Effects of enhanced caregiver training program on cancer caregiver's self-efficacy, preparedness, and psychological well-being.
Effects of enhanced caregiver training program on cancer caregiver's self-efficacy, preparedness, and psychological well-being.
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增强护理人员培训计划对癌症照顾者的自我效能，准备和心理健康的影响。
DOI：
10.1007/s00520-015-2797-3
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发表时间：
2016-01
期刊：
影响因子：
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通讯作者：
Tulsky JA
中科院分区：
文献类型：
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作者：
Hendrix CC;Bailey DE Jr;Steinhauser KE;Olsen MK;Stechuchak KM;Lowman SG;Schwartz AJ;Riedel RF;Keefe FJ;Porter LS;Tulsky JA
我们研究了加强非正式照顾者培训（增强CT）协议在癌症症状和照顾者压力管理住院癌症患者的照顾者的影响。我们招募了肿瘤科的成年患者和他们的非正式护理人员。我们采用了两组随机对照试验设计，在基线、训练后以及出院后2周和4周收集数据。主要结果是管理患者癌症症状和照顾者压力的自我效能，以及对死亡的准备。次要结局是照顾者抑郁、焦虑和负担。教育比较（EDUC）组收到有关社区资源的信息。我们使用一般线性模型来测试增强CT相对于EDUC组的差异。我们同意并随机分配了138对二联体：增强CT = 68和EDUC = 70。与EDUC组相比，增强CT组在癌症症状管理和压力管理方面的照顾者自我效能以及培训后评估时的准备工作方面有更大的增加，但在出院后2周和4周评估时没有增加。干预组在抑郁、焦虑和负担方面没有差异。增强CT方案导致管理患者癌症症状和照顾者压力的自我效能的短期改善，以及对护理的准备，但不是照顾者心理健康。缺乏持续效果可能与我们干预的单剂量性质以及出院后非正式护理人员的需求变化有关。
We examined the effects of an enhanced informal caregiver training (Enhanced-CT) protocol in cancer symptom and caregiver stress management to caregivers of hospitalized cancer patients. We recruited adult patients in oncology units and their informal caregivers. We utilized a two-armed, randomized controlled trial design with data collected at baseline, post-training, and at 2 and 4 weeks after hospital discharge. Primary outcomes were self-efficacy for managing patients' cancer symptoms and caregiver stress, and preparedness for caregiving. Secondary outcomes were caregiver depression, anxiety, and burden. The education comparison (EDUC) group received information about community resources. We used general linear models to test for differences in the Enhanced-CT relative to the EDUC group. We consented and randomized 138 dyads: Enhanced-CT = 68 and EDUC = 70. The Enhanced-CT group had a greater increase in caregiver self-efficacy for cancer symptom management and stress management, and preparation for caregiving at the post-training assessment compared to the EDUC group but not at 2 and 4-week post-discharge assessments. There were no intervention group differences in depression, anxiety, and burden. An Enhanced-CT protocol resulted in short-term improvements in self-efficacy for managing patients' cancer symptoms and caregiver stress, and preparedness for caregiving but not in caregivers' psychological well-being. The lack of sustained effects may be related to the single-dose nature of our intervention and the changing needs of informal caregivers after hospital discharge.