Li Qiuping, Loke Alice Y
Author Affiliations: Wuxi Medical School, Jiangnan University, Wuxi, Jiangsu Province, China (Dr Li); and School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon Hong Kong, China SAR (Dr Loke).
Cancer Nurs. 2015 Mar-Apr;38(2):E27-36. doi: 10.1097/NCC.0000000000000148.
With the research focus on family caregiving shifting from the individual to the dyadic level, there is a need to develop a conceptual framework that focused on caregiver-patient dyads.
The aim of this study was to develop a preliminary conceptual framework for cancer couple dyads, to "Live With Love."
A literature search was conducted among 4 electronic databases to identify couple-based intervention studies related to couples coping with cancer. This report differs from a traditional literature review in that we synthesized the models or frameworks used in these studies rather than the outcomes of the studies. A preliminary Live With Love Conceptual Framework (P-LLCF) for cancer couple dyads was developed based on the conceptual frameworks adopted in related literature on spousal caregiving for patients with cancer.
This P-LLCF contains 3 domains: event situation, dyadic mediators, and caregiver-patient dyads (appraisal, coping, and adjustment/outcomes). The various components in this P-LLCF will work together to benefit the positive dyadic adjustment/outcomes of the spousal caregiver-patient dyads in the cancer dyads' journey of coping with cancer.
This P-LLCF sheds new light on the study of cancer couple dyads. It will be potentially valuable for guiding the related research and development of interventions on cancer couple dyads.
Future research is needed to assess the outcome of interventions that focus on different components. It is also needed to develop measurements to assess dyadic adjustment/outcomes in nursing practice.
随着家庭照护的研究重点从个体层面转向二元层面，需要构建一个聚焦照护者-患者二元组的概念框架。
本研究旨在为癌症夫妻二元组构建一个初步的概念框架，即“与爱同行”。
在4个电子数据库中进行文献检索，以识别与夫妻应对癌症相关的基于二元组的干预研究。本报告与传统文献综述的不同之处在于，我们综合了这些研究中使用的模型或框架，而非研究结果。基于癌症患者配偶照护相关文献中采用的概念框架，为癌症夫妻二元组开发了一个初步的“与爱同行”概念框架（P-LLCF）。
这个P-LLCF包含3个领域：事件情境、二元调解因素以及照护者-患者二元组（评估、应对和调整/结果）。P-LLCF中的各个组成部分将共同作用，以促进配偶照护者-患者二元组在癌症二元组应对癌症过程中的积极二元调整/结果。
这个P-LLCF为癌症夫妻二元组的研究提供了新的视角。它对于指导癌症夫妻二元组相关研究及干预措施的开发可能具有重要价值。
未来需要开展研究以评估聚焦不同组成部分的干预措施的效果。还需要开发测量工具以评估护理实践中的二元调整/结果。
