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在乳腺癌支持小组中表达和接收治疗信息:健康自我效能感如何调节对情绪健康的影响。

Expression and reception of treatment information in breast cancer support groups: how health self-efficacy moderates effects on emotional well-being.

机构信息

School of Journalism and Mass Communication, University of Wisconsin, Madison, USA.

出版信息

Patient Educ Couns. 2010 Dec;81 Suppl:S41-7. doi: 10.1016/j.pec.2010.09.009. Epub 2010 Nov 1.

Abstract

OBJECTIVES

To examine the effects of exchanging treatment information within computer-mediated breast cancer support groups on emotional well-being, and to explore whether this relationship is moderated by health self-efficacy.

SAMPLE

177 breast cancer patients using an electronic Health (eHealth) program with discussion group.

MEASURE

expression and reception of treatment information; emotional well-being scale (0, 4 months).

ANALYSES

hierarchical regression.

RESULTS

Effects of expression and reception of treatment information on emotional well-being were significantly greater for those who have higher health self-efficacy.

CONCLUSIONS

Results conditionally support prior research finding positive effects of treatment information exchanges among breast cancer patients. Such exchanges had a positive impact on emotional well-being for those with higher health self-efficacy, but they had a negative influence for those with lower health self-efficacy.

PRACTICE IMPLICATIONS

Given that the association between emotional well-being and exchanging treatment information was moderated by health self-efficacy, clinicians should explain the role of health self-efficacy before encouraging patients to use eHealth systems for treatment exchanges.

摘要

目的

研究在计算机介导的乳腺癌支持小组中交换治疗信息对情绪健康的影响,并探讨这种关系是否受健康自我效能的调节。

样本

177 名使用具有讨论组的电子健康 (eHealth) 计划的乳腺癌患者。

测量

治疗信息的表达和接收;情绪健康量表(0,4 个月)。

分析

分层回归。

结果

对于健康自我效能较高的患者,表达和接收治疗信息对情绪健康的影响更为显著。

结论

结果有条件地支持了先前关于乳腺癌患者之间治疗信息交换具有积极影响的研究发现。对于健康自我效能较高的患者,这种交流对情绪健康有积极影响,但对健康自我效能较低的患者则有负面影响。

实践意义

鉴于情绪健康与治疗信息交换之间的关联受到健康自我效能的调节,临床医生应在鼓励患者使用电子健康系统进行治疗交流之前,解释健康自我效能的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5b1/2993816/8b647244843d/nihms245887f1.jpg

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