Adaptation of wives to prostate cancer following diagnosis and 3 months after treatment: A test of family adaptation theory
Adaptation of wives to prostate cancer following diagnosis and 3 months after treatment: A test of family adaptation theory
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DOI：
10.1016/j.ijnurstu.2006.05.004
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发表时间：
2006-09-01
影响因子：
8.1
通讯作者：
Taguchi, Yoshi
中科院分区：
文献类型：
--
作者：
Ezer, Helene;Ricard, Nicole;Taguchi, Yoshi
背景：前列腺癌不仅对患有前列腺癌的男性构成挑战，也对他们的伴侣构成挑战。现有的研究集中在治疗类型与男性性功能和尿路功能之间的关系，最近的定性研究表明，男性和他们的配偶对这种疾病有不同的反应。目的：运用家庭压力和适应理论建立的模型，考察了(1)尿性症状、连贯感、婚姻资源和情境评价对妻子的总体适应(PAIS)和情绪适应(POMS)的贡献，以及(2)情境评价在自变量集合与PAI和POMS之间的中介作用。设计：采用前瞻性相关设计，收集了70名女性在伴侣确诊后和3个月后的数据。方法和结果：采用通径分析方法，通过模型测试解释了全球适应和情绪障碍的30%到62.7%的差异。连贯感是一个很强且一致的预测因子。评估仅在时间2起中介作用，调节症状困扰对整体适应的影响。凝聚感的变化和家庭资源的变化预测了时间2的整体适应和情绪适应，并预测了这些变量在时间1和时间2之间的变化。结论：研究结果表明，护理干预可以调动和建立妻子对生活事件的可管理性、意义和可理解性的意识，并促进婚姻关系的凝聚力和灵活性。还指出了减轻尿路症状影响的干预措施和疾病事件中威胁的评估。基于家庭适应理论对其他类型癌症患者和家庭成员进行的额外模型测试研究将有助于为癌症干预建立护理知识。(C)2006爱思唯尔有限公司。保留所有权利。
Background: Prostate cancer challenges not only the men with the disease, but also their partners. Existing studies have focused on the relationship between type of treatment and sexual and urinary function in men, with recent qualitative work suggesting that men and their spouses have differing responses to the illness. Factors predicting women's adaptation to prostate cancer have not been examined.Objectives: Using a model derived from family stress and adaptation theory, this study examined (1) the contribution of urinary and sexual symptoms, sense of coherence, marital resources and situational appraisal to wives' global adaptation (PAIS) and emotional adaptation (POMS), and (2) the role of situational appraisal as a mediator between the set of independent variables and PAIS and POMS.Design: In a prospective, correlational design, data were collected from 70 women following their partners' diagnosis and again 3 months later.Methods and results: Using a path analysis approach, between 30% and 62.7% of the variance in global adjustment and mood disturbance was explained across model tests. Sense of coherence was a strong and consistent predictor. Appraisal acted as a mediator only at time 2, mediating the effect of symptom distress on global adaptation. Change in sense of coherence and change in family resources predicted global adaptation and emotional adaptation at time 2, and predicted the change between time 1 and 2 in those variables.Conclusions: The findings suggest nursing interventions that mobilize and build wives' sense of the manageability, meaningfulness and comprehensibility of life events, and that foster cohesion and flexibility within the marital relationship. Interventions that mitigate the impact of urinary symptoms and the appraisal of threat in the illness event are also indicated. Additional model-testing studies based on family adaptation theory with patients and family members in other types of cancer would help build nursing knowledge for interventions in cancer. (c) 2006 Elsevier Ltd. All rights reserved.