Development of Nursing Program based on the Mastery for the Long-Term Adaptive status of Cancer Survivors:

基于掌握癌症幸存者长期适应状态的护理方案的制定：

基本信息

批准号：
14370821
负责人：
FUJITA Sawa
金额：
$ 5.12万
依托单位：
Kochi Women's University.
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
2002
资助国家：
日本
起止时间：
2002 至 2005
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-14370821/
关键词：
cancer survivors mastery long-term adaptation growth SF-36 長期的適応長期適応

项目摘要

I. OBJECTIVES : The purpose of this study is to investigate on the long-term outcome of the discharged cancer survivors. It also aims to clarify the mastery, which supports the adaptation of long-term cancer survivors, and the health status as their current adaptive state and its related factors.II. METHODS : A conceptual framework for long-term adaptation was prepared based on the notion of cancer "survivorship". Subjects were individuals who had been informed of their diagnosis of cancer, admitted to hospital to undergo treatment, and had been discharged for at least 3 months without disease recurrence. Three measures were used to assess the subjects' long-term adaptation and related factorsIII. RESULTS : A total of 511 survivors returned questionnaires, and valid responses collected from 477 survivors were analyzed in the present study. The average age of the respondents was 61.0 years. The average length of time from discharge was 3 years and 7 months. There was a significant negat … More ive correlation between mastery and stress. This result supported the theory of mastery which proposes that the relationship between mastery and stress is antithetic. No significant correlation can be traced between the lengths of time since the discharge and the stress or health status. The factors influenced the mastery, in order of the strength of their influence, were health status, the disability caused by the treatment received, the site of cancer, their religion and belief, stress, and their educational background. Influencing factors common to all 4 items of mastery were the disability caused by the treatment received. The other items had involved characteristic factors. As for certainty, in order of the strength of their influence, they were health status, the disability from the treatment received, the site of cancer, their religion and belief, and their educational background. As for change, they were health status, their educational background, and the disability caused by the treatment received. As for acceptance, they were stress, health status, their educational background, the disability caused by the treatment received, the types of treatment, and the site of cancer. As for growth, they were health status, their religion and belief, the length of the time elapsed from discharge, the change in relationship with healthcare professional, their sex, and the disability caused by the treatment received.IV. DISCUSSIONS : The cancer survivors have attained mastery, bringing it into full play despite the remaining disability caused by the treatment received and the continual state of stress. Instead of actively changing the situation and living with cancer, the survivors seem to have achieved mastery by accepting their current status, have made some concession, and have familiarized themselves to the disease of unknown cause as cancer, and also to the uncertain situation. The factors be related to health status should be valuable in determining methods by which nurses can facilitate positive adaptation in cancer survivors. Less

I.目标：这项研究的目的是研究出现的癌症存活的长期结果。它还旨在阐明掌握的精通，以支持长期癌症生存的适应，以及作为当前适应性状态及其相关因素的健康状况。方法：基于癌症的“生存”概念制定了长期适应的概念框架。受试者是被告知受访者平均年龄的个人，为61.0岁。平均值用于评估受试者的长期适应和相关因素III。结果：在本研究中分析了总共511个冲浪者的问卷，并分析了477个冲浪者的有效回答。受访者的平均年龄为61.0岁。出院的平均时间为3年零7个月。精通和压力之间存在显着的负面……更大的相关性。该结果支持掌握理论，该理论建议掌握与压力之间的关系是对立的。自排放和压力或健康状况以来的时间长度之间没有显着的相关性。这些因素会根据其影响力的顺序影响掌握，是健康状况，受到治疗的残疾，癌症的部位，他们的宗教和信仰，压力和教育背景。所有四个精通项目共有的影响因素是由接受的治疗引起的残疾。其他项目涉及特征因素。至于可以肯定的是，按照自己的影响力，他们是健康状况，受到治疗的残疾，癌症的部位，他们的宗教和信仰以及他们的教育背景。至于变化，它们是健康状况，教育背景以及受到治疗所致的残疾。至于接受，他们是压力，健康状况，教育背景，受到治疗的治疗，治疗类型和癌症部位的残疾。至于增长，他们是健康状况，宗教和信仰，出院时间经过的时间，与医疗保健专业人员的关系变化，性别以及受到的治疗造成的残疾。讨论：癌症的存活已经掌握，使它进入了全面的目的地，剩下的残疾是由接受的治疗和不断压力的状态引起的。生存似乎没有积极改变局势并患有癌症，而是通过接受当前的身份，做出了一些让步，并熟悉了癌症的疾病以及不确定的情况。这些因素与健康状况有关，对于确定护士可以促进癌症存活阳性适应的方法应该是有价值的。较少的