Effect of a Web-Based Integrative Support Intervention to Improve Family Caregiver Positive Caregiving Experience and Quality of Life: A Randomized Controlled Trial.

IF 2.4 3区 医学 Q1 NURSING Cancer Nursing Pub Date : 2024-07-16 DOI:10.1097/NCC.0000000000001387
Shu-Hua Lu, Jia-Jean Yiin, Yun-Ping Lin, Kwo-Chen Lee
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Abstract

Background: Cancer caregivers experience significant stress due to their multifaceted role. Current support methods are limited by unidimensional assessments.

Objective: The aim of this study was to evaluate a Web-based support system aimed at reducing caregiver stress and anxiety, and improving resilience, vigilance, and quality of life, using both subjective and objective measures.

Methods: A randomized controlled trial with a single-center, 2-arm parallel design and longitudinal assessment was conducted in Taiwan. Caregivers of patients recently diagnosed with cancer were randomly allocated to either a standard care group or an intervention group that received enhanced nurse-led support. Metrics including psychological resilience, caregiver burden, anxiety, quality of life, stress levels, and vigilance were systematically evaluated on a monthly basis over a period of 5 months, starting from the initial baseline measurement.

Results: Following the intervention, participants in the intervention group exhibited statistically significant reductions in caregiver burden and anxiety, alongside a notable improvement in resilience. Objective evaluations revealed a significant reduction in stress levels within this group. However, there were no discernible differences in vigilance and quality of life metrics between the intervention and control groups.

Conclusion: The Web-based program effectively reduced caregiver stress and burden, as indicated by multiple metrics.

Implications for practice: This accessible and efficient Web-based support is beneficial for cancer caregivers facing diverse challenges.

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基于网络的综合支持干预对改善家庭照护者积极照护体验和生活质量的影响:随机对照试验》。
背景:癌症护理者因其多方面的角色而承受着巨大的压力。目前的支持方法受到单维度评估的限制:本研究的目的是评估一种基于网络的支持系统,该系统旨在通过主观和客观测量来减轻护理者的压力和焦虑,并提高复原力、警惕性和生活质量:方法: 在台湾开展了一项随机对照试验,采用单中心、双臂平行设计和纵向评估。新近确诊癌症患者的照顾者被随机分配到标准护理组或接受护士指导的强化支持干预组。从最初的基线测量开始,在5个月的时间里,每月对包括心理复原力、照顾者负担、焦虑、生活质量、压力水平和警觉性在内的指标进行系统评估:干预后,干预组的参与者在照顾者负担和焦虑方面都有了统计学意义上的显著减轻,同时复原力也有了明显提高。客观评估显示,该组的压力水平明显降低。然而,干预组和对照组在警惕性和生活质量指标方面没有明显差异:结论:从多个指标来看,基于网络的计划有效地减轻了护理人员的压力和负担:对实践的启示:这种便捷高效的网络支持对面临各种挑战的癌症护理者有益。
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来源期刊
Cancer Nursing
Cancer Nursing 医学-护理
CiteScore
4.80
自引率
3.80%
发文量
244
审稿时长
6-12 weeks
期刊介绍: Each bimonthly issue of Cancer Nursing™ addresses the whole spectrum of problems arising in the care and support of cancer patients--prevention and early detection, geriatric and pediatric cancer nursing, medical and surgical oncology, ambulatory care, nutritional support, psychosocial aspects of cancer, patient responses to all treatment modalities, and specific nursing interventions. The journal offers unparalleled coverage of cancer care delivery practices worldwide, as well as groundbreaking research findings and their practical applications.
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