Self-efficacy for managing pain, symptoms, and function in patients with lung cancer and their informal caregivers: Associations with symptoms and distress
Self-efficacy for managing pain, symptoms, and function in patients with lung cancer and their informal caregivers: Associations with symptoms and distress
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DOI：
10.1016/j.pain.2007.09.010
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发表时间：
2008-07-15
期刊：
影响因子：
7.4
通讯作者：
Baucom, Donald
中科院分区：
文献类型：
--
作者：
Porter, Laura S.;Keefe, Francis J.;Baucom, Donald
本研究考察了肺癌患者及其照顾者在疼痛、症状和功能管理方面的自我效能感，以及自我效能感与患者和照顾者适应之间的关系。152名早期肺癌患者完成了自我效能、疼痛、疲劳、生活质量、抑郁和焦虑的测量。他们的护理人员完成了一项测量，评估他们的自我效能感，以帮助患者控制症状，测量心理困扰和护理人员的压力。分析表明，总体而言，患者和护理人员在管理疼痛、症状和功能方面的自我效能相对较低，自我效能与适应之间存在显著关联。自我效能低的患者报告的疼痛、疲劳、肺癌症状、抑郁和焦虑程度明显更高，身体和功能健康状况明显更差，照顾者自我效能低的患者也是如此。当患者和护理人员的自我效能都较低时，患者报告的焦虑水平较高，生活质量较差。患者和照顾者自我效能感和照顾者适应之间也存在显著关联，低水平的自我效能感与高水平的照顾者压力和心理困扰相关。这些初步发现提出了一种可能性，即患者和护理者在控制疼痛、症状和功能方面的自我效能感可能是影响调整的重要因素，并且针对提高自我效能感的干预措施可能对这一人群有用。(c) 2007年国际疼痛研究协会。Elsevier B.V.版权所有。
This study examined self-efficacy for managing pain, symptoms, and function in patients with lung cancer and their caregivers, and associations between self-efficacy and patient and caregiver adjustment. One hundred and fifty-two patients with early stage lung cancer completed measures of self-efficacy, pain, fatigue, quality of life, depression, and anxiety. Their caregivers completed a measure assessing their self-efficacy for helping the patient manage symptoms and measures of psychological distress and caregiver strain. Analyses indicated that, overall, patients and caregivers were relatively low in self-efficacy for managing pain, symptoms, and function, and that there were significant associations between self-efficacy and adjustment. Patients low in self-efficacy reported significantly higher levels of pain, fatigue, lung cancer symptoms, depression, and anxiety, and significantly worse physical and functional well being, as did patients whose caregivers were low in self-efficacy. When patients and caregivers both had low self-efficacy, patients reported higher levels of anxiety and poorer quality of life than when both were high in self-efficacy. There were also significant associations between patient and caregiver self-efficacy and caregiver adjustment, with lower levels of self-efficacy associated with higher levels of caregiver strain and psychological distress. These preliminary findings raise the possibility that patient and caregiver self-efficacy for managing pain, symptoms, and function may be important factors affecting adjustment, and that interventions targeted at increasing self-efficacy may be useful in this population. (c) 2007 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.