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伊朗乳腺癌幸存者的健康促进行为及影响因素

Health promoting behavior and influencing factors in Iranian breast cancer survivors.

作者信息

Tabrizi Fatemeh Moghaddam

机构信息

Nursing and Midwifery Department, Reproductive Health Research Center, Urmia University of Medical Sciences, Urmia, Iran E-mail :

出版信息

Asian Pac J Cancer Prev. 2015;16(5):1729-36. doi: 10.7314/apjcp.2015.16.5.1729.

Abstract

BACKGROUND

The purpose of this study was to investigate the associations among the internal health locus of control, depression, perceived health status, self efficacy, social support, and health-promoting behavior in Iranian breast cancer survivors and to determine influential variables.

MATERIALS AND METHODS

A predictive design was adopted. By convenient sampling the data of 262 breast cancer survivors in Iran were collected by questionnaires during 2014. Data were analyzed applying descriptive statistics, t-tests, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression.

RESULTS

The internal health locus of control, depression, perceived health status, self efficacy, social support and undergoing chemotherapy all correlated significantly with the health-promoting lifestyle. Stepwise multiple regression analysis revealed that social internal health locus of control, depression, perceived health status, self efficacy and social support and chemotherapy accounted for about 39.8% of the variance in health promoting lifestyle. The strongest influence was social support, followed by self efficacy, perceived health status, chemotherapy and depression.

CONCLUSIONS

The results of the study clarifed the seriousness of social support, self efficacy, perceived health status and depression in determining the health-promoting lifestyle among Iranian breast cancer survivors. Health professionals should concentrate on these variables in designing plans to promoting a healthy lifestyle.

摘要

背景

本研究旨在调查伊朗乳腺癌幸存者的内在健康控制点、抑郁、感知健康状况、自我效能感、社会支持与健康促进行为之间的关联,并确定影响因素。

材料与方法

采用预测性设计。2014年期间,通过方便抽样法,使用问卷收集了伊朗262名乳腺癌幸存者的数据。运用描述性统计、t检验、单因素方差分析、Pearson相关系数和逐步多元回归对数据进行分析。

结果

内在健康控制点、抑郁、感知健康状况、自我效能感、社会支持以及接受化疗均与健康促进生活方式显著相关。逐步多元回归分析显示,社会内在健康控制点、抑郁、感知健康状况、自我效能感、社会支持以及化疗解释了健康促进生活方式约39.8%的变异。影响最强的是社会支持,其次是自我效能感、感知健康状况、化疗和抑郁。

结论

研究结果阐明了社会支持、自我效能感、感知健康状况和抑郁在决定伊朗乳腺癌幸存者健康促进生活方式方面的重要性。健康专业人员在设计促进健康生活方式的计划时应关注这些变量。

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