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癌症患者家庭照顾者与医护人员的沟通及心理困扰:基于应激应对理论的模型

Communications with health professionals and psychological distress in family caregivers to cancer patients: A model based on stress-coping theory.

作者信息

Oh Young Sam

机构信息

Graduate School of East-West Medical Science, Kyung Hee University, Yongin-si, Republic of Korea.

出版信息

Appl Nurs Res. 2017 Feb;33:5-9. doi: 10.1016/j.apnr.2016.09.008. Epub 2016 Sep 30.

DOI:10.1016/j.apnr.2016.09.008
PMID:28096023
Abstract

BACKGROUND

In cancer care settings, family caregivers often experience negative or little communication with the health professionals, and this negative communication and limited health-related information causes psychological distress in family caregivers to cancer patients.

AIM

The first aim of this research is to investigate the relationship between communication with health professionals and psychological distress in family caregivers. The second aim is to investigate the mediating effects of self-efficacy in this hypothetical model.

METHODS

A total of 1397 family caregivers were included in this research. A structural equation model was then applied, in order to examine the hypothesized model based on the stress-coping model.

FINDINGS

More negative communication with health professionals was associated with higher psychological distress. Self-efficacy in health information seeking significantly mediated the relationship between communication with health professionals and psychological distress.

CONCLUSION

This study indicates that as a coping resource, self-efficacy in health information seeking, plays a significant role in reducing the effects of negative communication with health professionals on psychological distress in family caregivers.

摘要

背景

在癌症护理环境中,家庭护理人员常常与医护人员沟通不畅或沟通消极,而这种消极沟通以及有限的健康相关信息会导致癌症患者的家庭护理人员出现心理困扰。

目的

本研究的首要目的是调查家庭护理人员与医护人员的沟通和心理困扰之间的关系。第二个目的是调查自我效能感在这个假设模型中的中介作用。

方法

本研究共纳入了1397名家庭护理人员。随后应用结构方程模型,以基于应激应对模型检验假设模型。

结果

与医护人员的消极沟通越多,心理困扰程度越高。寻求健康信息的自我效能感显著中介了与医护人员的沟通和心理困扰之间的关系。

结论

本研究表明,作为一种应对资源,寻求健康信息的自我效能感在减轻与医护人员的消极沟通对家庭护理人员心理困扰的影响方面发挥着重要作用。

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