保健信息沟通在马拉维癌症关怀护理过程中的心理作用
发布时间：2021-03-26 23:52
保健知识传播的主要目标在于,通过分享健康有关的信息,丰富人们对健康知识的储备,并引导人们选择健康的行为方式。癌症是一种具有严重身心健康威胁的疾病,受到医学、生理学、心理学领域研究者的广泛关注。在癌症的预防和早期发现中,根据癌症的三个预防水平,保健信息沟通可能具有三个方面的作用:第一,初级预防,癌症相关信息的传播对疾病的预防和早期发现起到关键作用;第二,二级预防,缓解癌症患者在确诊、预后和治疗过程中的压力体验;第三,三级预防,减轻癌症确诊患者的痛苦、发病率和死亡率,其中,社会支持是一种有效的沟通策略,能够缓解压力性社会事件所产生的消极影响。以往研究发现,有效的保健信息沟通是提高癌症认识的主要过程。但是在资源有限的国家和地区,在癌症护理全程通过保健交流干预病情发展的研究非常有限。基于整合模型（Integrated Model,IM）和人际关系理论（Interpersonal Relations Theory,IRT）,并结合前人的研究,本文拟提出有效沟通模型,内容涵盖沟通目标、内容、受众、渠道等因素,旨在促进保健信息交流的有效性,矫正患者、家属对癌症及其治疗的偏差认知,缓解患者的负性情绪,...
【文章来源】：华中师范大学湖北省 211工程院校 教育部直属院校
【文章页数】：407 页
【学位级别】：博士
【文章目录】：
ACKNOWLEDGEMENT
DEDICATION
ABSTRACT
中文摘要
1 INTRODUCTION
1.1 Background Information
1.2 Statement of the problem
1.3 The purpose of the study
1.3.1 Specific objectives
1.4 Significance of the study
1.5 Definition of terms
1.6 Organisation of the study
2 LITERATURE REVIEW
2.1 Theoretical Framework
2.1.1 The Integrative Model of behavior prediction
2.1.2 Interpersonal Relations Theory
2.1.3 The current study
2.2 The burden of cancer in Malawi
2.2.1 Common types of cancers in Malawi
2.2.2 Interventions for cancer control
2.2.3 Challenges in cancer care
2.3 Communication in health care
2.3.1 The nature of communication
2.3.2 The centrality of communication in health care
2.3.3 The uniqueness of communication in cancer care
2.4 The role of communication:primary prevention in cancer care
2.4.1 Message designs and their effects
2.4.2 Dissemination of messages
2.5 The role of communication:secondary prevention in cancer care
2.5.1 Breaking bad news in health care
2.5.2 Communicating diagnosis,prognosis and treatment regimes of cancer
2.5.3 Predictors of diagnosis and prognosis information preferences
2.6 The role of communication:tertiary prevention in cancer care
2.6.1 Psychosocial impact of cancer on patients
2.6.2 Social Support
2.7 Research questions
2.8 Hypotheses
3 METHODOLOGY
3.1 Research design
3.1.1 Mixed methods
3.1.2 Approaches to mixed methods design
3.1.3 Design Rationale
3.2 Conceptual Framework
3.2.1 Study variables
3.3 Population and Sampling
3.3.1 Population and sampling for qualitative data
3.3.2 Population and sampling for quantitative data
3.4 Data collection procedures
3.4.1 Procedures for qualitative methods
3.4.2 Procedures for quantitative methods
3.5 Data analysis procedures
3.5.1 Qualitative data
3.5.2 Quantitative data
3.5.3 Integration of the data
3.5.4 Ethical consideration
4 STUDY 1:PUBLIC AWARENESS AND PERCEPTIONS OF RISK FACTORS AND WARNINGSIGNS FOR CANCER
4.1 The purpose
4.2 Methods
4.2.1 Design
4.2.2 Participants
4.2.3 Data collection tools
4.2.4 Procedure
4.2.5 Data analysis
4.3 Results
4.3.1 Qualitative data
4.3.2 Quantitative data
4.3.3 The integration of qualitative and quantitative results
4.4 Discussion
4.4.1 The knowledge of cancer
4.4.2 The representation of cancer and its treatment
4.4.3 Sources of cancer information
4.4.4 The influence of cancer awareness on health protection
5 STUDY 2:PROVIDER-PATIENT COMMUNICATION:EXPERIENCES AND PREFERENCESDURING THE BREAKING OF BAD NEWS
5.1 The purpose
5.2 Methods
5.2.1 Design
5.2.2 Participants
5.2.3 Data collection tools
5.2.4 Procedure
5.2.5 Data analysis
5.3 Results
5.3.1 Qualitative data
5.3.2 Quantitative data
5.4 Discussion
5.4.1 Communication experiences during the breaking of bad news
5.4.2 One-way provider-patient communication
5.4.3 Levels of satisfaction and its influence on patients' emotional status
5.4.4 Communication challenges
6 STUDY 3: THE PSYCHOSOCIAL IMPACT OF INTERPERSONAL HEALTHCOMMUNICATION ON CANCER SURVIVORS
6.1 The purpose
6.2 Methods
6.2.1 Design
6.2.2 Participants
6.2.3 Data collection tools
6.2.4 Procedure
6.2.5 Data analysis
6.3 Results
6.3.1 Qualitative data
6.3.2 Quantitative data
6.4 Discussion
6.4.1 Determinants of patients' psychosocial quality of life
6.4.2 Socio-demographic features
7 GENERAL DISCUSSION
7.1 The role of health communication across the continuum of cancer care
7.2 Strategic health communication across the continuum of cancer care
7.2.1 The need for a strategic cancer awareness communication
7.2.2 The need for a therapeutic healthcare provider-patient communication
7.2.3 The need for a therapeutic caregiver-survivor communication
7.3 Health Communication Model （HCM） for chronic illnesses
7.3.1 The role of communication
7.3.2 Strategic communication
7.3.3 Communication outcomes
7.3.4 Health outcomes
7.4 Strengths of the study
7.5 Limitation and future research directions
7.6 Implications of the study
7.6.1 Theoretical implications
7.6.2 Practical implications
7.7 Conclusion
Reference
Appendices
本文编号：3102468
【文章来源】：华中师范大学湖北省 211工程院校 教育部直属院校
【文章页数】：407 页
【学位级别】：博士
【文章目录】：
ACKNOWLEDGEMENT
DEDICATION
ABSTRACT
中文摘要
1 INTRODUCTION
1.1 Background Information
1.2 Statement of the problem
1.3 The purpose of the study
1.3.1 Specific objectives
1.4 Significance of the study
1.5 Definition of terms
1.6 Organisation of the study
2 LITERATURE REVIEW
2.1 Theoretical Framework
2.1.1 The Integrative Model of behavior prediction
2.1.2 Interpersonal Relations Theory
2.1.3 The current study
2.2 The burden of cancer in Malawi
2.2.1 Common types of cancers in Malawi
2.2.2 Interventions for cancer control
2.2.3 Challenges in cancer care
2.3 Communication in health care
2.3.1 The nature of communication
2.3.2 The centrality of communication in health care
2.3.3 The uniqueness of communication in cancer care
2.4 The role of communication:primary prevention in cancer care
2.4.1 Message designs and their effects
2.4.2 Dissemination of messages
2.5 The role of communication:secondary prevention in cancer care
2.5.1 Breaking bad news in health care
2.5.2 Communicating diagnosis,prognosis and treatment regimes of cancer
2.5.3 Predictors of diagnosis and prognosis information preferences
2.6 The role of communication:tertiary prevention in cancer care
2.6.1 Psychosocial impact of cancer on patients
2.6.2 Social Support
2.7 Research questions
2.8 Hypotheses
3 METHODOLOGY
3.1 Research design
3.1.1 Mixed methods
3.1.2 Approaches to mixed methods design
3.1.3 Design Rationale
3.2 Conceptual Framework
3.2.1 Study variables
3.3 Population and Sampling
3.3.1 Population and sampling for qualitative data
3.3.2 Population and sampling for quantitative data
3.4 Data collection procedures
3.4.1 Procedures for qualitative methods
3.4.2 Procedures for quantitative methods
3.5 Data analysis procedures
3.5.1 Qualitative data
3.5.2 Quantitative data
3.5.3 Integration of the data
3.5.4 Ethical consideration
4 STUDY 1:PUBLIC AWARENESS AND PERCEPTIONS OF RISK FACTORS AND WARNINGSIGNS FOR CANCER
4.1 The purpose
4.2 Methods
4.2.1 Design
4.2.2 Participants
4.2.3 Data collection tools
4.2.4 Procedure
4.2.5 Data analysis
4.3 Results
4.3.1 Qualitative data
4.3.2 Quantitative data
4.3.3 The integration of qualitative and quantitative results
4.4 Discussion
4.4.1 The knowledge of cancer
4.4.2 The representation of cancer and its treatment
4.4.3 Sources of cancer information
4.4.4 The influence of cancer awareness on health protection
5 STUDY 2:PROVIDER-PATIENT COMMUNICATION:EXPERIENCES AND PREFERENCESDURING THE BREAKING OF BAD NEWS
5.1 The purpose
5.2 Methods
5.2.1 Design
5.2.2 Participants
5.2.3 Data collection tools
5.2.4 Procedure
5.2.5 Data analysis
5.3 Results
5.3.1 Qualitative data
5.3.2 Quantitative data
5.4 Discussion
5.4.1 Communication experiences during the breaking of bad news
5.4.2 One-way provider-patient communication
5.4.3 Levels of satisfaction and its influence on patients' emotional status
5.4.4 Communication challenges
6 STUDY 3: THE PSYCHOSOCIAL IMPACT OF INTERPERSONAL HEALTHCOMMUNICATION ON CANCER SURVIVORS
6.1 The purpose
6.2 Methods
6.2.1 Design
6.2.2 Participants
6.2.3 Data collection tools
6.2.4 Procedure
6.2.5 Data analysis
6.3 Results
6.3.1 Qualitative data
6.3.2 Quantitative data
6.4 Discussion
6.4.1 Determinants of patients' psychosocial quality of life
6.4.2 Socio-demographic features
7 GENERAL DISCUSSION
7.1 The role of health communication across the continuum of cancer care
7.2 Strategic health communication across the continuum of cancer care
7.2.1 The need for a strategic cancer awareness communication
7.2.2 The need for a therapeutic healthcare provider-patient communication
7.2.3 The need for a therapeutic caregiver-survivor communication
7.3 Health Communication Model （HCM） for chronic illnesses
7.3.1 The role of communication
7.3.2 Strategic communication
7.3.3 Communication outcomes
7.3.4 Health outcomes
7.4 Strengths of the study
7.5 Limitation and future research directions
7.6 Implications of the study
7.6.1 Theoretical implications
7.6.2 Practical implications
7.7 Conclusion
Reference
Appendices
本文编号：3102468
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