The Interdependence of Advanced Cancer Patients' and Their Family Caregivers' Mental Health, Physical Health, and Self-Efficacy over Time.
The Interdependence of Advanced Cancer Patients' and Their Family Caregivers' Mental Health, Physical Health, and Self-Efficacy over Time.
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DOI：
10.1007/s12160-015-9743-y
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发表时间：
2015-12
期刊：
影响因子：
--
通讯作者：
Northouse L
中科院分区：
文献类型：
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作者：
Kershaw T;Ellis KR;Yoon H;Schafenacker A;Katapodi M;Northouse L
晚期癌症的挑战对患者及其家庭护理人员从诊断到临终的健康产生影响。患者/护理人员经历的性质表明他们的心理和身体健康可能是相互依赖的，但存在有限的经验证据。这项研究以社会认知理论为框架，调查个人和人际对患者及其家庭护理人员的心理健康、身体健康和自我效能的影响，以应对晚期疾病的挑战。患者和护理人员（484 名患者-护理人员二人组）完成了基线、3 个月和 6 个月的调查。使用纵向二元分析技术来检查（i）患者和护理人员对自己的心理健康、身体健康和自我效能（行动者效应）的影响，以及（ii）他们对彼此的健康结果的影响（伙伴效应）。我们还研究了自我效能随着时间的推移对身心健康的影响。与我们的假设一致，每个人的心理健康、身体健康和自我效能随着时间的推移对他们自己的结果产生显着影响（演员效应）。患者和护理人员会影响彼此的心理和身体健康（伴侣效应），但不会影响他们的自我效能。此外，自我效能感较高的患者和护理人员的心理健康状况较好，其伴侣的身体健康状况也较好。患者和护理人员的身心健康是相互依赖的。每个人与癌症相关的自我效能感都会影响他们自己的身心健康。然而，一个人的自我效能感并不影响另一个人的自我效能感。
The challenges of advanced cancer have health implications for patients and their family caregivers from diagnosis through end-of-life. The nature of the patient/caregiver experience suggests that their mental and physical health may be interdependent, but limited empirical evidence exists. This study used Social Cognitive Theory as a framework to investigate individual and interpersonal influences on patients’ and their family caregivers’ mental health, physical health, and self-efficacy as individuals to manage the challenges of advanced disease over time. Patients and caregivers (484 patient-caregiver dyads) completed surveys at baseline, 3 months and 6 months. Longitudinal dyadic analysis techniques were used to examine (i) the influence that patients and caregivers had on their own mental health, physical health, and self-efficacy (actor effects) and (ii) the influence that they had on each other’s health outcomes (partner effects). We also examined the influence of self-efficacy on mental and physical health over time. Consistent with our hypotheses, each person’s mental health, physical health, and self-efficacy had significant effects on their own outcomes over time (actor effects). Patients and caregivers influenced one another’s mental and physical health (partner effects), but not their self-efficacy. In addition, patients and caregivers with higher self-efficacy had better mental health, and their partners had better physical health. Patient and caregiver mental and physical health were interdependent. Each person’s cancer-related self-efficacy influenced their own mental and physical health. However, a person’s self-efficacy did not influence the other person’s self-efficacy.