癌症幸存者的感知风险、信任和健康相关生活质量。
Perceived risk, trust and health-related quality of life among cancer survivors.
机构信息
Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD, USA.
出版信息
Ann Behav Med. 2010 Feb;39(1):91-7. doi: 10.1007/s12160-010-9163-y.
Abstract
BACKGROUND
To design effective interventions that improve cancer survivors' health-related quality of life (HRQoL), it is necessary to understand how HRQoL is related to cancer cognitions and interpersonal/social factors.
PURPOSE
This study investigated whether perceived risk of recurrence is associated with HRQoL and whether trust in the follow-up care physician moderates the perceived risk/HRQoL relationship.
METHOD
A cross-sectional survey of cancer survivors (N = 408).
RESULTS
Higher perceived risk was associated with worse mental and physical HRQoL. Higher trust was associated with better mental (but not physical) HRQoL. The inverse association between perceived risk and mental HRQoL was eliminated among those with high trust in their physicians. Trust did not moderate the perceived risk/physical HRQoL relationship.
CONCLUSIONS
Addressing survivors' perceived risk of recurrence and improving the provider-patient relationship may enhance interventions to improve mental HRQoL among cancer survivors. However, the causal relationships among the constructs should be explicated.
摘要
背景
为了设计有效的干预措施来提高癌症幸存者的健康相关生活质量（HRQoL），有必要了解 HRQoL 与癌症认知和人际/社会因素的关系。
目的
本研究旨在探讨感知复发风险是否与 HRQoL 相关，以及对随访医生的信任是否调节感知风险/HRQoL 关系。
方法
对癌症幸存者（N=408）进行横断面调查。
结果
较高的感知风险与较差的心理和身体 HRQoL 相关。较高的信任与更好的心理（但不是身体）HRQoL 相关。在对医生信任度高的人群中，感知风险与心理 HRQoL 之间的负相关关系消失了。信任并未调节感知风险/身体 HRQoL 关系。
结论
解决幸存者对复发风险的感知以及改善医患关系，可能会增强干预措施以提高癌症幸存者的心理 HRQoL。然而，应该明确这些结构之间的因果关系。
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