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Gao W, Zhang Q, Wang D, Li X, Zhang L, Xu M, Han J. The role expectations of young women as wives after breast cancer treatment: A qualitative study. Int J Nurs Sci 2024; 11:366-373. [PMID: 39156686 PMCID: PMC11329045 DOI: 10.1016/j.ijnss.2024.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2024] [Revised: 05/06/2024] [Accepted: 05/29/2024] [Indexed: 08/20/2024] Open
Abstract
Objectives Through the reflection of young breast cancer women on their selves and identities, we explored expectations of the wife role that they need to fulfill to return to their families, aimed to provide a reference basis for medical professionals to develop interventions related to cancer family rehabilitation. Methods Descriptive phenomenological methods and purposive sampling were used. Young breast cancer patients and their spouses were selected for semi-structured face-to-face interviews in the study from March to April 2023 at the department of breast surgery and oncology center of a Class A tertiary hospital in Xuzhou City, China. The interviews were transcribed verbatim and analyzed using Colaizzi's phenomenological approach. Results Twenty patients and six spouses were interviewed. The mean patient age was (35.95 ± 3.36) years, and the mean spouse was (37.67 ± 5.28) years. Young breast cancer patients were concerned about three main wife expectations during their treatment and rehabilitation: preserving self-love and self-esteem (paying attention to physical health, embracing the disease, and regaining confidence in female characters); adjustment of conjugal relationships (harmonious and effective couple communication, providing support for marriage and love, and creating a beautiful married life together); assisting in family recovery (relieving stress on spouses from caregiving and finances, and management of daily household chores). Conclusions The wife role expectations of young breast cancer women and their spouses encompass three core aspects: self, couple, and family. Self-esteem and self-love are the most fundamental expectations of the wife role, while adjusting the couple's relationship and assistance in family rehabilitation represent higher expectations. This study can help healthcare professionals and cancer families gain a more comprehensive understanding of the wife role expectations for young cancer women, thereby enabling the development of couple-centered interventions to promote patient recovery and enhance the resilience of marriages and families.
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Affiliation(s)
- Wenjuan Gao
- School of Nursing, Xuzhou Medical University, Jiangsu, China
| | - Qian Zhang
- School of Nursing, Xuzhou Medical University, Jiangsu, China
| | - Dan Wang
- Department of Oncology Center, Affiliated Hospital of Xuzhou Medical University, Jiangsu, China
| | - Xiaoxu Li
- Department of Nail and Breast Surgery, Affiliated Hospital of Xuzhou Medical University, Jiangsu, China
| | - Linping Zhang
- School of Nursing, Xuzhou Medical University, Jiangsu, China
| | - Mengjiao Xu
- School of Nursing, Xuzhou Medical University, Jiangsu, China
| | - Jing Han
- School of Nursing, Xuzhou Medical University, Jiangsu, China
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Jun WH. Influence of Gratitude and Sense of Meaning in Life on Caregiving Self-Efficacy of Family Caregivers of Persons With Mental Illness. West J Nurs Res 2023; 45:1104-1110. [PMID: 37853704 DOI: 10.1177/01939459231206046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2023]
Abstract
Caregiving self-efficacy is a major factor in mitigating mental health issues and improving care satisfaction and care behavior in caregivers. This study investigated gratitude and sense of meaning in life's influence on caregiving self-efficacy of family caregivers of persons with mental illness. We collected data from 142 family caregivers using the Korean self-reporting scale of gratitude, meaning in life, and caregiving self-efficacy. Data analysis was performed using hierarchical regression analysis. Gratitude and the presence of meaning were significant factors in boosting caregiving self-efficacy. Therefore, these factors must be promoted to enhance the caregiving self-efficacy of family caregivers of persons with mental illness.
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Affiliation(s)
- Won Hee Jun
- College of Nursing, Keimyung University, Daegu, South Korea
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Ma T, Luo H, Sun J, Pan Y, Huang K, Lu G, Dang Z. Metal distribution behavior based on soil aggregate size in a post-restoration coastal mining area. THE SCIENCE OF THE TOTAL ENVIRONMENT 2023; 865:161285. [PMID: 36587688 DOI: 10.1016/j.scitotenv.2022.161285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Revised: 12/22/2022] [Accepted: 12/26/2022] [Indexed: 06/17/2023]
Abstract
Soil aggregate size plays an important role in controlling the distribution and transport of metals. Metals immobilized in soil particles will pose potential risks through production/sink flow and infiltration. This study explored the distribution behavior of metals based on soil aggregate size in a restored coastal mining area by establishing Structural Equation Model (SEM) and column experiments. The results showed that hydrological factors and a high degree of weathering accelerated the dissolution of metals from the mine, the desorption of Wa-NH4+-N, the release of F-, and the leaching of NO3-. Driven by soil properties, natural factors, and anthropogenic activities, the total metal content (Totalmetal) of Cr, Ni, Zn, Mn, and As showed significant spatial heterogeneity compared to Cd, Co, Cu, and Pb. The geochemical fraction of metals (Geometal) indicated that Cd, Co, Pb, Zn, As, and Cu are mainly present in iron‑manganese oxidation bound, organically bound, and residual fractions. The results of SEM showed that the physicochemical properties, Wa-NH4+-N, nitrate nitrogen, and inorganic anions of the soil could explain 69.1 %, 76.4 %, 97.1 %, and 80.0 % of the variation in Kd-Mn, Kd-Pb, Kd-Ni, and Kd-Zn, respectively. While Kd-Cd, Kd-Cu, and Kd-Cr could be predicted by the Totalmetal, but the Geometal seemed to have little influence on metal Kd. The results of column experiments showed that macroaggregates (>0.25 mm) significantly affected the distribution of Co, Cr, Cu, Mn, Ni, Pb, and Zn in the topsoil. The severe disruption of soil aggregate structure resulted in small fluctuations of anthropogenic Cu, Mn, Pb, Zn, and As in different layers of deep soil. In addition, mineral composition in >0.15 mm particle size was more likely to change. Overall, the hydrological cycle of coastal mines increases the uncertainty of their response to risk. Our study provides a basis for future strategies for priority control and risk prevention.
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Affiliation(s)
- Tengfei Ma
- School of Environment and Energy, South China University of Technology, Guangzhou 510006, China
| | - Hanjin Luo
- School of Environment and Energy, South China University of Technology, Guangzhou 510006, China
| | - Jianteng Sun
- Guangdong Provincial Key Laboratory of Petrochemical Pollution Processes and Control, Guangdong University of Petrochemical Technology, Maoming 525000, China
| | - Yan Pan
- School of Environmental Engineering, Xuzhou University of Technology, Xuzhou 221000, China
| | - Kaibo Huang
- College of Ecology and Environment, Hainan University, Haikou 570228, China
| | - Guining Lu
- School of Environment and Energy, South China University of Technology, Guangzhou 510006, China; The Key Lab of Pollution Control and Ecosystem Restoration in Industry Clusters, Ministry of Education, South China University of Technology, Guangzhou 510006, China.
| | - Zhi Dang
- School of Environment and Energy, South China University of Technology, Guangzhou 510006, China; The Key Lab of Pollution Control and Ecosystem Restoration in Industry Clusters, Ministry of Education, South China University of Technology, Guangzhou 510006, China
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Sun LF, Huang S, Li YF, Yang ZQ, Yang XJ, Zou JY, Wang XW, Nie JY. Health-related quality of life measured by EQ-5D-3L for the spouses of breast cancer patients. Front Oncol 2022; 12:983704. [DOI: 10.3389/fonc.2022.983704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Accepted: 09/30/2022] [Indexed: 11/13/2022] Open
Abstract
To explore factors influencing the health-related quality of life of spouses of breast cancer patients and the suitable questionnaires for this purpose. A cross-sectional study was conducted in the Third Affiliated Hospital of Kunming Medical University. The spouses of breast cancer patients were included and evaluated via face-to-face interviews. Self-designed demographic characteristics and disease-related questionnaires, the 12-item health survey questionnaire (SF-12), the three-level European five-dimensional health status scale (EQ-5D-3L), and the Social Support Rate Scale (SSRS) were used. The internal consistency reliability measure Cronbach’s coefficient, criterion-related validity, construct validity, and sensitivity were used to evaluate the applicability of the EQ-5D-3L. Univariate and multivariate analyses were performed to analyze the factors associated with the health-related quality of life of spouses of breast cancer patients. We investigated a total of 100 spouses of breast cancer patients. Cronbach’s α, the internal consistency reliability coefficient, was 0.502. The EQ-5D-3L health utility score was moderately correlated with PCS-12 (r=0.46, p=0.0001) and weakly correlated with MCS-12 (r=0.35, p=0.0001). The EQ-5D-3L health utility score for the spouses of breast cancer patients was 0.870, and the EQ-VAS was 78.3. In multivariate analysis, social support and cognition of the treatment effect were factors that influenced the EQ-5D-3L health utility score. The EQ-5D-3L has good reliability, validity, and sensitivity for measuring the physiological aspects of the health-related quality of life of spouses of BC patients. EQ-5D-3L was considered suitable for this study.
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Wei Y, Xiao H, Wu H, Yong B, Weng Z, Chen W. Psychometric properties of the Chinese version of quality of life in life-threatening illness-family carer version. Front Psychol 2022; 13:925062. [PMID: 35992475 PMCID: PMC9381691 DOI: 10.3389/fpsyg.2022.925062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Accepted: 07/08/2022] [Indexed: 11/13/2022] Open
Abstract
Background The Quality of Life (QOL) in Life-threatening Illness-Family Carer Version (QOLLTI-F) has been proven to be a brief, reliable, and valid instrument for measuring the caregivers' QOL in western cultures. However, whether it is suitable to be used in Chinese culture is unclear. This study aimed to test the reliability and validity of the Chinese version of (QOLLTI-F-CV). Materials and methods A total of 202 family caregivers (FCs) of advanced cancer patients from Fujian Provincial hospice care center were investigated using the Chinese version of QOLLTI-F-CV from September 2019 to August 2020. The questionnaire was evaluated using an exploratory structural equation model. Its psychometric properties were examined in terms of factor structure, convergent validity, discriminant validity, internal consistency, and test-retest reliability. Results Differently from the seven-domain original QOLLTI-F, its Chinese version had only three domains including caregiver's self-feelings, caregiver's stress, and caregiver's outlooks. The total variance explanation rate for the domains was 55.4%. The Chinese version fitted well with the structure model (χ2 = 153.932, df = 75, P < 0.001); its comparative fit index (CFI) was 0.971; Tucker-Lewis index was 0.954; and the root mean square error of approximation (RMSEA) was 0.072. The success rate of its convergent and discriminant validity calibration test was 100%. Its Cronbach's alpha coefficient of the whole questionnaire and three domains was from 0.650 to 0.874, and test-retest reliability was 0.836. Conclusion The 3-domain QOLLTI-F-CV is a valid and reliable instrument for identifying QOL concerns of FCs of advanced cancer patients in China. The refactoring structure optimally matches Chinese culture and value system well.
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Affiliation(s)
- Yitao Wei
- School of Nursing, Fujian Medical University, Fuzhou, China
| | - Huimin Xiao
- School of Nursing, Fujian Medical University, Fuzhou, China
| | - Hong Wu
- Department of Hospice Care, Fujian Provincial Hospital, Fuzhou, China
| | - Binbin Yong
- School of Nursing, Fujian Medical University, Fuzhou, China
| | - Zhichao Weng
- Department of Hospice Care, Fujian Provincial Hospital, Fuzhou, China
| | - Weiling Chen
- School of Nursing, Fujian Medical University, Fuzhou, China
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Abstract
Informal caregivers invest a significant amount of time and effort to provide cancer patients with physical, psychological, information, and social support. These challenging tasks can harm their own health and well-being, while a series of social-ecological factors may also influence the outcomes of cancer caregiving. Several instruments have been developed to help clinicians and researchers understand the multi-dimensional needs and concerns of caregivers. A growing body of evidence indicates that supportive interventions including psychoeducation, skills training, and therapeutic counseling can help improve the burden, information needs, coping strategies, physical functioning, psychological well-being, and quality of life of caregivers. However, there is difficulty in translating research evidence into practice. For instance, some supportive interventions tested in clinical trial settings are regarded as inconsistent with the actual needs of caregivers. Other significant considerations are the lack of well-trained interdisciplinary teams for supportive care provision and insufficient funding. Future research should include indicators that can attract decision-makers and funders, such as improving the efficient utilization of health care services and satisfaction of caregivers. It is also important for researchers to work closely with key stakeholders, to facilitate evidence dissemination and implementation, to benefit caregivers and the patient.
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Hu Y, Xu J, Wang X, Shi Y, Chen M, Im EO. Socio-Ecological Environmental Characteristics of Young Chinese Breast Cancer Survivors. Oncol Nurs Forum 2021; 48:481-490. [PMID: 34411083 DOI: 10.1188/21.onf.481-490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE To explore the environmental characteristics of young breast cancer survivors (YBCSs) in China. PARTICIPANTS & SETTING 17 participants aged 18-45 years were recruited from hospitals and through participant referral in Shanghai, China. METHODOLOGIC APPROACH Semistructured interviews were conducted to explore the environmental characteristics of YBCSs. Content analysis was performed to analyze the data. FINDINGS The following four domains emerged from the analysis. IMPLICATIONS FOR NURSING The study provides insights into the specific issues of YBCSs at different environmental levels. Nurses should collaborate with the healthcare team, family members, and other stakeholders in addressing these issues to support YBCSs. Culturally tailored support should be developed to release the burden of socially desired roles and other cultural issues for Chinese YBCSs.
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Affiliation(s)
- Yun Hu
- Shanghai Jiao Tong University
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Coping Strategies for Stress and Self-Efficacy in Patients With Cancer and Their Spouses: A Cross-Sectional Study. Cancer Nurs 2021; 45:E614-E620. [PMID: 34483285 DOI: 10.1097/ncc.0000000000001010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND Cancer is one of the most important diseases of the present century worldwide. Patients and their spouses can find more difficulty accepting the diagnosis of cancer than its phases of treatment. Both the physical health and mental health of the patient and spouse are important in the process of recovery from cancer and its treatment. OBJECTIVE The aim of this study was to determine the relationship between coping strategies for stress and self-efficacy in patients with cancer and that of their spouses. METHODS In this descriptive-analytical cross-sectional study, 91 patients and their 91 spouses completed the Endler and Parker Coping Inventory, the Sherer General Self-Efficacy Scale, and a demographic information questionnaire. RESULTS The problem-oriented coping style was used more than the other strategies by patients with cancer and their spouses. The least used coping style by patients and their spouses was the avoidance style. The self-efficacy of patients and their spouses was above average. Self-efficacy was directly and moderately correlated with problem-oriented coping style (P < .001) and inversely and moderately correlated with emotion-oriented coping style (P < .001). CONCLUSIONS Adoption of strategies like training and consulting may enhance the problem-focused coping style and reduce emotion-focused coping style and therefore lead to increased self-efficacy in patients and their spouses. IMPLICATIONS FOR PRACTICE Healthcare providers', especially nurses', knowledge and sensitivity about the coping strategies of patients with cancer and their spouses may help providers select more effective interventions for improving patients' and their spouses' effective coping styles and self-efficacy.
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Zhao H, Li X, Zhou C, Wu Y, Li W, Chen L. Psychological distress among Chinese patients with breast cancer undergoing chemotherapy: Concordance between patient and family caregiver reports. J Adv Nurs 2021; 78:750-764. [PMID: 34363625 DOI: 10.1111/jan.15004] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2021] [Revised: 07/01/2021] [Accepted: 07/24/2021] [Indexed: 02/06/2023]
Abstract
AIMS To examine patient-caregiver concordances about psychological distress among Chinese patients with breast cancer undergoing chemotherapy and identify factors related to concordance among patients and family caregivers. DESIGN Cross-sectional study. METHODS From October 2019 to June 2020, 137 patient-caregiver dyads were enrolled. Sociodemographic information, the distress thermometer (including the problem list), the Distress Disclosure Index and the Family Adaptability and Cohesion Evaluation Scale were used to collect data. Data were analysed using intraclass correlation coefficients (ICC), kappa statistics, two related samples test, chi-square tests and/or Fisher's exact tests and binary logistic regression. RESULTS Overall, fair agreement was identified between patients' and caregivers' reports (intraclass correlation coefficients [ICC] = .528). Patients reported significantly higher psychological distress scores than paired caregiver reports. Lower psychological distress concordance was found among patients with comorbidities (odds ratio [OR], 0.352; 95% confidence interval [CI], 0.155-0.798) and lower levels of self-disclosure (OR, 0.402; 95% CI, 0.186-0.868). CONCLUSION There was relatively low concordance between patients' reports and caregivers' perceptions of psychological distress. Family caregivers tended to underestimate patients' psychological distress. A comorbid condition and lower levels of self-disclosure contributed to this bias. IMPACT Having an awareness of the incongruence between patient and caregiver may help healthcare providers better interpret caregiver assessments. Healthcare providers should reinforce patient-caregiver dyadic psychosocial education to improve concordance. More psychological care and substantial emotional support should be provided for Chinese breast cancer patients undergoing chemotherapy by family caregivers and healthcare providers.
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Affiliation(s)
- Huihui Zhao
- Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, PR China
| | - Xiaojin Li
- Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, PR China
| | - Chunlan Zhou
- Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, PR China
| | - Yanni Wu
- Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, PR China
| | - Wenji Li
- Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, PR China
| | - Liling Chen
- Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, PR China
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Kajiwara K, Kako J, Kobayashi M, Oosono Y, Noto H. Effectiveness of palliative care consultation service on caregiver burden over time between terminally ill cancer and non-cancer family caregivers. Support Care Cancer 2020; 29:2249-2250. [PMID: 33047164 DOI: 10.1007/s00520-020-05814-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Accepted: 10/06/2020] [Indexed: 10/23/2022]
Affiliation(s)
- Kohei Kajiwara
- Japanese Red Cross Kyushu International College of Nursing, Munakata, Fukuoka, 811-4157, Japan.
| | - Jun Kako
- College of Nursing Art and Science, University of Hyogo, Akashi, Japan
| | | | - Yasufumi Oosono
- Faculty of Nursing, National Defense Medical College, Tokorozawa, Japan
| | - Hiroko Noto
- Department of Health Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
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