Joint Study on Stress and Coping of Chronic Patients and Families

本文是一项关于慢性病患者及其家属的压力和应对的跨文化研究，研究对象为日本千叶县和美国亚拉巴马州的慢性病患者及其家属。痴呆老人、癌症患者和慢性病儿童及其家人被选为研究对象。从不同的xcultural的角度来看，卓越的护理建议expected.Study对老年痴呆症在1994年，一份问卷测量压力和相关变量的家庭照顾者的老年痴呆症的发展与双方的研究人员从两国的协议。1995年，每个国家的58名家庭照顾者在家中使用问卷进行了访谈。比较分析显示病人与家庭照顾者在照顾失智症老人的属性与决策过程上有差异。两个国家痴呆老人的问题行为与照顾者的负担感存在相关性。癌症病人应对问卷的编制 ...更多信息 或压力情境（CISS）。1994年在千叶市用日本版CISS调查了103例住院手术的癌症患者。1995年出院后3个月，在家中再次对他们进行CISS问卷调查，63人回答。为了与健康人群进行比较，我们用CISS法对300名20岁以上的健康成人进行了调查。关于慢性病儿童的研究1994年，使用Abidin的父母压力指数（PSI），对各国38名3 ~ 24个月的慢性病儿童的母亲的父母压力和家庭状况进行了调查。在日本，38名健康儿童的母亲与慢性病儿童的年龄，性别和出生顺序相匹配。跨文化分析发现，美国母亲的亲职压力在子女领域和父母领域均显著高于日本母亲。与日本母亲相比，慢性病儿童的母亲PSI的儿童域显着高于健康儿童。1995年，通过分析日本三个县1114名健康儿童母亲的回答，开发了包含78个项目和15个分量表的日本版PSI。少

This is a cross-cultural study on stress and coping of chronically-ill patients and their families in Chiba Prefecture, Japan, and the State of Alabama in the Unite States. Demented elders, cancer patients, and chronically-ill children and their families were chosen for the study. Suggestions for excellence of nursing care from different xultural perspectives were expected.Study on demented elders In 1994, a questionnaire for measuring stress and related variables of family caregivers of demented elders was developed with mutual agreement of the researchers from both countries. In 1995,58 family caregivers in each country were interviewed at home using the questionnaire. Comparative analyzes showed the differences in patient's and family caregiver's attributes, and decision making processes for the care of demented elders. Correlates between problem behaviors of demented elders and feelings of burden of caregivers were found in both countries.Study on cancer patients Coping Inventory f … More or Stressful Situations (CISS) was used in both countries. In 1994,103 cancer patients hospitalized for surgery were investigated by using Japanese version of CISS in Chiba city. In 1995,3 months after discharge, they were asked again to fill CISS with some questions at home and 63 replied. To compare the results with healthy population, 300 healthy adults over 20 years of age were investigated using CISS.Data analyzes are continued. Cross-cultural analyzes will be done to make conclusions.Study on chronically-ill children In 1994, parenting stress and family situations of 38 mothers of chronically-ill children aged 3 to 24 months were investigated in each country by using Abidin's Parenting Stress Index (PSI). In Japan 38 mothers of healthy children matched by age, sex, and birth order with chronically-ill children were also investigated. Cross-cultural analyzes revealed that parenting stress of American mothers were significantly higher than Japanese mothers both in Child Domain and Parent Domain. In comparison of Japanese mothers, Child Domain of PSI in mothers of chronically-ill children was significantly higher than those of healthy children. In 1995, the Japanese version of PSI with 78 items and 15 subscales was developed by analyzing the responses of 1114 mothers with healthy children in three prefectures. Less