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一项针对癌症幸存者及其照顾者的健康计划:制定一项结合运动、营养和补充医学的综合试点计划。

A Wellness Program for Cancer Survivors and Caregivers: Developing an Integrative Pilot Program with Exercise, Nutrition, and Complementary Medicine.

作者信息

Stoutenberg Mark, Sogor Alyssa, Arheart Kris, Cutrono Stacy E, Kornfeld Julie

机构信息

Department of Public Health Sciences, University of Miami Miller School of Medicine, 1120 NW 14th Street, Suite 1008, Miami, FL, 33136, USA.

Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL, USA.

出版信息

J Cancer Educ. 2016 Mar;31(1):47-54. doi: 10.1007/s13187-014-0785-9.

Abstract

The Integrative Wellness Program (IWP) at the University of Miami Sylvester Comprehensive Cancer Center (SCCC) sought to provide integrative wellness education to cancer patients, survivors, and caregivers by offering instruction in exercise, nutrition, and complementary and alternative medicine. The objective of this study was to assess the impact of the IWP on the overall wellness of the individuals participating in the program. Three different 10-week versions of the IWP were conducted over a 1-year period. Each session focused on a different wellness topic presented through interactive lectures and applied activities. A series of self-report questionnaires were administered at baseline and again at the completion of the program to assess improvements in physical activity levels, dietary habits, sleep hygiene, and quality of life. Participants were generally older, Caucasian, female, had higher levels of education, and still currently receiving treatment. Significant changes were observed in two measures: Starting the Conversation (-2.0 ± 2.40, p = .037) and the Sticking To It subscale of the Self-Efficacy and Eating Habits Survey (1.7 ± 1.22, p = .0013). A trend for improvement in the Reducing Fat subscale of the Self-Efficacy Eating Habits (0.44 ± 0.60, p = .056) was also observed. Participant satisfaction surveys indicated high levels of satisfaction and applicability of the material presented. The significant improvements detected related to dietary habits, combined with the responses from the participant satisfaction surveys, suggest that the IWP was well received and can positively impact the overall wellness of cancer patients, survivors, and their caregivers.

摘要

迈阿密大学西尔维斯特综合癌症中心(SCCC)的综合健康计划(IWP)旨在通过提供运动、营养以及补充和替代医学方面的指导,为癌症患者、幸存者及其护理人员提供综合健康教育培训。本研究的目的是评估IWP对参与该计划的个体整体健康状况的影响。在一年的时间里开展了三个不同的为期10周的IWP版本。每节课都聚焦于一个通过互动讲座和应用活动呈现的不同健康主题。在基线时以及在计划结束时再次发放了一系列自我报告问卷,以评估身体活动水平、饮食习惯、睡眠卫生和生活质量的改善情况。参与者普遍年龄较大、为白种人、女性、受教育程度较高,且仍在接受治疗。在两项指标上观察到了显著变化:“开启对话”(-2.0±2.40,p = .037)以及自我效能和饮食习惯调查的“坚持下去”子量表(1.7±1.22,p = .0013)。在自我效能饮食习惯的“减少脂肪”子量表上也观察到了改善趋势(0.44±0.60,p = .056)。参与者满意度调查表明对所呈现材料的满意度和适用性较高。检测到的与饮食习惯相关的显著改善,再加上参与者满意度调查的反馈,表明IWP受到了好评,并且可以对癌症患者、幸存者及其护理人员的整体健康产生积极影响。

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