COPING & SELF-CARE OF CANCER FAMILIES--NURSE PROSPECTUS

应付

• 批准号: 3391348
• 负责人: MARYLIN J DODD
• 金额: $ 15.84万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 1986
• 资助国家: 美国
• 起止时间: 1986-09-01 至 1989-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3391348
• 关键词: behavioral medicine; breast neoplasms; coping; dyadic interaction; emotions; family nursing; family structure /dynamics; female reproductive system neoplasm; health behavior; human subject; interview; locus of control; longitudinal human study; lung neoplasms; lymphoma; neoplasm /cancer chemotherapy; neoplasm /cancer relapse /recurrence; nursing research; oncology nursing; questionnaires; self care; social support network

The purpose of this nursing study is to determine the coping strategies and self-care behaviors of patients and family members for a 6-month period during cancer chemotherapy treatment and to compare responses of those receiving chemotherapy for the first time with those receiving chemotherapy for cancer recurrence. Theories of coping and self-care provide the conceptual framework for the proposed study; coping as described for the individual by Lazarus, for the family by McCubbin and Patterson; and self-care as described by Levin and Orem. These theories are complementary in that self-care is a strategy of coping. The focus of self-care for the patient is twofold: management of the side effects of chemotherapy; and management of other concerns (related to chemotherapy and life experiences) that arise. The focus of self-care for the family members centers on management of concerns they have regarding the patient, the family as a whole, and themselves as individual family members. To enhance understanding of patient and family's coping and self-care, a comparative longitudinal design will be used. Coping (dependent variable) will be measured for the individual (patient and adult family members and the family as a unit. Self-care will be measured by logs kept by the patients' and family members. Independent variables include control; interpersonal resources (social support, informal caregiver strain, and dyadic adjustment); intrapersonal resources (chemotherapy knowledge, awareness, and functional status); and affective state. The sample will include 120 families with a family member who has breast, lung, colorectal, gynecological cancer or lymphoma. These patients will constitute two primary groups; those who are initiating either their first protocol of chemotherapy or those who have recurrence of disease and are initiating their second protocol of chemotherapy. The type of cancer will be a stratifying variable. Repeated measures of the dependent and independent variables occur at five data collection points. Semi-structured interviews, self-administered questionnaires and self-report logs are the methods for obtaining data. The study findings will increase understanding of what are currently the coping strategies and self-care behavior practices of patients being treated for cancer and their adult family members and will provide the basis for a future experimental intervention study.

本护理研究的目的是确定应对策略和 患者及其家属6个月的自我护理行为 并比较两种化疗方案的疗效。 与接受化疗的人一起首次接受化疗 治疗癌症复发。应对和自我护理的理论提供了 拟议研究的概念框架； 拉撒路为个人，麦克库宾和帕特森为家庭；以及 莱文和奥雷姆所描述的自我照顾。这些理论是互补的 在这种情况下，自我照顾是一种应对策略。老年人自我护理的重点 患者需要做两件事：管理化疗的副作用； 处理其他问题(与化疗和生活经历有关) 这就产生了。家庭成员的自我照顾的重点是 管理他们对病人和家人的担忧 整个家庭，以及他们自己作为单独的家庭成员。为了增强 患者及其家属应对和自我护理的比较研究 将采用纵向设计。应对(因变量)将是 为个人(患者和成人家庭成员以及 家庭是一个整体。自我护理将通过患者记录的日志来衡量 和家庭成员。自变量包括控制；人际关系 资源(社会支持、非正式照顾者压力和二元 调整)；内部资源(化疗知识、意识、 和功能状态)；以及情感状态。样本将包括120个 家庭成员有乳房，肺部，结直肠癌， 妇科癌症或淋巴瘤。这些患者将构成两个 主要群体；那些正在发起他们的第一个议定书的人 化疗或那些疾病复发并正在启动的人 他们的第二个化疗方案。癌症的类型将是 分层变量。从属与独立的重复测量 变量出现在五个数据收集点。半结构化 访谈、自填式问卷和自我报告日志是 获取数据的方法。研究结果将增加人们对 目前的应对策略和自我照顾行为是什么 癌症患者及其成年家庭接受治疗的实践 成员，并将为未来的实验性干预提供基础 学习。