家庭功能如何影响癌症厌食症患者接受化疗的激活? 一个混合方法研究研究
Hongyue Zhong1, Fangyi Li2, Tian Xiao2
1School of Nursing, Chengdu Medical College, Chengdu, Sichuan, China; Department of Gastrointestinal and Hepatobiliary Surgery, Chengdu Qingbaijiang District People's Hospital, Chengdu, Sichuan, China.
Seminars in oncology nursing
|May 18, 2025
概括
癌症相关性厌食症 (CA) 的化疗患者的患者激活是中度的. 家庭功能通过改善情绪调节和自我管理,积极影响患者的激活,尽管存在诸如负面情绪等障碍.
科学领域:
- 瘤学 护理 护理专业
- 患者自我管理
- 心理社会瘤学
背景情况:
- 与癌症相关的厌食症 (CA) 显著影响化疗患者的生活质量和治疗坚持.
- 患者的激活对于自我管理至关重要,在CA患者中通常是次优的.
- 了解影响患者激活的因素对于有效的支持性护理至关重要.
研究的目的:
- 评估化学疗法患者的CA患者的患者激活水平.
- 研究家庭功能和负面情绪在患者激活中的作用.
- 探索患者的自我管理经验和家庭动态对疾病管理的影响.
主要方法:
- 一种混合方法的方法,将定量调查 (N=302) 和定性访谈 (N=16) 与经历CA的化疗患者相结合.
- 验证的工具包括患者激活量,医院焦虑和抑郁量表和家庭护理指数问卷.
- 半结构面试探讨了患者在自我管理和家庭支持方面的经验.
主要成果:
- 有CA的化疗患者表现出中度患者激活 (66.08 ± 13.70).
- 焦虑和抑郁症部分介导了家庭功能和患者激活之间的关系.
- 激活障碍包括缺乏自我管理知识/行为和负面情绪;积极的家庭调整和氛围增强了激活.
结论:
- 家庭功能是CA化疗患者患者激活患者的关键决定因素,影响情绪调节和自我管理.
- 医疗保健专业人员应该利用家庭资源来加强患者的激活,并改善CA患者的治疗结果.
- 针对家庭支持的干预措施可以在化疗期间加强患者参与管理与癌症相关的厌食症.
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