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A problem-solving education intervention in caregivers and patients during allogeneic hematopoietic stem cell transplantation
被引:56
|作者:
Bevans, Margaret
[1
]
Wehrlen, Leslie
[1
]
Castro, Kathleen
[2
]
Prince, Patricia
[1
]
Shelburne, Nonniekaye
[2
]
Soeken, Karen
[3
]
Zabora, James
[4
]
Wallen, Gwenyth R.
[1
]
机构:
[1] NIH, Ctr Clin, Bethesda, MD 20892 USA
[2] NCI, Bethesda, MD 20892 USA
[3] Univ Maryland, College Pk, MD 20742 USA
[4] Inova Hlth Syst, Alexandria, VA USA
关键词:
intervention;
behavioral medicine;
anxiety;
distress;
coping;
cancer;
health behavior;
family;
RANDOMIZED CLINICAL-TRIAL;
ADULT CANCER-PATIENTS;
QUALITY-OF-LIFE;
FAMILY CAREGIVERS;
SELF-EFFICACY;
PSYCHOLOGICAL DISTRESS;
BREAST-CANCER;
CARE;
DEMENTIA;
METAANALYSIS;
D O I:
10.1177/1359105313475902
中图分类号:
B849 [应用心理学];
学科分类号:
040203 ;
摘要:
The aim of this study was to determine the effect of problem-solving education on self-efficacy and distress in informal caregivers of allogeneic hematopoietic stem cell transplantation patients. Patient/caregiver teams attended three 1-hour problem-solving education sessions to help cope with problems during hematopoietic stem cell transplantation. Primary measures included the Cancer Self-Efficacy Scale-transplant and Brief Symptom Inventory-18. Active caregivers reported improvements in self-efficacy (p < 0.05) and distress (p < 0.01) post-problem-solving education; caregiver responders also reported better health outcomes such as fatigue. The effect of problem-solving education on self-efficacy and distress in hematopoietic stem cell transplantation caregivers supports its inclusion in future interventions to meet the multifaceted needs of this population.
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页码:602 / 617
页数:16
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