Evaluating a shared care pathway intervention for people receiving chemotherapy to reduce post-treatment unplanned hospital presentations: a randomised controlled trial DOI Creative Commons
Judith Fethney, Bora Kim, Chantale Boustany

и другие.

Supportive Care in Cancer, Год журнала: 2024, Номер 32(1)

Опубликована: Янв. 1, 2024

Abstract Purpose The aim of this randomised controlled trial (RCT) was to explore whether a community nursing intervention for outpatients receiving systemic therapy reduced unplanned hospital presentations and improved physical psychosocial health outcomes over the first three cycles treatment compared control group standard care. Methods number reasons were obtained 170 176 adult patients with solid tumours starting outpatient chemotherapy. Poisson regression used compare between groups. Patients self-completed Hospital Anxiety Depression Scale, Cancer Behavior Inventory European Organization Research Treatment Quality Life Questionnaire core 30 (EORTC QLQ-C30) at start four cycles. Linear techniques quality life outcomes. Results reduction in relative 12% (95% CI, − 25%, 37%; P = 0.48). At cycle 4, there no difference anxiety (difference 0.47 0.28, 1.22; 0.22)), depression 0.57 0.18, 1.31; 0.13)) or EORTC QLQ-C30 summary score 0.16 2.67, 3.00; 0.91)). Scores self-efficacy as measured by higher 4.3 0.7, 7.9; 0.02)). Conclusion This RCT did not demonstrate benefit reducing hospital. identified cancer-based intervention. Trial registration Registered Australian New Zealand Clinical Trials Registry: ACTRN12614001113640, registered 21/10/2014.

Язык: Английский

Effects of Resilience and Emotion Regulation on Perceptions of Positive and Negative Life Changes in Cancer Survivors: A Longitudinal Study DOI Open Access
Emily Fritzson, Keith M. Bellizzi, Na Zhang

и другие.

Annals of Behavioral Medicine, Год журнала: 2024, Номер 58(4), С. 253 - 263

Опубликована: Фев. 3, 2024

Abstract Background While many studies have investigated the sociodemographic, clinical, and psychosocial factors associated with perceived positive change after cancer, longitudinal work examining how emotion regulation, resilience impact perceptions of life among newly diagnosed cancer survivors is lacking. Purpose This study examined prevalence negative changes following explored role regulation on over 6 months. Methods Data from 534 recent breast, prostate, or colorectal (Mage = 59.3, 36.5% male) collected at baseline (Time 1) 6-month follow-up 2) were analyzed. Multivariate linear regressions estimated separately to examine if Time 2 controlling for relevant sociodemographic measures. Results At both time points, greater than 90% participants reported least one while fewer a third change. Indices positively related points negatively 1. Emotion but not was 2. Conclusions Findings suggest that who are less resilient struggle more susceptible cancer. As such, interventions should be developed promote emotional in survivors.

Язык: Английский

Процитировано

2

Self‐efficacy, psychological distress, and marital quality in young and middle‐aged couples facing lymphoma: The mediating effect of dyadic coping DOI
Hui‐Ying An, Changying Chen, Ruofei Du

и другие.

Psycho-Oncology, Год журнала: 2021, Номер 30(9), С. 1492 - 1501

Опубликована: Апрель 28, 2021

This study explored the mediating role of dyadic coping between self-efficacy, psychological distress and marital quality among young middle-aged couples facing lymphoma.A total 243 in which patients were lymphoma recruited to complete Dyadic Coping Inventory, Locke-Wallace Marital Adjustment Scale for both. And Strategies Used by People Promote Health, Fear Progression Questionnaire-Short Form patients; General Self-Efficacy Hospital Anxiety Depression spouses. We used statistical programs SPSS 20.0 Amos data analysis.There significant correlations patient-spouse's marriage scores. The patients' scores significantly associated with their fear cancer recurrence scores, quality, spouse's quality. spouses' anxiety, actor-partner interdependence mediation model analysis mediator effect relationship distress, had a good fit, χ2 /df = 17.106, p 0.194; root mean square error approximation 0.036; GFI 0.992; CN 243.For both patient spouses, mediated impact self-efficacy on themselves individuals' highlighted need couple-based interventions including strategies combined individual therapy partners.

Язык: Английский

Процитировано

17

Family resilience of stroke survivors within 6 months after a first-episode stroke: A longitudinal study DOI Creative Commons
Wei Zhang, Wanqiong Zhou, Mingming Ye

и другие.

Frontiers in Psychiatry, Год журнала: 2022, Номер 13

Опубликована: Окт. 13, 2022

Family resilience is frequently recognized as a powerful determinant of family adaptation in chronic disease patients; understanding the stroke patients and its predictors could help nurses develop interventions to assist maintaining healthy functioning.This study aimed explore trajectory 6 months following onset examine over time.A total 288 first-episode survivors were selected from seven hospitals China July 2020 March 2021. Their resilience, social support, self-efficacy, medical coping style assessed at hospitalization 1, 3, after onset. The was performed accordance with STROBE guidelines.The mean levels between 95.52 ± 11.10 97.68 9.68 within first stroke, significant increase 3 Patient atmosphere, caregiver-patient relationship (sibling) all four time points. Baseline included self-efficacy patients, subjective support utilization, living district, bill payment methods, (sibling).Family low onset, post-stroke critical period for patients. Nurses are recommended pay particular attention perceived poor utilization available well those who under care their siblings, self-pay, or live atmosphere. Interventions improving potential approaches enhance resilience.

Язык: Английский

Процитировано

11

Social support and self-efficacy multiply mediate the relationship between medical coping style and resilience in patients with type A aortic dissection DOI Creative Commons

Miaoxuan Hong,

Rong Zhang,

Jin Zhu

и другие.

Frontiers in Psychiatry, Год журнала: 2023, Номер 14

Опубликована: Май 31, 2023

Background Previous research has shown that medical coping modes are associated with resilience in cardiovascular disease patients. However, postoperatively, the mechanism underlying this association Stanford type A aortic dissection patients is poorly understood. Objective This study investigated mediating effects of social support and self-efficacy on relationship between postoperatively. Methods We assessed 125 after surgery for using Medical Coping Modes Questionnaire, General Self-Efficacy Scale, Social Support Rating Connor–Davidson Resilience Scale. Structural equation modeling AMOS (v.24) was used to test hypothesized model multiple mediators. Both direct mediational (through self-efficacy) outcomes were examined. Results The mean Scale score 63.78 ± 12.29. Confrontation, support, correlated ( r = 0.40, 0.23, 0.72, respectively; all p < 0.01). In mediation models, independently (effect 0.11; 95% confidence interval [CI], 0.04–0.27) serially 0.06; CI, 0.02–0.14) mediated confrontation maintenance, accounting 57.89 10.53% total effect, respectively. Conclusion mediators resilience. Interventions designed facilitate subsequently increase may be useful

Язык: Английский

Процитировано

6

Evaluating a shared care pathway intervention for people receiving chemotherapy to reduce post-treatment unplanned hospital presentations: a randomised controlled trial DOI Creative Commons
Judith Fethney, Bora Kim, Chantale Boustany

и другие.

Supportive Care in Cancer, Год журнала: 2024, Номер 32(1)

Опубликована: Янв. 1, 2024

Abstract Purpose The aim of this randomised controlled trial (RCT) was to explore whether a community nursing intervention for outpatients receiving systemic therapy reduced unplanned hospital presentations and improved physical psychosocial health outcomes over the first three cycles treatment compared control group standard care. Methods number reasons were obtained 170 176 adult patients with solid tumours starting outpatient chemotherapy. Poisson regression used compare between groups. Patients self-completed Hospital Anxiety Depression Scale, Cancer Behavior Inventory European Organization Research Treatment Quality Life Questionnaire core 30 (EORTC QLQ-C30) at start four cycles. Linear techniques quality life outcomes. Results reduction in relative 12% (95% CI, − 25%, 37%; P = 0.48). At cycle 4, there no difference anxiety (difference 0.47 0.28, 1.22; 0.22)), depression 0.57 0.18, 1.31; 0.13)) or EORTC QLQ-C30 summary score 0.16 2.67, 3.00; 0.91)). Scores self-efficacy as measured by higher 4.3 0.7, 7.9; 0.02)). Conclusion This RCT did not demonstrate benefit reducing hospital. identified cancer-based intervention. Trial registration Registered Australian New Zealand Clinical Trials Registry: ACTRN12614001113640, registered 21/10/2014.

Язык: Английский

Процитировано

2