Effects of a Nurse-led Survivorship Care Program on the Health and Resilience of Primary Caregivers of Patients With Advanced Head and Neck Cancer: A Randomized Controlled Trial

被引：3
作者：
Lee, Li-Yun [1 ,2 ]
Huang, Bing-Shen [3 ,4 ,5 ]
Lin, Chien-Yu [3 ,4 ,5 ]
Su, Ya-Hui [6 ]
Chung, Ching-Fang [7 ]
Chang, Ya-Lan [7 ]
Chen, Shu-Ching [3 ,4 ,8 ,9 ,10 ,11 ]
机构：
[1] DaYeh Univ, Coll Nursing & Hlth Sci, Dept Nursing, Changhua, Taiwan
[2] Chang Gung Univ Sci & Technol, Coll Nursing, Dept Nursing, Chaiyi, Taiwan
[3] Linkou Chang Gung Mem Hosp, Dept Radiat Oncol, Taoyuan, Taiwan
[4] Linkou Chang Gung Mem Hosp, Proton & Radiat Therapy Ctr, Taoyuan, Taiwan
[5] Chang Gung Univ, Coll Med, Dept Med Imaging & Radiol Sci, Taoyuan 33302, Taiwan
[6] Taoyuan Chang Gung Mem Hosp, Dept Nursing, Taoyuan, Taiwan
[7] Linkou Chang Gung Mem Hosp, Dept Nursing, Taoyuan, Taiwan
[8] Chang Gung Univ Sci & Technol, Coll Nursing, Sch Nursing, Taoyuan, Taiwan
[9] Chang Gung Univ Sci & Technol, Coll Nursing, Long Term Care Res Ctr, Taoyuan, Taiwan
[10] Chang Gung Univ, Coll Med, Sch Nursing, Taoyuan, Taiwan
[11] Chang Gung Univ Sci & Technol, Coll Nursing, Sch Nursing, 261 Wen Hua 1st Rd, Taoyuan 333, Taiwan
来源：
SEMINARS IN ONCOLOGY NURSING | 2023年 / 39卷 / 04期
关键词：
Cancer; Primary caregivers; Head and neck cancer; Nurse-led care; Survivorship care plan; Resilience; FAMILY CAREGIVERS; RELIABILITY; VALIDATION;
D O I：
10.1016/j.soncn.2023.151425
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
Objectives: The present study aimed to evaluate the effects of a nurse-led survivorship care program (SCP) on emotional distress, social support, physical health, mental health, and resilience in primary caregivers of patients with advanced head and neck cancer.Data Sources: A randomized controlled trial was conducted. One hundred patient-primary caregiver dyads were randomized into the nurse-led SCP group (experimental) or the usual care group (control). Participants completed a self-reported questionnaire, including measures of emotional distress, social support, physical health, mental health, and resilience. After 6 months, the experimental group reported a significant improve-ment in emotional distress, social support, physical health, mental health, and resilience. Compared with the control group, measures of emotional distress, physical health, overall resilience, and the resilience aspects of equanimity and perseverance improved in the experimental group.Conclusion: An SCP may feasibly help alleviate emotional distress, improve social support, increase physical and mental health, and strengthen resilience in the primary caregivers of patients with head and neck cancer. Health care providers should encourage primary caregivers to join an SCP.Implications for Nursing Practice: The nurse-led SCP can be applied before patients complete treatment, which may increase the positive effect on physical health and adaptation.& COPY; 2023 Elsevier Inc. All rights reserved.
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页数：8
相关论文
共 37 条
  • [1] American Cancer Society, 2022, ASCO cancer treatment and survivorship care plans
  • [2] [Anonymous], 2019, NCCN CLIN PRACTICE G
  • [3] Chan Y H, 2004, Singapore Med J, V45, P354
  • [4] Impact of physical and psychosocial dysfunction on return to work in survivors of oral cavity cancer
    Chen, Shu-Ching
    Huang, Bing-Shen
    Hung, Tsung-Min
    Lin, Chien-Yu
    Chang, Ya-Lan
    [J]. PSYCHO-ONCOLOGY, 2019, 28 (09) : 1910 - 1917
  • [5] Nurse led care
    Cullum, N
    Spilsbury, K
    Richardson, G
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2005, 330 (7493): : 682 - 683
  • [6] Social support and subjective burden in caregivers of adults and older adults: A meta-analysis
    del-Pino-Casado, Rafael
    Frias-Osuna, Antonio
    Palomino-Moral, Pedro A.
    Ruzafa-Martinez, Maria
    Ramos-Morcillo, Antonio J.
    [J]. PLOS ONE, 2018, 13 (01):
  • [7] Resilience in adults with cancer: development of a conceptual model
    Deshields, Teresa L.
    Heiland, Mark F.
    Kracen, Amanda C.
    Dua, Priya
    [J]. PSYCHO-ONCOLOGY, 2016, 25 (01) : 11 - 18
  • [8] Socioeconomic status, access to care, risk factor patterns, and stage at diagnosis for head and neck cancer among black and white patients
    Emerson, Marc A.
    Farquhar, Douglas R.
    Lenze, Nicholas R.
    Sheth, Siddharth
    Mazul, Angela L.
    Zanation, Adam M.
    Hackman, Trevor G.
    Weissler, Mark C.
    Zevallos, Jose P.
    Yarbrough, Wendell G.
    Brennan, Paul
    Abedi-Ardekani, Behnoush
    Olshan, Andrew F.
    [J]. HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, 2022, 44 (04): : 823 - 834
  • [9] The Short Form-12 Health Survey was a valid instrument in Chinese adolescents
    Fong, Daniel Y. T.
    Lam, Cindy L. K.
    Mak, Kwok Kei
    Lo, Wing Sze
    Lai, Yuen Kwan
    Ho, Sai Yin
    Lam, Tai Hing
    [J]. JOURNAL OF CLINICAL EPIDEMIOLOGY, 2010, 63 (09) : 1020 - 1029
  • [10] Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: Results from the IQOLA Project
    Gandek, B
    Ware, JE
    Aaronson, NK
    Apolone, G
    Bjorner, JB
    Brazier, JE
    Bullinger, M
    Kaasa, S
    Leplege, A
    Prieto, L
    Sullivan, M
    [J]. JOURNAL OF CLINICAL EPIDEMIOLOGY, 1998, 51 (11) : 1171 - 1178
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