Jarosław Ocalewski, Department of Health Psychology, Faculty of Psychology, Kazimierz Wielki University in Bydgoszcz, Poland;, Email:
Patrycja Michalska, Department of Health Psychology, Faculty of Psychology, Kazimierz Wielki University in Bydgoszcz, Poland.
Am J Health Behav. 2021 Jan 1;45(1):138-151. doi: 10.5993/AJHB.45.1.11.
Preparation of patients for colon tumor resection, which involves giving up smoking, reducing alcohol intake, having a proper diet, and increasing physical activity, significantly shortens the hospitalization period. In this study, we aimed at determining the relationship between the fear of cancer progression (FoP) and health behaviors among people with colon cancer. Participants were patients a week before a colon tumor surgery and 6 months after. Measured variables included smoking, alcohol intake, anti-health products intake (anti-health behaviors), physical activity, pro-health products intake (pro-health behaviors), and fear of progression cancer. Comparing the week before the surgery and 6 months after revealed a decrease in smoking (η² = .02), alcohol intake (η² = .03), anti-health products intake (η² = .06) and physical activity (η² = .06). A higher level of fear of cancer progression is related to decrease in anti-health behaviors, but does not affect the change in health-promoting behaviors among patients with colorectal cancer. FoP is an important factor facilitating the limitation of anti-health behaviors such as alcohol and anti-health products intake. Symptoms of colorectal cancer have negative influence on physical activity and intake of pro-health products.
患者在接受结肠肿瘤切除术前的准备工作，包括戒烟、减少饮酒、适当饮食和增加体育锻炼，这将显著缩短住院时间。本研究旨在探讨结肠癌患者癌症进展恐惧（FoP）与健康行为之间的关系。参与者为结肠癌患者，在结肠肿瘤手术后一周和 6 个月后进行评估。测量变量包括吸烟、饮酒、摄入反健康产品（反健康行为）、身体活动、摄入促进健康产品（促进健康行为）和对癌症进展的恐惧。与手术前一周相比，手术后 6 个月时吸烟（η² =.02）、饮酒（η² =.03）、摄入反健康产品（η² =.06）和身体活动（η² =.06）均减少。较高水平的癌症进展恐惧与反健康行为的减少有关，但不会影响结直肠癌患者促进健康行为的变化。FoP 是促进限制反健康行为（如饮酒和摄入反健康产品）的重要因素。结直肠癌症状对身体活动和促进健康产品的摄入有负面影响。
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