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

本护理研究的目的是确定应对策略， 患者及家属6个月内的自我护理行为 在癌症化疗治疗期间， 首次接受化疗的患者 for cancer癌症re复发. 应对和自我照顾的理论提供了 拟议研究的概念框架; 个人由拉撒路，家庭由McCubbin和帕特森; Levin和Orem所描述的自我护理。 这些理论是相辅相成的 自我照顾是一种应对策略 自我保健的重点是 病人是双重的：化疗的副作用的管理;和 管理其他问题（与化疗和生活经历相关） 出现的问题 家庭成员自我照顾的重点是 管理他们对病人的关注，家庭作为一个 整体，以及作为个体家庭成员的自己。 加强 了解病人和家属的应对和自我护理，一个比较 将采用纵向设计。 应对（因变量）将是 为个人（患者和成年家庭成员以及 家庭作为一个单位 自我护理将通过患者的记录来衡量。 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， 调整）;个人内部资源（化疗知识，意识， 和功能状态）;和情感状态。 样本将包括120个 家庭成员患有乳腺癌、肺癌、结肠直肠癌， 妇科癌症或淋巴瘤。 这些病人将构成两个 主要群体;那些正在启动他们的第一个协议， 化疗或那些谁有复发的疾病，并开始 他们的第二套化疗方案 癌症的类型将是 分层变量 依赖和独立的重复测量 变量发生在五个数据收集点。 半结构 访谈，自我管理的问卷调查和自我报告日志是 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 接受癌症治疗的患者及其成年家庭的做法 并将为未来的实验性干预提供基础 study.

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.