Symptom Intervention For Older Women with Breast Cancer

老年乳腺癌女性的症状干预

基本信息

批准号：
6493166
负责人：
SUSAN M. HEIDRICH
金额：
$ 10万
依托单位：
UNIVERSITY OF WISCONSIN-MADISON
依托单位国家：
美国
项目类别：
财政年份：
2001
资助国家：
美国
起止时间：
2001-09-30 至 2004-09-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6493166
关键词：
behavioral /social science research tag breast neoplasms counseling female human old age (65+) human subject nursing intervention patient care management patient oriented research psychological aspect of aging psychological aspect of cancer quality of life women's health

项目摘要

Older women, especially those over age 75, are the fastest growing segment of the population. Many of these women will be living with breast cancer because the incidence of this disease increases with age. Unfortunately, the research on adaptation to illness, symptom management, and quality of life of women with breast cancer has focused on woman under 65. Unlike younger women, older women with BC experience symptoms of their disease and its treatment concurrent with symptoms of age-related chronic illnesses. Thus, they are faced with the unique challenge of sorting out and managing a variety of complex and sometimes confusing symptoms. We propose to test an individualized representational intervention (IRIS) to improve symptom management and quality of life in older women with breast cancer. The theoretical basis of the intervention is Leventhal's Common Sense Model, with the addition of strategies for conceptual change. Leventhal's Common Sense Model suggests that individuals' representations of their symptoms are critical determinants of how they cope with them. By addressing women's representations, we hope to change beliefs that interfere w3ith adequate symptom management, assist women in developing individualized, effective symptom management strategies and thereby improve quality of life. Participants in this study will be women aged 65 and older who are at least one year post-diagnosis of BC. They will be randomized to one of three conditions: a representational intervention (IRIS) delivered by an advanced practice nurse in a counseling interview, an attention-only control group, or usual care. Measures of symptom distress, helpfulness of symptom management activities, and quality of life will be taken at baseline, six weeks and ten weeks post intervention. We predict that IRIS will improve symptom management, which will in turn improve quality of life for older women with breast cancer.

老年妇女，尤其是75岁以上的妇女，是人口中增长最快的人群。这些妇女中的许多人将患有乳腺癌，因为这种疾病的发生率随着年龄的增长而增加。不幸的是，关于适应疾病，症状管理和乳腺癌妇女生活质量的研究集中在65岁以下的妇女身上。与年轻妇女不同，患有卑诗省的老年妇女经历了疾病的症状，以及与年龄相关的慢性疾病的症状同时进行的治疗。因此，他们面临着解决和管理各种复杂甚至有时令人困惑的症状的独特挑战。我们建议测试个性化的代表性干预（IRIS），以改善老年乳腺癌女性的症状管理和生活质量。干预的理论基础是Leventhal的常识模型，并增加了概念变化的策略。莱文塔尔（Leventhal）的常识模型表明，个人对症状的表现是他们如何应对他们的关键决定因素。通过解决妇女的代表性，我们希望改变干扰适当症状管理的信念，帮助妇女制定个性化的，有效的症状管理策略，从而改善生活质量。这项研究的参与者将是卑诗省诊断后至少一年的65岁及以上的女性。它们将被随机分配到三个条件之一：高级实践护士在咨询访谈，唯一的关注对照组或通常的护理中提供的代表性干预（IRIS）。症状困扰，症状管理活动的有益性和生活质量将在干预后六周零10周时采取。我们预测IRIS将改善症状管理，进而改善老年乳腺癌女性的生活质量。