Lee Myung Kyung, Bryant-Lukosius Denise
Author Affiliations: College of Nursing, Research Institute of Nursing Science, Kyungpook National University, Daegu, South Korea (Dr Lee); and School of Nursing and Department of Oncology, Canadian Centre for Advanced Practice Nursing Research, McMaster University, Hamilton, Ontario, Canada (Dr Bryant-Lukosius).
Cancer Nurs. 2023;46(1):45-56. doi: 10.1097/NCC.0000000000001040. Epub 2021 Nov 24.
Health promotion is necessary to mitigate the negative consequences of colorectal cancer and its treatment. Rates of behavior modification are low in populations of cancer patients. Studies are needed to determine the factors, such as decisional conflict, which influence adoption of healthy behaviors following a cancer diagnosis.
To examine the effects of information provision, decision self-efficacy, and decisional conflict on the adoption of healthy behaviors among patients with colorectal cancer.
This cross-sectional study focused on 251 patients with colorectal cancer in South Korea. Information provision, decision self-efficacy, and decisional conflict were measured using validated instruments. Patients rated their decisional conflict related to the adoption of behaviors that include regular exercise and a balanced diet.
Most participants (73%) reported low satisfaction with the amount of information received. Of the participants, 64% had low decision self-efficacy, and 80% experienced decisional conflict. The perception of a higher level of information provision was associated with greater decision self-efficacy (odds ratio, 4.63; 95% confidence interval, 1.61-13.35). Higher decision self-efficacy was associated with lower decisional conflict (odds ratio, 5.19; 95% confidence interval, 2.33-11.59).
Receiving adequate information is important for promoting patients' confidence in making decisions about their health and reducing decisional conflict in the adoption of healthy lifestyle changes following a cancer diagnosis.
Oncology nurses should assess patient information needs and promote decision self-efficacy, thus empowering patients diagnosed with colorectal cancer to make lifestyle decisions that improve their health and quality of life.
促进健康对于减轻结直肠癌及其治疗的负面影响是必要的。癌症患者群体中行为改变的发生率较低。需要开展研究以确定影响癌症诊断后健康行为采纳的因素，如决策冲突。
探讨信息提供、决策自我效能感和决策冲突对结直肠癌患者健康行为采纳的影响。
这项横断面研究聚焦于韩国的251名结直肠癌患者。使用经过验证的工具测量信息提供、决策自我效能感和决策冲突。患者对与采取包括规律运动和均衡饮食在内的行为相关的决策冲突进行评分。
大多数参与者（73%）报告对所获信息量满意度低。在参与者中，64%的人决策自我效能感低，80%的人经历决策冲突。较高水平的信息提供感知与更高的决策自我效能感相关（优势比，4.63；95%置信区间，1.61 - 13.35）。较高的决策自我效能感与较低的决策冲突相关（优势比，5.19；95%置信区间，2.33 - 11.59）。
获得足够的信息对于增强患者对自身健康决策的信心以及减少癌症诊断后采纳健康生活方式改变时的决策冲突很重要。
肿瘤护理人员应评估患者的信息需求并提高决策自我效能感，从而使被诊断为结直肠癌的患者有能力做出改善其健康和生活质量的生活方式决策。
