Wuxi School of Medicine, Jiangnan University, Wuxi, China.
Wuxi People's Hospital, Wuxi, China.
Psychooncology. 2018 Oct;27(10):2363-2373. doi: 10.1002/pon.4833. Epub 2018 Jul 26.
With growing recognitions of the significance of benefit finding (BF) in cancer practice, research has increased to explore factors that may influence BF in the cancer context. Few studies have focused explicitly on factors influencing BF from the dyadic perspective of cancer patient (CP)-family caregiver (FC) dyads. The objectives of the study were to examine BF relationship between CPs and FCs and to investigate factors that may modify the BF relationships between CPs and FCs.
Participants consisted of 772 dyads of CPs and FCs. Three types of variables were collected as potential modifying factors, including CP-related variables, FC-related variables, and psychological-related variables. Descriptive statistics, T test, Pearson correlations, and subgroup analysis were applied to conduct the data analysis.
Cancer patients and FCs experienced similar moderate to high BF ranging from 65% to 81%, with the exception of acceptance, in that CPs had higher levels of acceptance than did FCs (P < .05). Various factors modifying the BF relationships between CPs and FCs were identified, including dyads' gender, marital status, education level, employment status, level of being informed about the disease, and cancer type and treatment, anxiety, depression, and self-efficacy.
Study findings call attention to the BF, as well as related factors, from the dyadic perspective of CP-FC dyads. Health care professionals need to include FCs of the CPs in their care and provide them with support, to encourage the CP-FC dyads to share their experience and improve BF together, and to develop a dyadic-based intervention program to help enhancing dyads BF.
随着人们越来越认识到益处发现（BF）在癌症实践中的重要性，研究也在增加，以探索可能影响癌症背景下 BF 的因素。很少有研究从癌症患者（CP）-家庭照顾者（FC）对的二元视角明确关注影响 BF 的因素。本研究的目的是检验 CP 和 FC 之间的 BF 关系，并探讨可能改变 CP 和 FC 之间 BF 关系的因素。
参与者包括 772 对 CP 和 FC。收集了三种类型的变量作为潜在的调节因素，包括 CP 相关变量、FC 相关变量和心理相关变量。应用描述性统计、T 检验、皮尔逊相关和亚组分析进行数据分析。
癌症患者和 FC 经历了相似的中度到高度 BF，范围从 65%到 81%，除了接受度，CP 的接受度高于 FC（P<.05）。确定了各种调节 CP 和 FC 之间 BF 关系的因素，包括对的性别、婚姻状况、教育水平、就业状况、对疾病的了解程度、癌症类型和治疗、焦虑、抑郁和自我效能。
研究结果引起了人们对 CP-FC 对的 BF 以及相关因素的关注。医疗保健专业人员需要将 CP 的 FC 纳入他们的护理范围，并为他们提供支持，鼓励 CP-FC 对共同分享他们的经验并共同提高 BF，并制定基于对的干预计划，以帮助提高 BF。
