Enhanced self-efficacy training for informal cancer caregivers

增强非正式癌症护理人员的自我效能培训

• 批准号: 8381490
• 负责人: Cristina Cu Hendrix
• 金额: $ 9.04万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至 2014-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8381490
• 关键词: Affect; Anxiety; Attention; Cancer Patient; Caregiver Burden; Caregivers; Caring; Chronic Disease; Communities; Control Groups; Data; Data Analyses; Discipline of Nursing; Distress; Educational process of instructing; Emergency medical service; Goals; Home environment; Hospitals; Imagery; Intervention; Life; Malignant Neoplasms; Mental Depression; Modeling; Multivariate Analysis; Muscle relaxation phase; Nature; Outcome; Patients; Personal Satisfaction; Protocols documentation; Quality of life; Self Efficacy; Self Management; Stress; Symptoms; Teaching Hospitals; Testing; Training; caregiver education; caregiving; coping; cost effectiveness; improved; loved ones; neoplasm resource; psychologic; psychological distress; statistics; symptom management

Symptom management is essential in home caregiving. However, many informal caregivers are not confident of their ability to assist their their loved ones with their cancer symptoms at home. A low level of confidence or self-efficacy may negatively affect a caregiver's psychological well-being which is already vulnerable as a consequence of caregiving. Because of the reciprocal nature in a caregiver-patient dyad, caregiver decline is likely associated with patient decline. Improving caregivers' self-efficacy to manage their loved ones' cancer-related symptoms may mitigate their psychological decline arid may positively affect patients' well-being by alleviating their symptom distress. Additionally, training in self-management of stress may promote coping among caregivers as many data show that caregiver stress is overwhelming. This study will examine the effects of an Enhanced Caregiver Training protocol delivered to informal caregivers of cancer patients before hospital discharge. The primary aim is to test the effects of the training on caregivers' self-efficacy in cancer symptom management and self-efficacy in self-management of stress. The study will also look at the effects of this training on caregiver outcomes (depression, anxiety, quality of life, caregiver stress) and patient outcomes (symptom distress and intensity, depression, anxiety, quality of life). The study will use a treatment and attention-control group. Subjects in the treatment group will receive an individualized experiential caregiver training in strategies for managing patient's symptoms and in the use of pleasant imagery and muscle relaxation to manage stress, whereas subjects in the attention-control group will receive an informational session about cancer and resources for caregiving. Data will be collected before and after the training, and at 2 and 4 weeks after hospital discharge. Descriptive statistics and multivariate analysis including mixed models will be used for data analysis This study could have important implications for the nursing community on how to effectively prepare informal cancer caregivers for home caregiving prior to hospital discharge. The long term goal is to refine and expand the training so that it can be used to teach and support informal caregivers of patients suffering from other chronic illnesses, and to determine the cost-effectiveness of this training

症状管理对于家庭护理至关重要。然而，许多非正式护理人员并不 相信他们有能力在家帮助亲人应对癌症症状。低水平 信心或自我效能感可能会对护理人员的心理健康产生负面影响，而这已经是 由于照顾而变得脆弱。由于护理者与患者二元组的互惠性质， 护理人员的衰退可能与患者的衰退有关。提高护理人员管理护理的自我效能 亲人的癌症相关症状可能会减轻他们的心理衰退，并可能产生积极影响 通过减轻症状困扰来改善患者的健康。此外，自我管理压力的培训 可能会促进护理人员的应对能力，因为许多数据表明护理人员的压力是巨大的。 本研究将检验向非正规护理人员提供的强化护理人员培训方案的效果 癌症患者出院前的护理人员。主要目的是检验训练效果 照顾者在癌症症状管理中的自我效能和自我压力管理中的自我效能。 该研究还将探讨这种培训对护理人员结果（抑郁、焦虑、护理质量）的影响。 生活、照料者压力）和患者结果（症状痛苦和强度、抑郁、焦虑、护理质量 生活）。该研究将使用治疗组和注意力对照组。治疗组中的受试者将接受 针对患者症状管理策略和使用的个性化体验式护理人员培训 愉快的想象和肌肉放松来控制压力，而注意力控制的受试者 小组将接受有关癌症和护理资源的信息会议。将收集数据 训练前和训练后以及出院后 2 周和 4 周。描述性统计和 包括混合模型的多变量分析将用于数据分析 这项研究可能对护理界如何有效做好准备产生重要影响 出院前提供家庭护理的非正式癌症护理人员。长期目标是完善 并扩大培训范围，以便可以用来教导和支持患者的非正式护理人员 与其他慢性疾病的关系，并确定该培训的成本效益