结直肠癌幸存者的健康促进生活方式:一项关于结直肠癌幸存者及医护人员经历与观点的定性研究
Health-Promoting Lifestyle in Colorectal Cancer Survivors: A Qualitative Study on the Experiences and Perspectives of Colorectal Cancer Survivors and Healthcare Providers.
作者信息
Tabriz Elahe Ramezanzade, Ramezani Monir, Heydari Abbas, Aledavood Seyed Amir
机构信息
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
出版信息
Asia Pac J Oncol Nurs. 2021 Oct 4;8(6):696-710. doi: 10.4103/apjon.apjon-2132. eCollection 2021 Nov-Dec.
OBJECTIVE
Understanding the experiences of survivors and healthcare providers about health-promoting lifestyle (HPL) in colorectal cancer (CRC) survivors is important in planning for coping with the disease, managing treatment side effects, increasing survival, and improving quality of life (QOL). This study was conducted to explore the experiences and perspectives of CRC survivors and healthcare providers about HPL in CRC survivors.
METHODS
This descriptive qualitative study was performed in 2020 at Omid and Imam Reza Hospitals in Mashhad, Iran. Participants were CRC survivors ( = 12) and healthcare providers ( = 33) who were selected by purposive sampling. Data were collected using in-depth semi-structured interview by face to face and then analyzed by Zhang and Wildemuth content analysis method. MaxQDA software was used to organize the data.
RESULTS
Following the treatment of cancer, CRC survivors seek to make changes in lifestyle and they choose a HPL that maintains or improves their health. HPL in CRC survivors includes nutrition, activity and rest, health responsibility, interpersonal relations, spiritual growth, and psychological management. The results showed that HPL can lead to motivation, the ability to self-care and improve daily performance, reduce treatment complications, and increase the QOL.
CONCLUSIONS
CRC survivors can help change their lifestyle patterns with healthy eating, treatment adherence, regular physical activity, and good sleep habits. Furthermore, effective personal and social relationships, spiritual growth, and management of psychological disorders develop health-promoting behaviors in them. CRC survivors also face challenges and limitations in their life after treatment; identifying the components of a HPL in CRC survivors can lead to desirable care, treatment, education, and counseling services.
目的
了解结直肠癌(CRC)幸存者及医疗服务提供者对健康促进生活方式(HPL)的体验,对于规划应对该疾病、管理治疗副作用、提高生存率及改善生活质量(QOL)具有重要意义。本研究旨在探索CRC幸存者及医疗服务提供者对CRC幸存者HPL的体验和观点。
方法
这项描述性定性研究于2020年在伊朗马什哈德的奥米德医院和伊玛目礼萨医院进行。参与者为通过目的抽样选取的CRC幸存者(n = 12)和医疗服务提供者(n = 33)。通过面对面深入半结构化访谈收集数据,然后采用张和怀尔德穆特内容分析法进行分析。使用MaxQDA软件整理数据。
结果
癌症治疗后,CRC幸存者试图改变生活方式,并选择一种能维持或改善其健康的HPL。CRC幸存者的HPL包括营养、活动与休息、健康责任、人际关系、精神成长和心理管理。结果表明,HPL可带来动力、自我护理能力并改善日常表现,减少治疗并发症,提高生活质量。
结论
CRC幸存者可通过健康饮食、坚持治疗、定期体育活动和良好睡眠习惯来帮助改变生活方式模式。此外,有效的个人和社会关系、精神成长以及心理障碍管理可促使他们养成健康促进行为。CRC幸存者在治疗后的生活中也面临挑战和限制;确定CRC幸存者HPL的组成部分可带来理想的护理、治疗、教育和咨询服务。
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