Joint Study on Stress and Coping of Chronic Patients and Families

这是一项关于日本千叶县和美国阿拉巴马州慢性病患者及其家人的压力和应对方式的跨文化研究。痴呆症老人、癌症患者和慢性病儿童及其家人被选为研究对象。在对痴呆症老年人的研究中，在两国研究人员的共同同意下，于1994年编制了一份测量痴呆症老年人家庭照顾者压力及相关变量的问卷。1995年，每个国家的58名家庭照顾者在家中使用问卷进行了访谈。比较分析表明，患者和家庭照顾者的属性以及照顾痴呆症老年人的决策过程存在差异。两国老年痴呆患者的问题行为与照顾者的负担感相关。癌症患者应对方式问卷…的研究在两个国家都使用了更多或更有压力的情况(CI)。1994年在千叶市对103例住院手术的癌症患者进行了日文版CISS调查。1995年，出院3个月后，他们再次被要求在家中向CIS回答一些问题，63人回答了。为了将结果与健康人群进行比较，使用CIS对300名20岁以上的健康成年人进行了调查，数据分析继续进行。在1994年对慢性病儿童的研究中，采用阿比丁的育儿压力指数(PSI)，在每个国家调查了38名3-24个月的慢性病儿童母亲的育儿压力和家庭状况。在日本，38名年龄、性别和出生顺序与患有慢性病的孩子相匹配的健康儿童的母亲也进行了调查。跨文化分析表明，无论是在儿童领域还是在父母领域，美国母亲的育儿压力都显著高于日本母亲。与日本母亲相比，慢性病儿童母亲的PSI儿童领域显著高于健康儿童母亲。1995年，通过对3个县1114名有健康子女的母亲的反应分析，编制了包含78个条目和15个子量表的PSI日文版。较少

This is a cross-cultural study on stress and coping of chronically-ill patients and their families in Chiba Prefecture, Japan, and the State of Alabama in the Unite States. Demented elders, cancer patients, and chronically-ill children and their families were chosen for the study. Suggestions for excellence of nursing care from different xultural perspectives were expected.Study on demented elders In 1994, a questionnaire for measuring stress and related variables of family caregivers of demented elders was developed with mutual agreement of the researchers from both countries. In 1995,58 family caregivers in each country were interviewed at home using the questionnaire. Comparative analyzes showed the differences in patient's and family caregiver's attributes, and decision making processes for the care of demented elders. Correlates between problem behaviors of demented elders and feelings of burden of caregivers were found in both countries.Study on cancer patients Coping Inventory f … More or Stressful Situations (CISS) was used in both countries. In 1994,103 cancer patients hospitalized for surgery were investigated by using Japanese version of CISS in Chiba city. In 1995,3 months after discharge, they were asked again to fill CISS with some questions at home and 63 replied. To compare the results with healthy population, 300 healthy adults over 20 years of age were investigated using CISS.Data analyzes are continued. Cross-cultural analyzes will be done to make conclusions.Study on chronically-ill children In 1994, parenting stress and family situations of 38 mothers of chronically-ill children aged 3 to 24 months were investigated in each country by using Abidin's Parenting Stress Index (PSI). In Japan 38 mothers of healthy children matched by age, sex, and birth order with chronically-ill children were also investigated. Cross-cultural analyzes revealed that parenting stress of American mothers were significantly higher than Japanese mothers both in Child Domain and Parent Domain. In comparison of Japanese mothers, Child Domain of PSI in mothers of chronically-ill children was significantly higher than those of healthy children. In 1995, the Japanese version of PSI with 78 items and 15 subscales was developed by analyzing the responses of 1114 mothers with healthy children in three prefectures. Less