Zhou Jieru, Liu Yongcai, Huang Yijuan, Yao Xin, Cai Jian, Jiang Haihong, Ye Xiangxiang, Chen Wei, Li Haiyan
Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China.
Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China.
Eur J Oncol Nurs. 2025 Jun;76:102879. doi: 10.1016/j.ejon.2025.102879. Epub 2025 Mar 25.
To investigate factors influencing self-management behaviors in post-radical prostate cancer patients' behaviors grounded on the Integrated Theory of Health Behaviour Change and to clarify the interactions among these factors.
In a cross-sectional study, 281 patients were recruited at The First Hospital of Wenzhou Medical University in China between December 2023 and April 2024. Illness perception, social support, self-regulation and self-management were assessed through Chinese versions of the Brief Illness Perception Questionnaire (BIPQ), Medical Outcome Study Social Support Survey-Chinese (MOS-SSS-C), Treatment Self-regulation Questionnaire (TSRQ) and The Cancer Patient Self-management Assessment Scale. Structural equations were used to explore the relationship between the four variables.
The final structural model using the Integrated Theory of Health Behaviour Change showed a suitable fit (RMSEA = 0.073, CMIN/DF = 2.482). Illness perception directly affected self-management (β = -0.416, P < 0.05) and indirectly affected self-management through self-regulation (β = 0.269, P < 0.05). Self-regulation directly affected self-management (β = 0.453, P < 0.05). Social support indirectly affected self-management (β = 0.225, P < 0.05). These variables contributed to 62.9 % of the variability in self-management behaviors among patients after radical prostate cancer treatment.
The present study suggested a model can be useful in better understanding self-management in post-radical prostate cancer patients. Besides, these patients experience bad self-management. Illness perception and social support can affect post-radical prostate cancer patients' self-management directly and indirectly through self-regulation.
基于健康行为改变综合理论，探讨影响根治性前列腺癌患者自我管理行为的因素，并阐明这些因素之间的相互作用。
在一项横断面研究中，于2023年12月至2024年4月期间在中国温州医科大学附属第一医院招募了281名患者。通过中文版的简明疾病感知问卷（BIPQ）、医学结局研究社会支持调查问卷中文版（MOS-SSS-C）、治疗自我调节问卷（TSRQ）和癌症患者自我管理评估量表对疾病感知、社会支持、自我调节和自我管理进行评估。采用结构方程来探究这四个变量之间的关系。
使用健康行为改变综合理论的最终结构模型显示拟合良好（RMSEA = 0.073，CMIN/DF = 2.482）。疾病感知直接影响自我管理（β = -0.416，P < 0.05），并通过自我调节间接影响自我管理（β = 0.269，P < 0.05）。自我调节直接影响自我管理（β = 0.453，P < 0.05）。社会支持间接影响自我管理（β = 0.225，P < 0.05）。这些变量解释了根治性前列腺癌治疗后患者自我管理行为变异的62.9%。
本研究表明，该模型有助于更好地理解根治性前列腺癌患者的自我管理。此外，这些患者的自我管理情况较差。疾病感知和社会支持可通过自我调节直接和间接地影响根治性前列腺癌患者的自我管理。
