Özdemir Ülkü, Kartın Pınar Tekinsoy, Kalyoncuo Servet
Department of Internal Medicine Nursing, Faculty of Health Sciences, Erciyes University, 38000, Kayseri, Turkey.
J Prev (2022). 2023 Oct;44(5):639-662. doi: 10.1007/s10935-023-00750-2. Epub 2023 Sep 28.
Attitudes towards cancer may affect the cancer prevention behaviors of cancer patients' relatives and their participation in cancer screening. Knowing the factors affecting attitudes will shed light on the education programs to be planned to encourage individuals to gain a positive attitude towards cancer and positive health behaviors in cancer prevention. Determining the behaviors towards cancer prevention and cancer screening, identifying reasons that prevent participation in cancer screening, determining the factors associated with the attitudes of cancer patients' relatives towards cancer, determining the factors affecting their attitudes towards cancer of cancer patients' relatives, can increase the awareness of healthcare professionals and patient relatives on the subject. The aim of the present study was to determine cancer prevention and early diagnosis behavior and the factors affecting the attitudes of towards cancer of cancer patient relatives. The descriptive and analytical study was completed with 321 relatives of cancer patients. The data were collected by the face-to-face interview method. The interview was conducted in a quiet place, alone with the participant, using a clear and simple language, allowing people to speak freely, and avoiding criticism and evaluation. About half of the participants smoked (49.5%), many did not do regular physical activity (67.3%) or protect themselves from the sun (77.3%), and only 10.9% had regular screening tests. The reasons for not having a screening test were ignorance, disregard, lack of complaints, and fear. Acording to binary logistic regression analysis, the determinants included factors of negative attitudes toward cancer with the age of the patient (Exp(β): 1.024), low education level (Exp(β): 2.572), being the child (Exp(β): 8.484) or sibling (Exp(β): 8.801) of the patient, not being protected from the sun (Exp(β): 2.063), and not doing physical activity (Exp(β): 1.744). Even for those having positive health behaviors, such as not smoking (Exp(β): 2.008) and using sun protection (Exp(β): 2.280), the attitudes towards cancer were negative for the Impossible to Recover sub-dimension. Cancer prevention behaviors and regular participation in cancer screening of cancer patients' relatives were very low. It was determined that low education level, increasing age of the patient, and the degree of relation to the patient negatively affected attitudes towards cancer, and that there was a need for education. We believe that the results of the present study will contribute to evidence-based practice for cancer prevention and early diagnosis.
对癌症的态度可能会影响癌症患者亲属的癌症预防行为及其参与癌症筛查的情况。了解影响态度的因素将有助于规划教育项目,以鼓励个人对癌症形成积极态度,并在癌症预防方面养成积极的健康行为。确定癌症预防和癌症筛查行为,找出阻碍参与癌症筛查的原因,确定癌症患者亲属对癌症态度的相关因素,确定影响癌症患者亲属对癌症态度的因素,能够提高医护人员和患者亲属对该主题的认识。本研究的目的是确定癌症预防和早期诊断行为以及影响癌症患者亲属对癌症态度的因素。这项描述性和分析性研究共纳入了321名癌症患者的亲属。数据通过面对面访谈的方式收集。访谈在安静的地方进行,并与参与者单独交谈,使用清晰简单的语言,让人们自由发言,避免批评和评价。约一半的参与者吸烟(49.5%),许多人没有定期进行体育锻炼(67.3%)或采取防晒措施(77.3%),只有10.9%的人进行定期筛查。未进行筛查的原因包括无知、漠视、无不适症状以及恐惧。根据二元逻辑回归分析,决定因素包括对癌症的消极态度、患者年龄(Exp(β):1.024)、低教育水平(Exp(β):2.572)、是患者的子女(Exp(β):8.484)或兄弟姐妹(Exp(β):8.801)、未采取防晒措施(Exp(β):2.063)以及未进行体育锻炼(Exp(β):1.744)。即使对于那些有积极健康行为的人,如不吸烟(Exp(β):2.008)和采取防晒措施(Exp(β):2.280),在“无法康复”子维度上对癌症的态度也是消极的。癌症患者亲属癌症预防行为和定期参与癌症筛查的比例非常低。研究确定,低教育水平、患者年龄增加以及与患者的亲属关系程度对癌症态度有负面影响,因此需要开展教育。我们相信本研究结果将有助于为癌症预防和早期诊断的循证实践做出贡献。