Peterson Amy M, Harper Felicity W K, Albrecht Terrance L, Taub Jeffrey W, Orom Heather, Phipps Sean, Penner Louis A
1Wayne State University, Detroit, MI, USA.
J Pediatr Oncol Nurs. 2014 Jan-Feb;31(1):18-27. doi: 10.1177/1043454213514792. Epub 2013 Dec 30.
This study examined how parents' sense of self-efficacy specific to caregiving for their child during cancer treatment procedures affected children's distress and cooperation during procedures. Potential correlates of caregiver self-efficacy (ie, demographics, child clinical characteristics, parent dispositional attributes, and social support) were also examined. Participants were 119 children undergoing cancer treatment procedures and their parents. Parents' self-efficacy about 6 procedure-specific caregiver tasks was measured. Parents, children, nurses, and observers rated child distress and parents, nurses and observers rated child cooperation during procedures. Higher parent self-efficacy about keeping children calm during procedures predicted lower child distress and higher child cooperation during procedures. Parent dispositional attributes (eg, enduring positive mood, empathy) and social support predicted self-efficacy. Parent caregiver self-efficacy influences child distress and cooperation during procedures and is associated with certain parent attributes. Findings suggest the utility of identifying parents who would benefit from targeted interventions to increase self-efficacy about caregiving during treatment procedures.
本研究考察了父母在癌症治疗过程中对照顾自己孩子的自我效能感如何影响孩子在治疗过程中的痛苦程度和配合度。同时还考察了照顾者自我效能感的潜在相关因素（即人口统计学特征、孩子的临床特征、父母的性格特质和社会支持）。研究参与者为119名正在接受癌症治疗的儿童及其父母。测量了父母在6项特定治疗程序中照顾者任务方面的自我效能感。父母、孩子、护士和观察者对孩子的痛苦程度进行了评分，父母、护士和观察者对孩子在治疗过程中的配合度进行了评分。父母在治疗过程中让孩子保持冷静的自我效能感越高，预测孩子在治疗过程中的痛苦程度越低，配合度越高。父母的性格特质（如持久的积极情绪、同理心）和社会支持预测了自我效能感。父母照顾者的自我效能感会影响孩子在治疗过程中的痛苦程度和配合度，并且与某些父母特质相关。研究结果表明，识别那些将从有针对性的干预措施中受益的父母，以提高他们在治疗过程中照顾孩子的自我效能感是有意义的。
