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影响癌症照护者促进健康行为的因素。

Factors That Influence Health-Promoting Behaviors in Cancer Caregivers.

机构信息

National Institutes of Health Clinical Center.

Philadelphia College of Osteopathic Medicine.

出版信息

Oncol Nurs Forum. 2020 Nov 1;47(6):692-702. doi: 10.1188/20.ONF.692-702.

DOI:10.1188/20.ONF.692-702
PMID:33063787
Abstract

OBJECTIVES

To describe cancer caregivers' participation in health-promoting behaviors and to identify factors influencing participation.

SAMPLE & SETTING: 129 informal cancer caregivers at the National Institutes of Health Clinical Center.

METHODS & VARIABLES: Cross-sectional survey methodology using Health-Promoting Lifestyle Profile-II (HPLP-II), PROMIS® Global Physical Health, NIH Toolbox Stress and Self-Efficacy, Caregiver Reaction Assessment, and Family Care Inventory Mutuality subscale.

RESULTS

Caregivers reported the highest HPLP-II subscale scores for spirituality and interpersonal relationships and the lowest for physical activity. Caregivers who were older, with lower body mass indices, in better physical health, and with higher self-efficacy and mutuality participated in more health-promoting behaviors. Sixty percent of the caregivers reported that they exercised less since becoming a caregiver, and 47% reported that their diet was worse.

IMPLICATIONS FOR NURSING

Future research is needed to examine novel interventions to increase health-promoting activities in cancer caregivers, and these interventions might be strengthened by including components that focus on increasing self-efficacy and/or improving the strength of the relationship between the caregiver and care recipient.

摘要

目的

描述癌症照护者参与促进健康行为的情况,并确定影响参与的因素。

样本和设置

美国国立卫生研究院临床中心的 129 名非正式癌症照护者。

方法和变量

使用健康促进生活方式量表-II(HPLP-II)、PROMIS®全球身体健康、NIH 工具箱压力和自我效能、照护者反应评估和家庭关怀清单互惠子量表进行横断面调查方法。

结果

照护者报告了 HPLP-II 量表中精神和人际关系方面的得分最高,而身体活动方面的得分最低。年龄较大、身体质量指数较低、身体健康状况较好、自我效能和互惠程度较高的照护者参与了更多的促进健康行为。60%的照护者报告说,自从成为照护者以来,他们的运动量减少了,47%的人报告说他们的饮食变差了。

对护理的启示

需要进一步研究新的干预措施来增加癌症照护者的促进健康活动,这些干预措施可能通过增加自我效能和/或改善照护者和被照护者之间关系的强度来加强。

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