A longitudinal study of social support, psychological, and physical states among Japanese women with breast cancer

日本乳腺癌女性社会支持、心理和身体状态的纵向研究

• 批准号: 11672371
• 负责人: MAKABE Reiko
• 金额: $ 1.86万
• 依托单位: Fukushima Medical University (2000-2001)Osaka University (1999)
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1999
• 资助国家: 日本
• 起止时间: 1999 至 2001
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-11672371/
• 关键词: Breast cancer; Social support; Psychological states; Physical states; Longitudinal study; Pre-op; Post-op; 縦断的状況

Social support has direct effects on stress and on health outcomes, also buffers the effect of stress on health outcomes. In Western cultures, it has been reported that social support has effects on health outcomes among women with breast cancer. However, few studies have assessed about social support and the effects on health outcomes among Japanese women with breast cancer. The purpose of this study was 1) to investigate the relationship of social support, psychological, and physical states among Japanese women with breast cancer and 2) to assess changes in social support, psychological, and physical states among them over time.A convenience sample of 60 Japanese women with breast cancer participated in tins longitudinal study. Women were recruited from a hospital in a metropolitan area in Japan. Data were collected five times: before (Time I) a few weeks after (Time II), one month after (Time III), six months after (Time IV), and one year after breast surgery (Time V). Two instrumen … More ts with established reliability and validity were used: the Japanese versions of the General Health Questionnaire and the Interpersonal Relationship Inventory, which consists of subscales of Support and Conflict. On this study sample, each alpha ranged from.72 to.94. Demographic and illness-related data were also obtained. Data analysis included Pearson's correlations and repeated measures ANOVAs.Thesize of a family was significantly correlated with support at Time I (r=.28). The other significant correlations were found between support and physical states at Time I (r=.26) and between psychological and physical states at Time II (r=.26), Time IV (r=.31), and Time V (r=.38). Repeated measures ANOVA found no significant differences in subjects' Support, Conflict, or GHQ scores across time. However, there were, significant differences in physical states (F(4,236) = 66.06, p <.0001). Post-hoc analysis identified significant differences in the number of sings and symptoms between Time I (M=.42, SD=.70) and Time II (M=3.08, SD=1.33), between Time I and Time III (M=3.33, SD=1.36), and between Time I and Time IV (M=3.03, SD=1.59)This study suggested there were significant relationships among social support, psychological, and physical states before and after breast surgery. Thus, nurses need to consider social support as an important factor to help Japanese women's adjustment to breast cancer as an ongoing process in their lives before and after breast surgery. Further longitudinal studies are needed to investigate the relationship among social support, psychological and physical states in Japanese women with breast cancer as a process of breast cancer experience during breast cancer diagnosis, treatment, and recovery. Less

社会支持对压力和健康结果有直接影响，也对压力对健康结果的影响有缓冲作用。在西方文化中，据报道，社会支持对乳腺癌妇女的健康结果有影响。然而，很少有研究评估社会支持和对日本乳腺癌妇女健康结果的影响。本研究以60名日本乳腺癌患者为研究对象，探讨了日本乳腺癌患者的社会支持、心理和身体状况之间的关系，以及社会支持、心理和身体状况随时间的变化。这些妇女是从日本大都市地区的一家医院招募的。数据收集了五次：术前（时间I）、术后几周（时间II）、术后一个月（时间III）、术后六个月（时间IV）和乳房手术后一年（时间V）。两种仪器 ...更多信息 本研究采用日本版的一般健康问卷和人际关系量表，其中包括支持和冲突两个分量表。在本研究样本中，每个α值的范围为0.72至0.94。还获得了人口统计学和疾病相关数据。资料分析包括Pearson相关分析和重复测量方差分析，家庭规模与第一阶段的支持度显著相关（r= 0.28）。在时间I（r= 0.26）的支持和身体状态之间以及在时间II（r= 0.26），时间IV（r= 0.31）和时间V（r= 0.38）的心理和身体状态之间发现了其他显著相关性。重复测量方差分析发现，受试者的支持，冲突，或GHQ分数随着时间的推移没有显着差异。然而，在身体状态方面存在显著差异（F（4，236）= 66.06，p <.0001）。事后分析发现，时间I和时间II之间的体征和症状数量存在显著差异。（M=.42，SD=.70）和时间II（M=3.08，SD=1.33），时间I和时间III之间（M=3.33，SD=1.36），以及时间I和时间IV之间（M= 3.03，SD =1.59）本研究提示乳腺癌患者手术前后的社会支持、心理和生理状态之间存在显著相关。因此，护士需要考虑社会支持作为一个重要因素，以帮助日本妇女的调整，乳腺癌作为一个持续的过程，在他们的生活之前和之后的乳房手术。需要进一步的纵向研究，以探讨社会支持，心理和身体状态之间的关系，在日本妇女与乳腺癌的乳腺癌诊断，治疗和康复过程中的乳腺癌经验。少

项目成果

Makabe,R.,Fujimoto,H.,& Ando,M.: "Social support, psychological, and physical states among Japanese women with breast cancer : A prospective study"11^<th> Internatioanl Conference on Cancer Nursing : Program and abstract book. 143 (2000)

真壁，R.，藤本，H.，

Makabe, R: "Social support, psychological, and physical states among Japanese women with breast cancer: Pre-and post-breast surgery"Oncology Nursing Forum. 357. (2000)

Makabe，R：“日本乳腺癌女性的社会支持、心理和身体状态：乳房手术前和术后”肿瘤护理论坛。

Makabe, R., Fujimoto, H., & Ando, M.: "Social support, psychological, and physical states among Japanese women with breast cancer: A prospective study"11th International Conference on Cancer Care Nursing: Program and Abstract BOOK. 143. (2000)

马卡部，R.，藤本，H.，

Makabe, R.: "A Longitudinal study of social support, psychological, and physical states among Japanese women with breast cancer"Oncology Nursing Forum. 28・2. 351 (2001)

Makabe, R.：“日本乳腺癌女性的社会支持、心理和身体状态的纵向研究”肿瘤护理论坛 28・2 (2001)。

Makabe, R: "A longitudinal study of social support, psychological, and physicalstates among Japanese women with breast cancer"Oncology Nursing Forum. 351. (2001)

Makabe，R：“日本乳腺癌女性社会支持、心理和身体状态的纵向研究”肿瘤护理论坛。