POSTRADIATION COPING PROCESSES--A RANDOMIZED TRIAL

描述(改编自调查者摘要)：这是随机化的 临床试验测试两种促进乳房调整的方法 癌症(BC)患者(I期、II期和III期)在一个很少被研究的 但关键的时间框架是放射治疗后(RT)。大多数女性 被诊断为BC的患者接受RT治疗，但很少有护理研究针对 理解和促进遵循共同原则的应对进程 体验RT。这个项目将提供第一个关键的比较 两个理论上衍生的针对RT后应对的干预 不列颠哥伦比亚州妇女的过程。我们有两个试点的干预措施 测试，确定工具和情绪应对功能的目标 莱文塔尔的自我调节理论。一、具体客观信息 (COI)解决意外经历和副作用/症状。第二, 情绪表达(EE)针对与癌症相关的负面想法和 可能被压抑的情绪。理论基础上的使用 信息，COI提高了患者的信心、理解力和 能够将准确的预期和干预措施应用于特定方面 与RT结束和随访相关的效果/症状和经验 来访。EE，通过表达情感的语言整合和 增加对癌症经历的洞察力，减少患者的积极性 抑制与癌症相关的思想和情绪。遵循基线 措施，两种干预措施之一或一种控制条件 在肿瘤中心患者接受放射治疗的最后一周内 不同的城市。结果的衡量标准和中介变量将是 分别于放疗后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 用来检验研究假设。在此测试的干预措施 研究与肿瘤学护理实践和意愿高度相关 极大地促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.