A problem-solving education intervention in caregivers and patients during allogeneic hematopoietic stem cell transplantation

被引:58
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.
引用
收藏
页码:602 / 617
页数:16
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