NURSING INTERVENTIONS SELF-HELP RESPONSE TO CANCER

这项调查的目的是：1)确定药物的有效性 护士指导下的自我保健/自助推广和不确定性管理 对接受乳腺癌治疗的妇女的干预措施；以及 2)将人、疾病、背景因素和时间描述为 增强或限制自助/自助活动的变数、不确定性 乳腺癌治疗后的管理活动和生活质量。 本研究包括两个部分：1)多元实验分析 护理干预评估基数、效果和持久性随时间的变化 与三个结果相关：自我照顾、自我帮助和生活质量。这个 分析可以确定哪些护理干预措施，单独或在 结合在一起，在促进自助/自助和管理方面是有效的 接受乳腺癌治疗的妇女中的不确定性；以及， 2)中介变量的协方差分析(使能技能、掌握程度、 挑战或威胁评估和不确定性管理)和多个 回归/相关分析(MRC)用于帐篷和解释 时间对癌症自救反应习得过程的影响 治疗。分析包括露营的直接和交互影响 伴随变量组：个人条件，例如种族， 信息搜索方式等；疾病状况，例如肿瘤分期， 治疗类型、症状模式等；背景条件，例如 社会支持、事件熟悉度、事件一致性、对健康的信任 护理者等 2×2重复的多变量实验分析设计 学习情境处理因素中两个水平的测量设计 在强化因子上有两个水平的交叉。这两个级别的 学习情境有：自助课堂和自然条件。两个人 强化等级为：护士、病历管理者和自然条件。这个 措施在基线上采取，在完成后6周采取 护士干预或暴露在3个月大的自然学习条件下 干预结束后，分别在6个月和9个月。这个 拟议延长总部6个月和9个月的后续措施 关于最近报道的关于精神病后的建筑效应的研究结果 通过至少6个月后的行为干预 干预。

The purposes of this investigation are: 1) to determine the of efficacy of self-care/self-help promotion and uncertainty management nurse directed interventions for women who have received treatment for breast cancer; and, 2) to describe the person, disease, contextual factors and time as variables that enhance or limit self-care/self-help activities, uncertainty management activities and life quality following breast cancer treatment. The study contains two components: 1) a multivariate experimental analysis of nurse intervention assessment base, effect and durability over time relative to three outcomes; self-care, self-help and life quality. The analyzes allow determination of which nursing interventions, alone or in combination, are effective in promoting self-care/self-help and in managing uncertainty among women who have received treatment for breast cancer; and, 2) analysis of covariance of mediating variables (enabling skill, mastery, challenge or threat appraisal and uncertainty management) and multiple regression/correlation analysis (MRC) for tenting and interpreting the effect of time on the learned process of self-help response to cancer treatment. Analyses include tenting both direct and interactive effects of groups of concomitant variables: Person Conditions, e.g. ethnicity, information seeking styles, etc.; Disease Conditions, e.g. tumor staging, type of treatment, symptom pattern, etc.; Contextual Conditions, e.g. social support, event familiarity, event congruence, trust in the health care provider, etc. The design for the multivariate experimental analyses in a 2 X 2 repeated measures design with two levels in the learning context treatment factor crossed with two levels in the reinforcing factor. The two levels of the learning context are: Self-help class and natural condition. The two levels of reinforcement are: Nurse case manager and natural condition. The measures are taken at baseline, at 6 weeks following completion of the nurse intervention or exposure to natural learning conditions, at 3 months following completion of the intervention, at 6 months and at 9 months. The proposed extension of follow-up measures at 6 months and 9 months in based on recent reported findings of a building of effect following psycho behavioral interventions through at least the sixth month post intervention.