Author affiliations: College of Nursing, Institute of Health Sciences, Gyeongsang National University, Jinju-si, Republic of Korea.
Cancer Nurs. 2021;44(2):125-135. doi: 10.1097/NCC.0000000000000746.
Health-related exercise and education program for cancer patients are necessary to provide physical and emotional support to enable efficient and appropriate self-management at home.
This study aimed to investigate the effects of a tripod approach including physical exercise, education, and emotional support program on illness stress, health promotion lifestyle, hope, and resilience in cancer patients.
INTERVENTIONS/METHODS: This was a quasi-experimental repeated-measures study using a pre-post design with a nonhomogeneous control group. A total of 72 cancer patients (experimental group = 37, control group = 35) who were currently receiving treatment and staying at home were enrolled.
The experimental group showed significantly lower illness stress scores (F = 17.35, P < .001) and increase in health promotion lifestyle scores (F = 4.05, P = .048) compared with the control group, especially social relationships (t = 1.85, P = .073) and stress management (t = 2.30, P = .027). However, there were no effects on hope and resilience. Also, illness stress showed significant changes after 6 weeks (t = -3.35, P = .001) and after 10 weeks (t = -5.04, P < .001). Overall health promotion lifestyle showed changes after 10 weeks (t = 2.25, P = .030), with meaning of life (t = 2.57, P = .014), stress management (t = 2.30, P = .027), and medical behaviors (t = 2.46, P = .019) especially showing significant changes.
The results showed that the tripod approach had positive effects on illness stress and health promotion lifestyle of cancer patients staying at home. Further study to improve positive emotions such as hope and resilience is needed.
Based on our findings, combining nursing intervention with physical exercise, education, and emotional support could be incorporated into cancer patients in community and early survivorship care plans in clinical practice.
为了为癌症患者提供身体和情感支持，使他们能够在家中进行有效且适当的自我管理，为癌症患者提供与健康相关的锻炼和教育计划是必要的。
本研究旨在调查包括身体锻炼、教育和情感支持计划在内的三脚架方法对癌症患者疾病压力、健康促进生活方式、希望和适应力的影响。
干预措施/方法：这是一项使用前后设计的准实验重复测量研究，采用非同质对照组。共纳入 72 名正在接受治疗并在家中居住的癌症患者（实验组=37 名，对照组=35 名）。
实验组的疾病压力评分明显低于对照组（F=17.35，P<.001），健康促进生活方式评分也有所提高（F=4.05，P=.048），特别是社会关系（t=1.85，P=.073）和压力管理（t=2.30，P=.027）。然而，对希望和适应力没有影响。此外，疾病压力在 6 周后（t=-3.35，P=.001）和 10 周后（t=-5.04，P<.001）均有显著变化。整体健康促进生活方式在 10 周后发生变化（t=2.25，P=.030），意义生活（t=2.57，P=.014），压力管理（t=2.30，P=.027）和医疗行为（t=2.46，P=.019）尤其发生显著变化。
结果表明，三脚架方法对在家中接受治疗的癌症患者的疾病压力和健康促进生活方式具有积极影响。需要进一步研究以改善希望和适应力等积极情绪。
根据我们的发现，将护理干预与身体锻炼、教育和情感支持相结合，可以纳入社区和临床实践中癌症患者的早期生存护理计划。
