Couples' Communication and Quality of Life during Prostate Cancer Survivorship

前列腺癌幸存者期间夫妻的沟通和生活质量

基本信息

批准号：
7541530
负责人：
Lixin Song
金额：
$ 2.89万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-09-01 至 2009-06-19
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7541530
关键词：
Accounting Address Adverse effects Advocacy Affect Age American Cancer Society Area Cancer Etiology Cancer Family Cancer Patient Cancer Survivor Cancer Survivorship Cessation of life Communication Couples Daily Data Data Analyses Diagnosis Distress Education Erectile dysfunction Family Family Research Funding Agency Goals Gray unit of radiation dose Illness impact Institute of Medicine (U.S.)Intervention Knowledge Length Life Longitudinal Studies Malignant Neoplasms Malignant neoplasm of lung Malignant neoplasm of prostate Measures Mediator of activation protein Modeling National Cancer Institute National Institute of Nursing Research Numbers Office of Cancer Survivorship Outcome Patients Pattern Phase Play Purpose Quality of life Race Randomized Clinical Trials Randomized Controlled Trials Reporting Research Research Priority Role Second Primary Cancers Specific qualifier value Staging Survival Rate Survivors Symptoms Testing Time Urinary Incontinence base cancer diagnosis caregiving coping design follow-up men model design theories

项目摘要

DESCRIPTION (provided by applicant): Prostate cancer is the most frequently diagnosed cancer and the second leading cause of cancer related deaths in men. Evidence suggests that prostate cancer and its treatment often involve the most intimate parts of the relationship between cancer patients and their partners, and thus, can have considerable negative effects on their quality of life (QOL) over an extended period of time. While coping with this "couple's illness," the communication between prostate cancer patients and their partners-the exchange of cancer-related information and concerns-plays an integral role in couples' daily life and the informal caregiving. Yet there has been little research on the relationship between communication and QOL in couples coping with prostate cancer. Fewer studies have concurrently examined the perspectives of both patients and their partners as it relates to their communication about the illness. There is also an absence of quantitative longitudinal research that examines how levels or patterns of communication change over time during prostate cancer survivorship. The purpose of this study is to describe changes in the levels of communication between prostate cancer patients and their partners over time, and to determine the amount of variance in their QOL that is accounted for by the Couple's Cancer Communication Model. Based on a secondary analysis of the longitudinal data obtained from a randomized clinical trial sponsored by the National Cancer Institute, two specific aims will be addressed in this study. Aim one is to describe the pattern of change in prostate cancer patients' and their partners' levels of communication from baseline to 4, and 8 month follow-ups. Aim two is to test the hypothesized relationships in the Couple's Cancer Communication Model designed to predict the QOL in prostate cancer patients and their partners. The results from this study will contribute to the body of knowledge pertaining to communication between prostate cancer patients and their partners, and their subsequent QOL. Furthermore, the study will provide valuable information that can be used to develop intervention strategies to assist couples to communicate more effectively and to support one another as they cope with the demands of prostate cancer. With an ultimate goal of optimizing the QOL for cancer survivors and their families, this research effort is in accordance with the research priorities of prominent scientific and funding agencies including the Institute of Medicine, the National Institute of Nursing Research, and the National Cancer Institute.

描述（由申请人提供）：前列腺癌是最常诊断的癌症，也是男性癌症相关死亡的第二大原因。有证据表明，前列腺癌及其治疗通常涉及癌症患者与其伴侣之间关系中最亲密的部分，因此，在较长一段时间内可能会对他们的生活质量（QOL）产生相当大的负面影响。在应对这对“夫妻之病”时，前列腺癌患者与其伴侣之间的沟通——交换癌症相关信息和担忧——在夫妻的日常生活和非正式护理中发挥着不可或缺的作用。然而，对于应对前列腺癌的夫妇的沟通和生活质量之间的关系却很少有研究。很少有研究同时检查患者及其伴侣的观点，因为这与他们对疾病的沟通有关。还缺乏定量纵向研究来检验前列腺癌生存期间沟通水平或模式如何随时间变化。本研究的目的是描述前列腺癌患者与其伴侣之间的沟通水平随时间的变化，并确定夫妻癌症沟通模型所解释的生活质量的差异量。基于对国家癌症研究所赞助的随机临床试验获得的纵向数据的二次分析，本研究将解决两个具体目标。目标一是描述前列腺癌患者及其伴侣的沟通水平从基线到 4 个月和 8 个月随访的变化模式。目标二是测试夫妻癌症沟通模型中假设的关系，该模型旨在预测前列腺癌患者及其伴侣的生活质量。这项研究的结果将有助于了解前列腺癌患者与其伴侣之间的沟通以及他们随后的生活质量。此外，该研究将提供有价值的信息，可用于制定干预策略，帮助夫妇更有效地沟通并在应对前列腺癌的需求时相互支持。这项研究的最终目标是优化癌症幸存者及其家人的生活质量，符合医学研究所、国家护理研究所和国家癌症研究所等著名科学和资助机构的研究重点。