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癌症患者家庭照顾者的绝望感水平与应对策略之间的关系研究

Examination of the Relationship Between Hopelessness Levels and Coping Strategies Among the Family Caregivers of Patients With Cancer.

作者信息

Tokem Yasemin, Ozcelik Hanife, Cicik Atiye

机构信息

Author Affiliations: Department of Nursing, Faculty of Health Science, Izmir Katip Celebi University (Dr Tokem); Zubeyde Hanim School of Health, Nigde University (Dr Ozcelik); and Newborn Intensive Care Unit, Buca Seyfi Demirsoy Hospital, Izmir, Turkey (Ms Cicik).

出版信息

Cancer Nurs. 2015 Jul-Aug;38(4):E28-34. doi: 10.1097/NCC.0000000000000189.

Abstract

BACKGROUND

Family caregivers who provide care for cancer patients may have to cope with a variety of physical, social, and economic problems during the caregiving process. A sense of hopelessness seems to lead to increasingly negative evaluations of new situations and less effective coping strategies.

OBJECTIVE

The objective of the study was to examine the relationship between hopelessness and the coping strategies of the family caregivers of oncology patients.

METHODS

This cross-sectional, descriptive correlational design study was carried out in the adult oncology unit and outpatient radiation oncology units of a university hospital in Turkey. The research sample was composed of 110 family caregivers. A sociodemographic data form, the Coping Stress Strategies Scale, and the Beck Hopelessness Scale were used in face-to-face interviews.

RESULTS

Significant correlations were found between hopelessness and coping strategies. There was a positive correlation between hopelessness and the helpless approaches, which constitute a part of the emotion-focused coping strategies (r = 0.254, P < .01). There was a negative correlation between hopelessness and problem-focused coping strategies (optimistic approach and seeking social support) (r = -0.484, P < .01; r = -0.190, P < .05).

CONCLUSION

In our study, we found that when the hopes of family caregivers are raised, they may adopt a more optimistic approach, and seek more social support, and display more effective coping strategies.

IMPLICATIONS FOR PRACTICE

This study could be used to help develop nursing interventions and efficient coping strategies. It suggests how oncology nurses may support family caregivers to increase their level of hope.

摘要

背景

为癌症患者提供护理的家庭照顾者在护理过程中可能不得不应对各种身体、社会和经济问题。绝望感似乎会导致对新情况的负面评价越来越多,应对策略也越来越无效。

目的

本研究的目的是探讨绝望感与肿瘤患者家庭照顾者应对策略之间的关系。

方法

本横断面、描述性相关性设计研究在土耳其一所大学医院的成人肿瘤病房和门诊放疗肿瘤病房进行。研究样本由110名家庭照顾者组成。在面对面访谈中使用了社会人口统计学数据表、应对压力策略量表和贝克绝望量表。

结果

发现绝望感与应对策略之间存在显著相关性。绝望感与构成情绪聚焦应对策略一部分的无助方法之间存在正相关(r = 0.254,P <.01)。绝望感与问题聚焦应对策略(乐观方法和寻求社会支持)之间存在负相关(r = -0.484,P <.01;r = -0.190,P <.05)。

结论

在我们的研究中,我们发现当家庭照顾者的希望得到提升时,他们可能会采取更乐观的方法,寻求更多的社会支持,并展示更有效的应对策略。

对实践的启示

本研究可用于帮助制定护理干预措施和有效的应对策略。它表明肿瘤护士可以如何支持家庭照顾者提高他们的希望水平。

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