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.

老年女性，尤其是 75 岁以上的女性，是人口增长最快的部分。其中许多女性将患有乳腺癌，因为这种疾病的发病率随着年龄的增长而增加。不幸的是，关于患有乳腺癌的女性对疾病的适应、症状管理和生活质量的研究主要集中在 65 岁以下的女性。与年轻女性不同，患有 BC 的老年女性会经历她们的疾病症状以及与年龄症状同时发生的治疗。相关的慢性疾病。因此，他们面临着整理和管理各种复杂且有时令人困惑的症状的独特挑战。我们建议测试个体化代表性干预 (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，并添加了概念改变的策略。莱文撒尔的常识模型表明，个体对症状的表征是他们如何应对症状的关键决定因素。通过解决女性问题，我们希望改变干扰充分症状管理的观念，帮助女性制定个性化、有效的症状管理策略，从而提高生活质量。这项研究的参与者是 BC 诊断后至少一年的 65 岁及以上女性。他们将被随机分配到以下三种情况之一：由高级执业护士在咨询访谈中提供的代表性干预（IRIS）、仅注意对照组或常规护理。将在基线、干预后六周和十周进行症状困扰、症状管理活动的帮助和生活质量的测量。我们预测 IRIS 将改善症状管理，从而提高患有乳腺癌的老年女性的生活质量。

项目成果

期刊论文数量（3）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Older breast cancer survivors' symptom beliefs.

老年乳腺癌幸存者的症状信念。

DOI：
发表时间：
2009-07
期刊：
影响因子：
1.9
作者：
Royer, Heather Rhea;Phelan, Cynthia H;Heidrich, Susan M
通讯作者：
Heidrich, Susan M

An individualized representational intervention to improve symptom management (IRIS) in older breast cancer survivors: three pilot studies.

改善老年乳腺癌幸存者症状管理 (IRIS) 的个体化代表性干预措施：三项试点研究。

DOI：
发表时间：
2009-05
期刊：
影响因子：
1.9
作者：
Heidrich, Susan M;Brown, Roger L;Egan, Judith J;Perez, Oscar A;Phelan, Cynthia H;Yeom, Hyune;Ward, Sandra E
通讯作者：
Ward, Sandra E

Effect of perceived barriers to symptom management on quality of life in older breast cancer survivors.

症状管理的感知障碍对老年乳腺癌幸存者生活质量的影响。