Meaning-based coping, chronic conditions and quality of life in advanced cancer & caregiving
Meaning-based coping, chronic conditions and quality of life in advanced cancer & caregiving
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DOI：
10.1002/pon.4146
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发表时间：
2017-09-01
期刊：
影响因子：
3.6
通讯作者：
Northouse, Laurel
中科院分区：
文献类型：
--
作者：
Ellis, Katrina R.;Janevic, Mary R.;Northouse, Laurel
这项研究探讨了同时存在的健康问题的数量与（患者合并症和照顾者慢性疾病）和生活质量（QOL）在晚期癌症患者和他们的照顾者之间的关系，并评估了中介和调节作用的意义为基础的应对这种关系。（乳腺、结直肠、肺和前列腺）及其家庭护理人员（N=484对）。研究假设进行了检查与结构方程模型使用的演员，合作伙伴的相互依存中介模型。引导和模型约束被用来测试中介模型所建议的间接影响。一个相互作用项被添加到标准的演员，合作伙伴的相互依赖模型，以测试适度effects.ResultsMore患者合并症与较低的患者生活质量。更多的照顾者慢性疾病与较低的患者和照顾者的生活质量。病人的合并症和照顾者的慢性病有负面影响照顾者的意义为基础的应对，但没有显着影响病人的意义为基础的应对。照顾者意义为基础的应对介导的关系，病人共病和照顾者的健康状况和病人和照顾者的生活质量。没有显着的缓和效果observed.ConclusionsDespite晚期癌症的患者和照顾者的严重程度，共存的健康问题的一个成员的二分体有可能直接或间接地影响幸福的其他。未来的研究应该考虑患者合并症和护理人员慢性疾病的数量，以及患者和护理人员管理这些疾病的能力，如何影响他们基于意义的应对和幸福。版权所有（c）2016约翰威利父子有限公司
ObjectiveThis study examined the relationship between the number of co-existing health problems (patient comorbidities and caregiver chronic conditions) and quality of life (QOL) among patients with advanced cancer and their caregivers and assessed the mediating and moderating role of meaning-based coping on that relationship.MethodsData came from patients with advanced cancers (breast, colorectal, lung, and prostate) and their family caregivers (N=484 dyads). Study hypotheses were examined with structural equation modeling using the actor-partner interdependence mediation model. Bootstrapping and model constraints were used to test indirect effects suggested by the mediation models. An interaction term was added to the standard actor-partner interdependence model to test for moderation effects.ResultsMore patient comorbidities were associated with lower patient QOL. More caregiver chronic conditions were associated with lower patient and caregiver QOL. Patient comorbidities and caregiver chronic conditions had a negative influence on caregiver meaning-based coping but no significant influence on patient meaning based coping. Caregiver meaning-based coping mediated relationships between patient comorbidities and caregiver health conditions and patient and caregiver QOL. No significant moderating effects were observed.ConclusionsDespite the severity of advanced cancer for patients and caregivers, the co-existing health problems of one member of the dyad have the potential to directly or indirectly affect the wellbeing of the other. Future research should consider how the number of patient comorbidities and caregiver chronic conditions, as well as the ability of patients and caregivers to manage those conditions, influences their meaning-based coping and wellbeing. Copyright (c) 2016 John Wiley & Sons, Ltd.