POSTRADIATION COPING PROCESSES--A RANDOMIZED TRIAL

描述（改编自研究者摘要）：本随机 临床试验测试了两种促进乳房调整的方法 癌症（BC）患者（I、II和III期）在一项不常研究的 但关键的时间段，放射治疗后（RT）。 大多数妇女 诊断为BC接受RT，但很少有护理研究针对 理解和促进共同应对进程， 该项目将提供第一个关键的比较 两个理论上衍生的干预措施，针对后RT-应对 妇女与BC的关系。 这两种干预措施，我们已经试点 测试，目标是工具和情感应对功能， Leventhal的自我调节理论 第一，具体的客观信息 (COI)解决意外的经验和副作用/症状。 第二、 情绪表达（EE）针对与癌症相关的负面想法， 可能被抑制的情绪。 使用基于理论的 信息，COI提高了患者的信心，理解， 将准确的期望和干预应用于特定方面的能力 与RT结束和随访相关的效应/症状和经历 探访 通过情感表达和语言表达的整合， 增加对癌症经历的了解，减少患者的活动 抑制与癌症有关的想法和情绪。 以下基线 两种干预措施之一或控制条件将是 在两个肿瘤中心的患者RT的最后一周期间施用 不同的城市 结果和中介变量的测量将是 在RT后1周、4周和6个月通过电话收集。 重复测量MANCOVA和分层多元回归分析将 用于检验研究假设。 本研究中测试的干预措施 研究与肿瘤护理实践高度相关， 大大推进了对应对过程的理论理解。

DESCRIPTION (Adapted from the Investigator's Abstract): This randomized clinical trial tests two means of facilitating the adjustment of breast cancer (BC) patients (Stages I, II, and III) during an infrequently studied but critical timeframe, post-radiation therapy (RT). The majority of women diagnosed with BC receive RT but little nursing research is aimed at understanding and facilitating the coping processes following the common experience of RT. This project will provide the first critical comparison of two theoretically derived interventions which target the post-RT-coping processes of women with BC. The two interventions, which we have pilot tested, target the instrumental and emotional-coping functions specified by Leventhal's self-regulatory theory. First, Concrete Objective Information (COI) addresses unexpected experiences and side/effects/symptoms. Second, Expressed Emotional (EE) targets negative cancer-related thoughts and emotions which may be inhibited. The use of theoretically-based information, the COI improves patients' confidence, understanding, and ability to apply accurate expectations and interventions to specific side effects/symptoms and experiences associated with the end of RT and follow-up visits. The EE, by the linguistic integration of expressed emotion and the increased insight of the cancer experiences, reduced patients' active inhibition of cancer-related thoughts and emotions. Following baseline measures, one of the two interventions or a control condition will be administered during a patient's final week of RT at oncology centers in two different cities. Measures of outcome and mediating variables will be collected via the telephone at 1 week, 4 weeks, and 6 months post-RT. Repeated measures MANCOVA and hierarchial multiple regression analyses will be used to test the study hypotheses. The interventions tested in this study have high relevance to oncology nursing practice and will significantly advance theoretical understanding of coping processes.