HRQOL之间的中介作用仅在华裔美国人中被观察到。多组分析表明，华裔和韩裔美国人的BCS结构路径不同。我们的研究结果提供了对华裔和韩裔美国BCS的生存护理的洞察，使我们能够更好地了解幸存者、家人和医疗保健提供者之间的沟通。在文化背景下管理冲突并在冲突之间达成共识的沟通技能对于改善BCS的人权生活质量至关重要。
The purpose of this study was (1) to compare family communication, decision support (i.e., supporting the patient in making decisions), self-efficacy in patient-physician communication (i.e., patients’ confidence level in communicating with physicians), and health-related quality of life (HRQOL) between Chinese- and Korean-American breast cancer survivors (BCS), and (2) to investigate how family communication, decision support, and self-efficacy in patient-physician communication influences HRQOL for Chinese- and Korean-American BCS. A cross-sectional design was used. A total of 157 Chinese- (n=86) and Korean-American (n=71) BCS were recruited from the California Cancer Surveillance Program and area hospitals in Los Angeles County. The Chronic Care Model was utilized. Chinese- and Korean-Americans showed a significant difference in the decision support only. Self-efficacy in patient-physician communication was directly associated with HRQOL for Chinese-Americans, whereas for Korean-Americans, family communication was related to HRQOL. The mediating effects of decision support and self-efficacy in physician-patient communication in the relationship between family communication and HRQOL were observed for Chinese-Americans only. Multiple group analysis demonstrated that the structural paths varied between Chinese- and Korean-American BCS. Our results provide insight into the survivorship care of Chinese- and Korean-American BCS, allowing a better understanding of communication among survivors, family, and healthcare providers. Communication skills to manage conflict and attain consensus among them under the cultural contexts are essential to improve HRQOL for BCS.
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影响因子：
3.5
作者：
Lim, Jung-won;Zebrack, Brad
通讯作者：
Zebrack, Brad
影响因子：
6.2
作者：
Maly, RC;Leake, B;Silliman, RA
通讯作者：
Silliman, RA
影响因子：
0.4
作者：
Lim, Jung-Won
通讯作者：
Lim, Jung-Won
DOI：
10.1111/j.1532-5415.1998.tb02725.x
发表时间：
1998-07-01
影响因子：
6.3
作者：
Maly, RC;Frank, JC;Reuben, DB
通讯作者：
Reuben, DB
影响因子：
2.2
作者：
IshiiKuntz, M
通讯作者：
IshiiKuntz, M