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Development of Nursing Program based on the Mastery for the Long-Term Adaptive status of Cancer Survivors:

基于掌握癌症幸存者长期适应状态的护理方案的制定：

基本信息

批准号：
14370821
负责人：
FUJITA Sawa
金额：
$ 5.12万
依托单位：
Kochi Women's University.
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
2002
资助国家：
日本
起止时间：
2002 至 2005
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-14370821/
关键词：
cancer survivors mastery long-term adaptation growth SF-36 長期的適応長期適応

项目摘要

I. OBJECTIVES : The purpose of this study is to investigate on the long-term outcome of the discharged cancer survivors. It also aims to clarify the mastery, which supports the adaptation of long-term cancer survivors, and the health status as their current adaptive state and its related factors.II. METHODS : A conceptual framework for long-term adaptation was prepared based on the notion of cancer "survivorship". Subjects were individuals who had been informed of their diagnosis of cancer, admitted to hospital to undergo treatment, and had been discharged for at least 3 months without disease recurrence. Three measures were used to assess the subjects' long-term adaptation and related factorsIII. RESULTS : A total of 511 survivors returned questionnaires, and valid responses collected from 477 survivors were analyzed in the present study. The average age of the respondents was 61.0 years. The average length of time from discharge was 3 years and 7 months. There was a significant negat … More ive correlation between mastery and stress. This result supported the theory of mastery which proposes that the relationship between mastery and stress is antithetic. No significant correlation can be traced between the lengths of time since the discharge and the stress or health status. The factors influenced the mastery, in order of the strength of their influence, were health status, the disability caused by the treatment received, the site of cancer, their religion and belief, stress, and their educational background. Influencing factors common to all 4 items of mastery were the disability caused by the treatment received. The other items had involved characteristic factors. As for certainty, in order of the strength of their influence, they were health status, the disability from the treatment received, the site of cancer, their religion and belief, and their educational background. As for change, they were health status, their educational background, and the disability caused by the treatment received. As for acceptance, they were stress, health status, their educational background, the disability caused by the treatment received, the types of treatment, and the site of cancer. As for growth, they were health status, their religion and belief, the length of the time elapsed from discharge, the change in relationship with healthcare professional, their sex, and the disability caused by the treatment received.IV. DISCUSSIONS : The cancer survivors have attained mastery, bringing it into full play despite the remaining disability caused by the treatment received and the continual state of stress. Instead of actively changing the situation and living with cancer, the survivors seem to have achieved mastery by accepting their current status, have made some concession, and have familiarized themselves to the disease of unknown cause as cancer, and also to the uncertain situation. The factors be related to health status should be valuable in determining methods by which nurses can facilitate positive adaptation in cancer survivors. Less

I.结论：本研究的目的是调查出院癌症幸存者的长期结局。它还旨在澄清掌握，支持长期癌症幸存者的适应，和健康状况作为他们目前的适应状态及其相关因素。方法：基于癌症“生存率”的概念，制定了长期适应的概念框架。受试者是已被告知其癌症诊断、入院接受治疗并且已出院至少3个月而无疾病复发的个体。采用三种测量方法评估受试者的长期适应性及相关因素。结果：共回收问卷511份，有效问卷477份。受访者的平均年龄为61岁。平均出院时间为3年7个月。有一个重大的转折点， ...更多信息掌握和压力之间的相关性。这一结果支持了掌握理论，即掌握和压力之间的关系是对立的。出院后的时间长短与压力或健康状况之间没有明显的相关性。影响掌握程度的因素按影响程度大小依次为：健康状况、因接受治疗而导致的残疾、癌症部位、宗教信仰、压力、受教育程度。所有4项掌握的共同影响因素是所接受的治疗造成的残疾。其他项目涉及特征因素。至于确定性，按照影响力大小，依次为健康状况、因接受治疗而致残、癌症部位、宗教和信仰以及教育背景。至于变化，他们的健康状况，他们的教育背景，和残疾所造成的治疗。至于接受程度，他们是压力，健康状况，他们的教育背景，所接受的治疗造成的残疾，治疗的类型和癌症的部位。影响生长发育的因素有：健康状况、宗教信仰、出院时间、与医护人员关系的变化、性别、因治疗导致的残疾。免责声明：癌症幸存者已经达到了掌握，充分发挥它，尽管所接受的治疗和持续的压力状态造成的剩余残疾。幸存者们并没有积极地改变现状，与癌症共存，而是似乎通过接受自己的现状而获得了控制，做出了一些让步，并熟悉了癌症这种未知原因的疾病，以及不确定的情况。与健康状况相关的因素应该是有价值的，在确定方法，护士可以促进癌症幸存者的积极适应。少