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妇科癌症术后女性男性照料者的感知需求、准备情况及情绪困扰

Perceived Needs, Preparedness, and Emotional Distress of Male Caregivers of Postsurgical Women With Gynecologic Cancer.

作者信息

Mazanec Susan R, Reichlin Dianne, Gittleman Haley, Daly Barbara J

机构信息

Frances Payne Bolton School of Nursing, Case Western Reserve University (CWRU).

Lee Memorial Hospital and Regional Cancer Center.

出版信息

Oncol Nurs Forum. 2018 Mar 1;45(2):197-205. doi: 10.1188/18.ONF.197-205.

Abstract

OBJECTIVES: To describe the perceived needs, preparedness, and emotional distress of male caregivers of postsurgical patients with gynecologic cancer during the transition from hospital to home. 
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SAMPLE & SETTING: 50 male caregivers of patients with gynecologic cancer on an inpatient unit at University Hospitals Seidman Cancer Center in Cleveland, OH.
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METHODS & VARIABLES: Caregiver needs, perceived preparedness, and emotional distress were measured at admission and at one week postdischarge. Instruments included the Comprehensive Needs Assessment Tool for Cancer Caregivers, Preparedness for Caregiving Scale, and National Comprehensive Cancer Network Distress Thermometer. The analysis consisted of descriptive statistics, Spearman's correlations, and univariate linear regressions.
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RESULTS: At both time points, male caregivers' greatest needs were interaction with the healthcare staff and information. Perceived preparedness was not associated with emotional distress. Male caregivers who were young, were employed, were unmarried, and had a lower income had greater needs.
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IMPLICATIONS FOR NURSING

A relational nursing care approach that maintains effective communication with male caregivers is essential. Nurses should broaden the caregiver assessment beyond the practical care of the patient.

摘要

目的

描述妇科癌症术后患者男性照料者在从医院过渡到家庭期间所感知到的需求、准备情况和情绪困扰。

样本与背景

俄亥俄州克利夫兰市大学医院西德曼癌症中心住院部的50名妇科癌症患者的男性照料者。

方法与变量

在入院时和出院后一周测量照料者的需求、感知到的准备情况和情绪困扰。所用工具包括癌症照料者综合需求评估工具、照料准备量表和美国国立综合癌症网络苦恼温度计。分析包括描述性统计、斯皮尔曼相关性分析和单变量线性回归分析。

结果

在两个时间点,男性照料者最大的需求都是与医护人员的互动和信息。感知到的准备情况与情绪困扰无关。年轻、就业、未婚且收入较低的男性照料者需求更大。

对护理的启示

采用关系性护理方法与男性照料者保持有效沟通至关重要。护士应将照料者评估范围扩大到患者的实际护理之外。

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