目的:(1)评估对癌症复发(FCR)的恐惧程度,社会支持,应对方式,和创伤后成长;(2)确定与创伤后成长相关的因素;(3)根据创伤后成长水平比较患者和主要护理人员的特征(创伤后成长与无中度到高度的创伤后成长)在肿瘤急诊患者的主要照顾者中。
方法:采用横断面研究设计。数据是通过对过去6个月内在台湾北部医疗中心经历过肿瘤紧急情况的癌症患者-护理人员的便利采样收集的。病人,完成癌症治疗的人,在重症监护室.他们评估了疾病的严重程度,物理性能,以及人口统计学和临床特征。对主要护理人员进行FCR评估,社会支持,应对方式,和创伤后成长使用一组问卷。我们发现,80.8%的主要照顾者报告了中度至高度的创伤后成长,19.2%报告了无创伤后成长。
结论:主要照顾者的创伤后成长与经历更多的患者肿瘤紧急情况有关,年轻的照顾者年龄,护理人员FCR评分较高,和护理人员使用积极的应对行为。如果护理人员经历了较少的患者肿瘤紧急情况,他们不太可能报告创伤后成长,年纪大了,报告的FCR较低,并且不太频繁地使用积极的应对策略。
结论:开发基于情景的模拟以促进肿瘤紧急情况的护理,并提供心理咨询以鼓励积极应对,可以帮助主要护理人员从肿瘤紧急情况中恢复情绪并促进成长。
(1) To assess the levels of fear of cancer recurrence (FCR), social support, coping styles, and posttraumatic growth; (2) to identify factors associated with posttraumatic growth; and (3) to compare patient and primary caregiver characteristics by level of posttraumatic growth (no-to-little posttraumatic growth vs. moderate-to-high posttraumatic growth) in the primary caregivers of patients with an oncologic emergency.
A cross-sectional study design was adopted. Data were collected by convenience sampling of cancer patient-caregiver dyads who experienced an oncologic emergency within the last 6 months at a medical center in northern Taiwan. The patients, who had completed cancer treatment, were in an intensive care unit. They were assessed for disease severity, physical performance, and demographic and clinical characteristics. Primary caregivers were assessed for FCR, social support, coping styles, and posttraumatic growth using a set of questionnaires. We found that 80.8% of primary caregivers reported moderate-to-high posttraumatic growth and 19.2% reported no-to-little posttraumatic growth.
Greater posttraumatic growth in primary caregivers was associated with experiencing more patient oncologic emergencies, younger caregiver age, a higher caregiver FCR score, and caregivers\' use of active coping behaviors. Caregivers were less likely to report posttraumatic growth if they experienced fewer patient oncologic emergencies, were older, reported lower FCR, and used active coping strategies less frequently.
Developing scenario-based simulations to facilitate caregiving for an oncologic emergency and providing psychological counseling to encourage active coping can help primary caregivers recover emotionally from an oncologic emergency and facilitate growth.