Enhanced self-efficacy training for informal cancer caregivers

症状管理在家庭护理中至关重要。然而，许多非正式的照顾者并不 相信他们有能力帮助他们的亲人与他们的癌症症状在家里。低水平的 自信或自我效能可能会对看护者的心理健康产生负面影响， 易受伤害的，由于缺乏营养。由于患者-患者二元体的相互作用， 护理人员的衰退可能与患者的衰退有关。提高照顾者的自我效能感， 亲人的癌症相关症状可能会减轻他们的心理下降， 通过减轻患者的症状困扰来改善患者的健康状况。此外，自我管理压力的培训 可能会促进照顾者之间的应对，因为许多数据显示，照顾者的压力是压倒性的。 本研究将探讨一个增强型护理人员培训协议提供给非正式的影响， 癌症病人出院前的照顾者。主要目的是检验培训的效果 对照顾者癌症症状管理自我效能及压力自我管理自我效能的影响。 该研究还将研究这种培训对护理人员结果的影响（抑郁，焦虑， 生活，照顾者压力）和患者结局（症状困扰和强度，抑郁，焦虑， life）.该研究将使用治疗和注意力控制组。治疗组受试者将接受 在管理患者症状的策略和使用方面对个性化的体验式护理人员进行培训 愉快的想象和肌肉放松来管理压力，而注意力控制的受试者 小组将收到一个关于癌症和资源的信息会议。数据将被收集 训练前、训练后、出院后2周、4周。描述性统计和 将使用包括混合模型的多变量分析进行数据分析 这项研究可能对护理界如何有效地准备 非正式的癌症护理人员在出院前进行家庭护理。长期目标是完善 并扩大培训，使其能够用于教育和支持非正式护理人员的病人遭受 从其他慢性疾病，并确定这种培训的成本效益

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