Registered Professional Nurse, Department of Nursing, Taipei Municipal WanFang Hospital, Graduate Institute of Gerontology and Health Care Management, Chang Gung University of Science and Technology, Taiwan.
Psychiatrist, Department of Psychiatry, Taoyuan Psychiatric Center, Taiwan.
Semin Oncol Nurs. 2024 Apr;40(2):151622. doi: 10.1016/j.soncn.2024.151622. Epub 2024 Mar 24.
To examine the factors influencing health-promoting lifestyles and the changes in health behavior self-efficacy and health-promoting lifestyles among female breast cancer survivors over a 6-month period.
A longitudinal design with purposive sampling was deployed. Data collection occurred at the baseline (T1), 3 months (T2), and 6 months (T3). In total, 53 breast cancer survivors agreed to participate. All participants completed the first two rounds of data collection, 49 participants completed data collection at the 6-month mark (T3). The Chinese versions of the Self-Rated Abilities for Health Practices Scale (SRAHP) and the Health-Promoting Lifestyle Profile (HPLP) were used.
Health behavior self-efficacy and health-promoting lifestyle scores increased over time. Age, impaired cardiac function, those taking a career break, psychological well-being, and responsible health practice in self-efficacy for health behaviors were significant predictors of health-promoting lifestyle.
Younger breast cancer survivors, those taking a career break, and those with poor health behavior self-efficacy were less likely to engage in a health-promoting lifestyle and may require guidance in improving overall health behaviors.
Healthcare providers should not only be aware of the suboptimal health promotion lifestyle in breast cancer survivors but also focus on enhancing health behavior self-efficacy. This is particularly crucial for younger breast cancer survivors or those currently unemployed.
探讨影响女性乳腺癌幸存者健康促进生活方式的因素以及健康行为自我效能感和健康促进生活方式在 6 个月内的变化。
采用纵向设计和目的性抽样。数据收集在基线（T1）、3 个月（T2）和 6 个月（T3）进行。共有 53 名乳腺癌幸存者同意参与。所有参与者都完成了前两轮的数据收集，49 名参与者在 6 个月（T3）时完成了数据收集。使用了中文版的自我评估健康实践能力量表（SRAHP）和健康促进生活方式量表（HPLP）。
健康行为自我效能感和健康促进生活方式评分随时间增加而提高。年龄、心脏功能受损、职业中断、心理健康和健康行为自我效能感中的负责任的健康实践是健康促进生活方式的显著预测因素。
年轻的乳腺癌幸存者、职业中断者和健康行为自我效能感差的人不太可能采取健康促进的生活方式，可能需要在改善整体健康行为方面得到指导。
医疗保健提供者不仅应该意识到乳腺癌幸存者的健康促进生活方式不理想，还应该注重增强健康行为自我效能感。这对于年轻的乳腺癌幸存者或目前失业的人尤为重要。
