Ponto Julie Ann, Ellington Lee, Mellon Suzanne, Beck Susan L
College of Nursing, Winona State University, Rochester, MN, USA.
Oncol Nurs Forum. 2010 May;37(3):357-64. doi: 10.1188/10.ONF.357-364.
PURPOSE/OBJECTIVES: To analyze predictors of adjustment and growth in women who had experienced recurrent ovarian cancer using components of the Resiliency Model of Family Stress, Adjustment, and Adaptation as a conceptual framework.
Cross-sectional.
Participants were recruited from national cancer advocacy groups.
60 married or partnered women with recurrent ovarian cancer.
Participants completed an online or paper survey.
Independent variables included demographic and illness variables and meaning of illness. Outcome variables were psychological adjustment and post-traumatic growth.
A model of five predictor variables (younger age, fewer years in the relationship, poorer performance status, greater symptom distress, and more negative meaning) accounted for 64% of the variance in adjustment but did not predict post-traumatic growth.
This study supports the use of a model of adjustment that includes demographic, illness, and appraisal variables for women with recurrent ovarian cancer. Symptom distress and poorer performance status were the most significant predictors of adjustment. Younger age and fewer years in the relationship also predicted poorer adjustment.
Nurses have the knowledge and skills to influence the predictors of adjustment to recurrent ovarian cancer, particularly symptom distress and poor performance status. Nurses who recognize the predictors of poorer adjustment can anticipate problems and intervene to improve adjustment for women.
目的/目标：以家庭压力、调适与适应的弹性模型的组成部分为概念框架，分析复发性卵巢癌女性的调适和成长预测因素。
横断面研究。
参与者从全国癌症倡导组织招募。
60名患有复发性卵巢癌的已婚或有伴侣的女性。
参与者完成在线或纸质调查问卷。
自变量包括人口统计学和疾病变量以及疾病意义。结果变量是心理调适和创伤后成长。
一个包含五个预测变量（年龄较小、关系存续年限较短、体能状态较差、症状困扰较大和消极意义较多）的模型解释了调适差异的64%，但未预测创伤后成长。
本研究支持使用一个包含人口统计学、疾病和评估变量的调适模型来研究复发性卵巢癌女性。症状困扰和较差的体能状态是调适的最显著预测因素。年龄较小和关系存续年限较短也预示着较差的调适。
护士具备知识和技能来影响复发性卵巢癌调适的预测因素，尤其是症状困扰和较差的体能状态。认识到较差调适预测因素的护士可以预见问题并进行干预，以改善女性的调适情况。
