正念与疾病接纳与转移性乳腺癌患者及其照护者的心理社会功能的关系。
Relations of Mindfulness and Illness Acceptance With Psychosocial Functioning in Patients With Metastatic Breast Cancer and Caregivers.
机构信息
Indiana University-Purdue University Indianapolis.
Indiana University.
出版信息
Oncol Nurs Forum. 2020 Nov 1;47(6):739-752. doi: 10.1188/20.ONF.739-752.
Abstract
OBJECTIVES
To examine relationships in mindfulness and illness acceptance and psychosocial functioning in patients with metastatic breast cancer and their family caregivers.
SAMPLE & SETTING: 33 dyads from an academic cancer center in the United States.
METHODS & VARIABLES: Participants completed questionnaires on mindfulness, illness acceptance, relationship quality, anxiety, and depressive symptoms. Dyadic, cross-sectional data were analyzed using actor-partner interdependence models.
RESULTS
Greater nonjudging, acting with awareness, and illness acceptance among caregivers were associated with patients' and caregivers' perceptions of better relationship quality. Higher levels of these processes were associated with reduced anxiety and depressive symptoms in patients and caregivers.
IMPLICATIONS FOR NURSING
Aspects of mindfulness and illness acceptance in dyads confer benefits that are primarily intrapersonal in nature. Nurses may consider introducing mindfulness and acceptance-based interventions to patients and caregivers with adjustment difficulties.
摘要
目的
探讨转移性乳腺癌患者及其家属照顾者的正念与疾病接受度和心理社会功能之间的关系。
样本和设置
美国一家学术癌症中心的 33 对患者及其家属照顾者。
方法和变量
参与者完成了关于正念、疾病接受度、关系质量、焦虑和抑郁症状的问卷。使用演员-伙伴相互依赖模型分析了二元、横断面数据。
结果
照顾者的非评判、觉察行动和疾病接受度越高，患者和照顾者对关系质量的评价就越好。这些过程水平越高，患者和照顾者的焦虑和抑郁症状就越低。
对护理的启示
在二元关系中，正念和疾病接受的各个方面都带来了主要是内在的益处。护士可能会考虑向有适应困难的患者及其家属照顾者引入正念和接受为基础的干预措施。
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