Problem-Solving Dimensions among Caregivers of People with Cancer Receiving Outpatient Palliative Care.
Problem-Solving Dimensions among Caregivers of People with Cancer Receiving Outpatient Palliative Care.
复制标题
接受门诊姑息治疗的癌症患者的护理人员解决问题的维度。
DOI：
10.1080/15524256.2022.2139333
复制
发表时间：
2023
影响因子：
1.6
通讯作者：
Washington,KarlaT
中科院分区：
文献类型：
--
作者：
Bruton,AdrianE;Debosik,LindseyR;Pitzer,KyleA;Csikai,EllenL;Washington,KarlaT
癌症患者的家庭护理人员会遇到各种各样的问题，包括管理患者症状的挑战、复杂的医疗保健系统的困难以及与护理相关的财务压力。门诊姑息治疗团队非常适合帮助护理人员应对这些挑战；然而，几乎没有证据表明在这种情况下为护理人员提供解决问题的支持。本文介绍了对接受门诊姑息治疗的癌症患者的家庭护理人员进行问题解决干预的随机临床试验的一部分获得的数据进行二次分析的结果。它描述了护理人员报告采用积极和消极问题导向以及使用理性、冲动和回避问题解决方式的程度，并检查这些问题解决维度是否因年龄和性别而异。结果显示，看护者年龄与积极和消极问题导向以及使用理性问题解决方式之间存在统计显着的负相关性，并且在消极问题导向和使用冲动问题解决方式方面存在统计显着的性别差异。这项探索性研究的结果强调了护理人员独特的潜在优势和需求，并为未来在不断发展的门诊姑息治疗领域解决癌症护理人员问题的研究奠定了基础。
Family caregivers of people with cancer encounter a wide range of problems including challenges managing patients’ symptoms, difficulties navigating complex healthcare systems, and financial stressors associated with caregiving. Outpatient palliative care teams are ideally positioned to help caregivers respond to these challenges; however, little evidence is available to inform problem-solving support for caregivers in this setting. This article presents results from a secondary analysis of data obtained as part of a randomized clinical trial of a problem-solving intervention for family caregivers of people with cancer receiving outpatient palliative care. It describes the extent to which caregivers report adoption of positive and negative problem orientations and use of rational, impulsive, and avoidant problem-solving styles, and examines whether these problem-solving dimensions differ by age and gender. Results reveal statistically significant negative correlations between caregiver age and positive and negative problem orientations and use of a rational problem-solving style, and statistically significant gender differences with regard to negative problem orientation and use of an impulsive problem-solving style. Findings from this exploratory study highlight unique potential strengths and needs of caregivers, and set the stage for future research on problem-solving among cancer caregivers in the growing field of outpatient palliative care.