Martinez Leal Isabel, Pillai Ashwathy B, Foreman Jessica T, Siu Kimberly W, Heredia Natalia I, Escalante Carmen P, Manzullo Ellen F, Christie Aimee J, Lacourt Tamara E, Razouki Zayd Adnan, Hwang Jessica P
Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
General Internal Medicine Department, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Cancers (Basel). 2024 Sep 13;16(18):3147. doi: 10.3390/cancers16183147.
Metabolic syndrome is a group of disorders-hypertension, dyslipidemia, obesity, and insulin resistance-that together increase the risk of coronary heart disease, stroke, and diabetes. Although ~60% of cancer patients have metabolic syndrome, which increases their risk of mortality, oncology providers lack clear guidance about its management. The development of metabolic syndrome lifestyle interventions requires a better understanding of these patients' knowledge, attitudes, and intervention preferences in order to inform management. During 2022-2023, 19 adult cancer patients with metabolic syndrome engaged in semistructured interviews focused on metabolic syndrome and lifestyle interventions. Interviews were analyzed using hybrid thematic analysis involving deductive and inductive coding. The findings indicated that patients lack knowledge about metabolic syndrome, were motivated to prioritize lifestyle modifications, and expressed strong interest in personalized care plans focused on healthy lifestyle rather than simply on weight loss. As part of their tailored intervention plans, participants desired clear communication with, and coordination of care among, their medical team and shared decision-making with providers about treatment decisions. The findings indicate that patients with metabolic syndrome want collaborative, patient-centered care, tailored interventions, and practical implementation strategies. This research will be used to inform the development of future lifestyle interventions for patients diagnosed with metabolic syndrome based on their identified needs and preferences.
代谢综合征是一组病症——高血压、血脂异常、肥胖和胰岛素抵抗——这些病症共同增加了患冠心病、中风和糖尿病的风险。尽管约60%的癌症患者患有代谢综合征，这增加了他们的死亡风险，但肿瘤学医护人员在其管理方面缺乏明确的指导。代谢综合征生活方式干预措施的制定需要更好地了解这些患者的知识、态度和干预偏好，以便为管理提供依据。在2022年至2023年期间，19名患有代谢综合征的成年癌症患者参与了以代谢综合征和生活方式干预为重点的半结构化访谈。访谈采用了包括演绎和归纳编码的混合主题分析法进行分析。研究结果表明，患者对代谢综合征缺乏了解，有动力优先进行生活方式的改变，并对专注于健康生活方式而非单纯减肥的个性化护理计划表现出浓厚兴趣。作为其量身定制的干预计划的一部分，参与者希望与医疗团队进行清晰的沟通以及护理协调，并与医护人员就治疗决策进行共同决策。研究结果表明，患有代谢综合征的患者希望获得协作式、以患者为中心的护理、量身定制的干预措施和切实可行的实施策略。这项研究将用于根据已确定的需求和偏好，为未来被诊断为代谢综合征的患者制定生活方式干预措施提供参考。
