Magon Arianna, Caruso Rosario, Sironi Andrea, Mirabella Sabrina, Dellafiore Federica, Arrigoni Cristina, Bonavina Luigi
Health Professions Research and Development Unit, IRCCS San Donato Milanese, San Donato Milanese, Italy.
Division of General and Foregut Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
J Patient Exp. 2021 Nov 29;8:23743735211060769. doi: 10.1177/23743735211060769. eCollection 2021.
This prospective longitudinal study aimed to describe the trajectories of HRQoL, health literacy, and self-efficacy in patients with esophageal cancer, which have been thus far poorly described. Data were collected at baseline (preoperative phase) and in the postoperative period (two weeks, and one, two, and three months after esophagectomy). The study hypothesis was that health literacy and self-efficacy might predict better health status and quality of life over time. Forty-five patients were enrolled between 2018 and 2019. HRQoL, health literacy, and self-efficacy were assessed using validated scales. The ability to analyze information to exert greater control over life events critically (critical health literacy) (η = 0.660) and the individual's confidence in dealing with challenging tasks (self-efficacy) (η = 0.501) strongly predicted the scores of general health status over time. Overall, the functional status improved at 3 months after surgery, and this trend paralleled the decline of cancer-specific and surgery-related symptoms. In conclusion, researchers and clinicians should pay greater attention to optimizing baseline health literacy and self-efficacy levels. Future educational and motivational interventions should be further tested and possibly integrated into the prehabilitation programs.
这项前瞻性纵向研究旨在描述食管癌患者的健康相关生活质量、健康素养和自我效能的轨迹，而这些方面迄今为止鲜有描述。在基线期（术前阶段）以及术后阶段（食管切除术后两周、1个月、2个月和3个月）收集数据。研究假设是，随着时间推移，健康素养和自我效能可能预示着更好的健康状况和生活质量。2018年至2019年期间招募了45名患者。使用经过验证的量表评估健康相关生活质量、健康素养和自我效能。批判性地分析信息以更好地控制生活事件的能力（批判性健康素养）（η = 0.660）以及个体应对具有挑战性任务的信心（自我效能）（η = 0.501）有力地预测了随时间推移的总体健康状况得分。总体而言，术后3个月功能状态有所改善，这一趋势与癌症特异性及手术相关症状的减轻相平行。总之，研究人员和临床医生应更加重视优化基线健康素养和自我效能水平。未来的教育和激励干预措施应进一步进行测试，并可能纳入术前康复计划。
