Department of Otorhinolaryngology and Head and Neck Surgery, Erasmus MC, Rotterdam, The Netherlands.
Eur J Oncol Nurs. 2010 Jul;14(3):231-7. doi: 10.1016/j.ejon.2010.01.022. Epub 2010 Feb 24.
PURPOSE AND OBJECTIVE OF THE RESEARCH: In this cross-sectional study we used a self-regulation perspective to better understand the experience of psychological distress in head & neck (H&N) cancer patients and their partners. We examined which goals they valued and the extent to which patients and partners experience goal disturbance. Furthermore, associations were explored between goal disturbance, goal re-engagement, (goal)self-efficacy, and psychological distress.
H&N cancer patients and their partners, recruited from the Erasmus Medical Center Rotterdam (N = 40), were interviewed and completed questionnaires, assessing the above aspects of the self-regulation theory.
H&N cancer patients and their partners experienced goal disturbance from the disease. Such disturbances were in patients significantly related to more psychological distress. Higher levels of goal re-engagement were related to less psychological distress, again only significantly in patients. More self-efficacy was significantly associated with less psychological distress in both patients and partners.
Self-regulation abilities as goal re-engagement and self-efficacy may be screened and used as target in future psychological interventions, given their potential to decrease perceived psychological distress. In view of elevated levels of goal disturbances in partners, psychological support for caring relatives in such interventions is recommended.
在这项横断面研究中，我们使用自我调节的观点来更好地理解头颈部（H＆N）癌症患者及其伴侣的心理困扰经历。我们研究了他们重视的目标以及患者和伴侣经历目标障碍的程度。此外，还探讨了目标障碍，目标重新参与，（目标）自我效能与心理困扰之间的关联。
从鹿特丹伊拉斯谟医疗中心（N = 40）招募了 H＆N 癌症患者及其伴侣进行访谈并完成了问卷调查，评估了自我调节理论的上述方面。
H＆N 癌症患者及其伴侣经历了疾病引起的目标障碍。这些障碍在患者中与更多的心理困扰明显相关。患者的目标重新参与程度越高，心理困扰越少，但仅在患者中具有统计学意义。患者和伴侣的自我效能越高，心理困扰越少。
鉴于伴侣的目标障碍水平升高，建议在这些干预措施中为照顾亲人的心理支持提供目标重新参与和自我效能等自我调节能力。鉴于自我效能与心理困扰之间存在显著关联，因此可以考虑将自我效能作为心理干预的目标之一。
