Transitions of Male Partners of Women With Breast Cancer: Hope, Guilt, and Quality of Life

Transitions of Male Partners of Women With Breast Cancer: Hope, Guilt, and Quality of Life
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DOI:
10.1188/15.onf.134-141
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发表时间:
2015-03-01
影响因子:
1.9
通讯作者:
Tonkin, Katia
Tonkin, Katia
中科院分区:
医学4区
文献类型:
--
作者:
Duggleby, Wendy;Thomas, Jasmine;Tonkin, Katia

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目的/目标:(a)描述乳腺癌女性的男性配偶照顾者经历的转变类型以及男性配偶处理这些转变所使用的策略;(B)检查与其生活质量相关的因素,包括人口统计学变量、自我效能、照顾者内疚感、希望、乳腺癌伴侣的生活质量和转变。设计:横断面,转换,混合方法approaches.Setting:Participants' homes.Sample:105 dyads of male participants and their female partners diagnosed with stage I III breast cancer.Methods:600份调查问卷邮寄给乳腺癌妇女和他们的男性伴侣。主要研究变量:男性照顾者的生活质量。结果:男性配偶参与者的生活质量的积极影响的希望(p < 0.01)。结论:生活质量得分高的男性照顾者希望得分高,照顾者内疚得分低。如果他们通过“做需要做的事情”来处理过渡,他们的生活质量得分会更低。“对护理的影响:支持乳腺癌女性男性配偶的策略应该包括培养希望的方法,减少内疚感,并鼓励男性照顾者更多地参与支持他们的配偶。
Purpose/Objectives: To (a) describe the types of transitions experienced by male spousal caregivers of women with breast cancer and the strategies used by male spouses to deal with these transitions and (b) examine factors related to their quality of life, including demographic variables, self-efficacy, caregiver guilt, hope, the quality of life of their partner with breast cancer, and transitions.Design: Cross-sectional, transformational, mixed-methods approach.Setting: Participants' homes.Sample: 105 dyads of male spouses and their female partners diagnosed with stages I Ill breast cancer.Methods: 600 surveys were mailed to women with breast cancer and their male partners. Significant variables were entered into a multivariate model.Main Research Variable: Male caregiver quality of life.Findings: The quality of life of male spouse participants was positively influenced by hope (p < 0.01). It was negatively influenced by caregiver guilt scores (p < 0.01) and the method of dealing with their transitions by "doing what needs to be done" (p = 0.04).Conclusions: The male caregivers with higher quality-of-life scores reported higher hope and lower caregiver guilt scores. They reported lower quality-of-life scores if they dealt with transitions by "doing what needs to be done."Implications for Nursing: Strategies to support male spouses of women with breast cancer should involve ways to foster hope, reduce feelings of guilt, and encourage male caregivers to engage more in supporting their spouses.