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癌症患者及其康复期伴侣支持健康行为的作用:一项定性研究。

The role of partner support for health behaviours in people living with and beyond cancer: A qualitative study.

机构信息

Research Department of Behavioural Science and Health, University College London, London, UK.

Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.

出版信息

Psychooncology. 2022 Nov;31(11):1997-2006. doi: 10.1002/pon.6032. Epub 2022 Sep 26.

Abstract

OBJECTIVE

This study aimed to qualitatively explore how partner support for health behaviours is perceived, received, and utilised in people living with and beyond cancer (LWBC).

METHODS

Semi-structured audio interviews were conducted with 24 participants, 15 men and nine women, living with and beyond breast, prostate, and colorectal cancer. Inductive and deductive Thematic Analysis was used to analyse the data.

RESULTS

Three key themes with six subthemes were identified relating to partner support for health behaviours: (1) Interdependence (Reciprocity, Overt Control, Influence & Motivation) (2) Concordance (Shared Attitudes & Health Beliefs, Shared Health Behaviour) and (3) Communal Coping (Communal Orientation towards Health and Decision Making, Co-operative Action in Health Behaviour).

CONCLUSIONS

Partner support plays a unique and significant role in the health behaviours of people LWBC. Partners play a collaborative role in managing health and facilitating health behaviours, while the high level of concordance in couples may represent a potential barrier to change via the reinforcement of maladaptive health beliefs and behaviours.

IMPLICATIONS FOR CANCER SURVIVORS

Overall, findings demonstrate that partners should be considered and included where possible when designing future behaviour change interventions for people LWBC.

摘要

目的

本研究旨在定性探讨癌症患者及其康复者(LWBC)如何感知、接受和利用伴侣对健康行为的支持。

方法

对 24 名参与者进行了半结构式音频访谈,参与者为 15 名男性和 9 名女性,患有乳腺癌、前列腺癌和结直肠癌。采用归纳和演绎主题分析方法对数据进行分析。

结果

确定了与伴侣支持健康行为相关的三个关键主题和六个子主题:(1)相互依存(互惠、过度控制、影响和动机)(2)一致性(共同的态度和健康信念、共同的健康行为)和(3)共通应对(对健康和决策的共通取向、健康行为中的合作行动)。

结论

伴侣支持在 LWBC 的健康行为中起着独特而重要的作用。伴侣在管理健康和促进健康行为方面发挥着协作作用,而夫妻之间高度的一致性可能代表了通过强化适应不良的健康信念和行为来改变的潜在障碍。

对癌症幸存者的影响

总的来说,研究结果表明,在为 LWBC 设计未来的行为改变干预措施时,应考虑并尽可能包括伴侣。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83d2/9828063/a9dd05733054/PON-31-1997-g001.jpg

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