保健知識(shí)傳播的主要目標(biāo)在于,通過分享健康有關(guān)的信息,豐富人們對(duì)健康知識(shí)的儲(chǔ)備,并引導(dǎo)人們選擇健康的行為方式。癌癥是一種具有嚴(yán)重身心健康威脅的疾病,受到醫(yī)學(xué)、生理學(xué)、心理學(xué)領(lǐng)域研究者的廣泛關(guān)注。在癌癥的預(yù)防和早期發(fā)現(xiàn)中,根據(jù)癌癥的三個(gè)預(yù)防水平,保健信息溝通可能具有三個(gè)方面的作用:第一,初級(jí)預(yù)防,癌癥相關(guān)信息的傳播對(duì)疾病的預(yù)防和早期發(fā)現(xiàn)起到關(guān)鍵作用;第二,二級(jí)預(yù)防,緩解癌癥患者在確診、預(yù)后和治療過程中的壓力體驗(yàn);第三,三級(jí)預(yù)防,減輕癌癥確診患者的痛苦、發(fā)病率和死亡率,其中,社會(huì)支持是一種有效的溝通策略,能夠緩解壓力性社會(huì)事件所產(chǎn)生的消極影響。以往研究發(fā)現(xiàn),有效的保健信息溝通是提高癌癥認(rèn)識(shí)的主要過程。但是在資源有限的國(guó)家和地區(qū),在癌癥護(hù)理全程通過保健交流干預(yù)病情發(fā)展的研究非常有限。基于整合模型（Integrated Model,IM）和人際關(guān)系理論（Interpersonal Relations Theory,IRT）,并結(jié)合前人的研究,本文擬提出有效溝通模型,內(nèi)容涵蓋溝通目標(biāo)、內(nèi)容、受眾、渠道等因素,旨在促進(jìn)保健信息交流的有效性,矯正患者、家屬對(duì)癌癥及其治療的偏差認(rèn)知,緩解患者的負(fù)性情緒,... 

【文章來(lái)源】：華中師范大學(xué)湖北省 211工程院校 教育部直屬院校

【文章頁(yè)數(shù)】：407 頁(yè)

【學(xué)位級(jí)別】：博士

【文章目錄】：
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



本文編號(hào)：3102468