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照顾癌症患者的积极方面:文献综述及未来研究方向

The positive aspects of caregiving for cancer patients: a critical review of the literature and directions for future research.

机构信息

School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, China; Wuxi Medical School, Jiangnan University, Wuxi, Jiangsu, China.

出版信息

Psychooncology. 2013 Nov;22(11):2399-407. doi: 10.1002/pon.3311. Epub 2013 May 28.

Abstract

OBJECTIVE

Although there is a vast body of studies exploring the negative aspects of spousal caregiving for cancer patients, there have also been reports on the positive aspects. The objective of this review was to summarize and appraise the positive aspects of spousal caregiving and to identify directions for future research.

METHODS

A systematic search was conducted to identity articles published in English or Chinese from January 1996 to July 2012. Studies were located using an electronic search, a manual search, and an author search.

RESULTS

A total of 35 articles were identified and included in this review. The focus of these studies and their results were described on the basis of the Conceptual Framework of the Positive Aspects of Caregiving. The findings revealed that spousal caregivers for cancer patients experienced various positive aspects of caregiving, such as an enhanced relationship with the care-receiver, the feeling of being rewarded, a sense of personal growth, and a perception of personal satisfaction. Daily enrichment events and self-efficacy on the part of the caregivers were identified as the determining factors in the positive aspects of caregiving.

CONCLUSIONS

All of the three domains of the positive aspects of caregiving are interdependent and worked together to contribute to the positive outcomes experienced by spousal caregivers. An intervention program specially designed to enhance the positive aspects of caregiving will support spouses caring for cancer patients.

摘要

目的

尽管有大量研究探讨了配偶照顾癌症患者的负面方面,但也有一些关于积极方面的报道。本综述的目的是总结和评价配偶照顾的积极方面,并确定未来研究的方向。

方法

系统检索了 1996 年 1 月至 2012 年 7 月发表的英文或中文文献。通过电子搜索、手动搜索和作者搜索来查找研究。

结果

共确定了 35 篇文章,并纳入了本综述。这些研究的重点及其结果是根据照顾的积极方面的概念框架来描述的。研究结果表明,癌症患者的配偶照顾者经历了各种照顾的积极方面,如与照顾对象的关系增强、被奖励的感觉、个人成长感和个人满意度感。日常充实活动和照顾者的自我效能感被确定为照顾积极方面的决定因素。

结论

照顾的积极方面的三个领域是相互依存的,共同为配偶照顾癌症患者的积极结果做出贡献。专门设计的增强照顾积极方面的干预方案将为照顾癌症患者的配偶提供支持。

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