Kaohsiung Municipal Sinsing Senior High School, Kaohsiung City, Taiwan (R.O.C.).
School of Nursing, 38023Kaohsiung Medical University, Kaohsiung City, Taiwan (R.O.C.).
J Pediatr Oncol Nurs. 2021 Jul-Aug;38(4):233-241. doi: 10.1177/1043454221992322. Epub 2021 Feb 17.
Cancer survivors are at increased risk of long-term adverse effects related to the disease or treatment. Thus, it is important for cancer survivors to adopt a health-promoting lifestyle (HPL). This study aims to: (1) describe health behavior self-efficacy (HBSE) and HPL of adolescent survivors of childhood cancer, (2) examine the relationships between HBSE, HPL, and various demographic factors, and (3) identify determinants of HPL among adolescent survivors of childhood cancer. A descriptive cross-sectional study was conducted with adolescent survivors of childhood cancer, ranged in age from 11 to 19 years ( = 82). Participants were recruited from pediatric oncology follow-up clinics at two medical centers in southern Taiwan. Data for each participant were collected from questionnaires assessing HBSE and HPL. Only 61% of the adolescent survivors were considered as normal weight. The exercise was the lowest scoring HBSE subscale. Factors associated with better HPL included: education level, HBSE, well-being, and a healthy diet. Specifically, survivors diagnosed with cancer during adolescence exhibited significantly greater self-efficacy with stress management ( = 3.20, = .04) compared with those diagnosed at pre-school ages. HBSE scores for well-being and a healthy diet were significant predictors of HPL, accounting for 43.8% of the total variance observed. Our findings suggest that the age of diagnosis of childhood cancer significantly modulates the frequency of health-promoting behaviors of adolescent survivors. Thus, interventions designed to enhance adolescents' well-being and the management of a healthy diet may enhance HPL in survivors of childhood cancer.
癌症幸存者患与疾病或治疗相关的长期不良后果的风险增加。因此，癌症幸存者采用促进健康的生活方式（HPL）很重要。本研究旨在：（1）描述儿童癌症青少年幸存者的健康行为自我效能（HBSE）和 HPL；（2）检查 HBSE、HPL 与各种人口统计学因素之间的关系；（3）确定儿童癌症青少年幸存者 HPL 的决定因素。采用描述性横断面研究，纳入年龄在 11 至 19 岁（n=82）的儿童癌症青少年幸存者。参与者从台湾南部两家医疗中心的儿科肿瘤随访诊所招募。每位参与者的数据均通过评估 HBSE 和 HPL 的问卷收集。只有 61%的青少年幸存者被认为体重正常。运动是 HBSE 得分最低的亚量表。与更好的 HPL 相关的因素包括：教育水平、HBSE、幸福感和健康饮食。具体来说，与在学龄前被诊断患有癌症的幸存者相比，在青春期被诊断患有癌症的幸存者在压力管理方面表现出更高的自我效能（ = 3.20， = .04）。幸福感和健康饮食的 HBSE 得分是 HPL 的显著预测因子，占观察到的总方差的 43.8%。我们的研究结果表明，儿童癌症的诊断年龄显著调节了青少年幸存者促进健康行为的频率。因此，旨在增强青少年幸福感和健康饮食管理的干预措施可能会增强儿童癌症幸存者的 HPL。
