Porter Laura S, Keefe Francis J, McBride Colleen M, Pollak Kathryn, Fish Laura, Garst Jennifer
Pain Prevention and Treatment Research, Duke Medical Center, University of North Carolina at Chapel Hill, Box 3159, Durham, NC 27710, USA.
Pain. 2002 Jul;98(1-2):169-78. doi: 10.1016/s0304-3959(02)00042-8.
This study examined the degree of correspondence between lung cancer patients and their family caregivers in their perceptions of the patients' self-efficacy for managing pain and other symptoms of lung cancer, and the association of this correspondence to demographic, disease, and psychosocial variables. Thirty patients who were newly diagnosed with lung cancer and their primary family caregivers completed telephone interviews assessing the patient's symptoms, the patient's self-efficacy for managing symptoms, the quality of the relationship between the patient and caregiver, patient and caregiver psychological distress, and caregiver strain. Although patients and their caregivers showed a moderate degree of agreement in their perceptions of the patient's self-efficacy for managing pain and other symptoms, there was considerable variability in the degree of congruence. Factors that contributed to lower levels of congruence included low patient-rated self-efficacy, female gender of the patient, high patient psychological distress, and high caregiver strain. Caregivers were about evenly split in their tendency to overestimate versus underestimate the patient's self-efficacy. A poorer quality of relationship between the caregiver and the patient (as rated by the patient), high levels of patient-rated symptoms, and high levels of caregiver strain were associated with caregivers overestimating patient self-efficacy.
本研究考察了肺癌患者与其家庭照顾者在对患者管理肺癌疼痛及其他症状的自我效能感认知上的一致程度，以及这种一致性与人口统计学、疾病和心理社会变量之间的关联。30名新诊断为肺癌的患者及其主要家庭照顾者完成了电话访谈，评估患者的症状、患者管理症状的自我效能感、患者与照顾者之间的关系质量、患者和照顾者的心理困扰以及照顾者的负担。尽管患者及其照顾者在对患者管理疼痛及其他症状的自我效能感认知上表现出中等程度的一致性，但在一致程度上存在相当大的差异。导致一致性水平较低的因素包括患者自评的低自我效能感、患者为女性、患者的高心理困扰以及照顾者的高负担。照顾者在高估与低估患者自我效能感的倾向上大致相当。照顾者与患者之间较差的关系质量（由患者评定）、患者自评的高症状水平以及照顾者的高负担与照顾者高估患者自我效能感有关。
