Becker Heather, Jung Sook
School of Nursing, University of Texas, Austin, TX 78701-499, USA.
J Gerontol Nurs. 2012 Jul;38(7):38-43. doi: 10.3928/00989134-20120608-02.
Older cancer survivors, who often cope with multiple disabling conditions, can find health promotion challenging. This study's purpose was to explore predictors of health promotion for older cancer survivors with a disabling condition that existed prior to their cancer diagnosis. The 92 cancer survivors were predominatly women with preexisting neuromuscular impairments and an average age of 69. Half were breast cancer survivors, and 58% were 6 or more years since their cancer diagnosis. In hierarchical regression analyses, self-efficacy for health promotion and special support were the strongest predictors of total scores on the Health-Promoting Lifestyle Profile II and its subscales. The findings suggest that nursing interventions to assist older cancer survivors with multiple chronic conditions in building their social support and perceived self-efficacy may help them lead healthier lives.
老年癌症幸存者常常要应对多种致残状况,他们会发现促进健康颇具挑战。本研究的目的是探索在癌症诊断之前就已存在致残状况的老年癌症幸存者促进健康的预测因素。这92名癌症幸存者主要是女性,她们先前存在神经肌肉损伤,平均年龄为69岁。其中一半是乳腺癌幸存者,58%的人在癌症诊断后已过了6年或更长时间。在分层回归分析中,促进健康的自我效能感和特殊支持是《健康促进生活方式量表II》及其子量表总分的最强预测因素。研究结果表明,护理干预措施若能帮助患有多种慢性病的老年癌症幸存者建立社会支持并提升自我效能感,可能有助于他们过上更健康的生活。