Christine Szuter | University of Arizona (original) (raw)
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Papers by Christine Szuter
University of Arizona Press, 1992
Background: Many family caregivers of patients with cancer feel guilty about self-care. A meaning... more Background: Many family caregivers of patients with cancer feel guilty about self-care. A meaningful relationship with patients reduces such negative feelings and functions as self-care for family caregivers. Moreover, handholding improves autonomic functions in non-cancer patients. However, the effects of handholding on both patients with cancer and family caregivers remain unknown. Methods: We evaluated the effects of handholding on heart rate variability (HRV) in patients with cancer and their family caregivers. This randomized crossover study divided patients with cancer and their family caregivers into two trial groups: Handholding trial (the family caregiver holds the patient's hand for five minutes) and Beside trial (the family caregiver stays beside the patient without holding their hand). The study included 37 pairs of patients with cancer who received treatment in the cancer department of a university hospital in Japan and their family caregivers (n = 74). The primary end-point was the change in HRV before and during the intervention. Results: The median performance status of the patients was 3. An interaction was observed between trials in the standard deviation of the normal-to-normal interval (SDNN) of HRV for family caregivers (F = 7.669; p = 0.006), and a significant difference in time course was observed between the trials (before p = 0.351; during p = 0.003). No interaction was observed between trials in the SDNN for patients (F = 0.331; p = 0.566). Only a main effect in time course (F = 6.254; p = 0.014) was observed. SDNN increased significantly during the intervention in both trials (Handholding trial: p = 0.002, Beside trial: p = 0.049). Conclusions: Handholding improves autonomic functions of family caregivers and may function as self-care for family caregivers.
University of Arizona Press eBooks, Dec 1, 1991
The Marana Community in the Hohokam World
KIVA, 1991
Prehistoric hunting in south-central Arizona continued to be an important part of the Hohokam sub... more Prehistoric hunting in south-central Arizona continued to be an important part of the Hohokam subsistence strategies after domestic crops were introduced. A model of animal procurement by Southwest horticiilturalists, based on ecological and ethnographic studies, examines the impact horticulturalists had on the environment and the ways in which that impact affected other aspects of subsistence-specifically hunting behavior. Six major patterns observed in Hohokam faunal assemblages support this model. These include (1) a reliance on small-and medium-sized mammals as sources of animal protein, (2) the presence of water-dependent taxa associated with culturally modified environments, (3) the use of rodents as food, (4) the differential reliance on cottontails (Sylvilagus) and jackrabbits (Lepus) at Hohokam farmsteads and villages, (5) the relative decrease in the exploitation of cottontails versus jackrabbits the longer a Hohokam site was occupied, and (6) a relationship between site location and artiodactyl abundance in the archaeological record.
University of Arizona Press, 1992
Background: Many family caregivers of patients with cancer feel guilty about self-care. A meaning... more Background: Many family caregivers of patients with cancer feel guilty about self-care. A meaningful relationship with patients reduces such negative feelings and functions as self-care for family caregivers. Moreover, handholding improves autonomic functions in non-cancer patients. However, the effects of handholding on both patients with cancer and family caregivers remain unknown. Methods: We evaluated the effects of handholding on heart rate variability (HRV) in patients with cancer and their family caregivers. This randomized crossover study divided patients with cancer and their family caregivers into two trial groups: Handholding trial (the family caregiver holds the patient's hand for five minutes) and Beside trial (the family caregiver stays beside the patient without holding their hand). The study included 37 pairs of patients with cancer who received treatment in the cancer department of a university hospital in Japan and their family caregivers (n = 74). The primary end-point was the change in HRV before and during the intervention. Results: The median performance status of the patients was 3. An interaction was observed between trials in the standard deviation of the normal-to-normal interval (SDNN) of HRV for family caregivers (F = 7.669; p = 0.006), and a significant difference in time course was observed between the trials (before p = 0.351; during p = 0.003). No interaction was observed between trials in the SDNN for patients (F = 0.331; p = 0.566). Only a main effect in time course (F = 6.254; p = 0.014) was observed. SDNN increased significantly during the intervention in both trials (Handholding trial: p = 0.002, Beside trial: p = 0.049). Conclusions: Handholding improves autonomic functions of family caregivers and may function as self-care for family caregivers.
University of Arizona Press eBooks, Dec 1, 1991
The Marana Community in the Hohokam World
KIVA, 1991
Prehistoric hunting in south-central Arizona continued to be an important part of the Hohokam sub... more Prehistoric hunting in south-central Arizona continued to be an important part of the Hohokam subsistence strategies after domestic crops were introduced. A model of animal procurement by Southwest horticiilturalists, based on ecological and ethnographic studies, examines the impact horticulturalists had on the environment and the ways in which that impact affected other aspects of subsistence-specifically hunting behavior. Six major patterns observed in Hohokam faunal assemblages support this model. These include (1) a reliance on small-and medium-sized mammals as sources of animal protein, (2) the presence of water-dependent taxa associated with culturally modified environments, (3) the use of rodents as food, (4) the differential reliance on cottontails (Sylvilagus) and jackrabbits (Lepus) at Hohokam farmsteads and villages, (5) the relative decrease in the exploitation of cottontails versus jackrabbits the longer a Hohokam site was occupied, and (6) a relationship between site location and artiodactyl abundance in the archaeological record.