Social support, self-efficacy for decision-making, and follow-up care use in long-term cancer survivors.
Social support, self-efficacy for decision-making, and follow-up care use in long-term cancer survivors.
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DOI：
10.1002/pon.3480
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发表时间：
2014-07
期刊：
影响因子：
3.6
通讯作者：
Rowland, Julia H.
中科院分区：
文献类型：
--
作者：
Forsythe, Laura P.;Alfano, Catherine M.;Kent, Erin E.;Weaver, Kathryn E.;Bellizzi, Keith;Arora, Neeraj;Aziz, Noreen;Keel, Gretchen;Rowland, Julia H.
癌症幸存者在协调后续护理和做出治疗相关决定方面发挥着重要作用。很少有人知道如何修改的因素，如社会支持与积极参与后续护理。本研究测试社会支持，癌症相关的后续护理使用和参与后续护理决策（SEDM）的自我效能之间的关联。我们还确定了与长期幸存者社会支持相关的社会人口统计学和临床因素。生存者随访护理使用（FOCUS）研究是一项对乳腺癌、前列腺癌、结肠癌和妇科癌症生存者（n=1522）诊断后4至14年进行的横断面、基于人群的调查。多变量回归模型被用来测试感知社会支持（有形和情感/信息支持分别建模），后续护理使用（过去两年）和SEDM之间的关联，以及识别与感知支持相关的因素。两种支持类型都与随访护理使用无关（所有p>0.05），尽管婚姻状况与随访护理使用唯一正相关（p<0.05）。有形支持（标准差增加（SE）的B =9.75（3.15），p<0.05）和情感/信息支持（B（SE）=12.61（3.05），p<0.001）与SEDM有一定相关性。已婚、有足够的经济来源、复发史和较好的自觉健康状况与较高的自觉有形和情感支持相关（所有p<0.05）。虽然感知的社会支持可能会促进幸存者的效能参与决策过程中的癌症后续护理，其他因素，包括婚姻满意度，似乎影响后续护理的使用。婚姻状况和社会支持可能是生存护理计划中需要考虑的重要因素。
Cancer survivors play an important role in coordinating their follow-up care and making treatment-related decisions. Little is known about how modifiable factors like social support are associated with active participation in follow-up care. This study tests associations between social support, cancer-related follow-up care use, and self-efficacy for participation in decision making related to follow-up care (SEDM). We also identified sociodemographic and clinical factors associated with social support among long-term survivors. The FOllow-up Care Use among Survivors (FOCUS) study is a cross-sectional, population based survey of breast, prostate, colon, and gynecologic cancer survivors (n=1522) 4 to 14 years post-diagnosis. Multivariable regression models were used to test associations between perceived social support (tangible and emotional/informational support modeled separately), follow-up care use (past two years), and SEDM, as well as to identify factors associated with perceived support. Neither support type was associated with follow-up care use (all p>0.05), although marital status was uniquely, positively associated with follow-up care use (p<0.05). Both tangible support (B for a standard deviation increase (SE)=9.75(3.15), p<0.05) and emotional/informational support (B(SE)=12.61(3.05), p<0.001) were modestly associated with SEDM. Being married, having adequate financial resources, history of recurrence, and better perceived health status were associated with higher perceived tangible and emotional support (all p<0.05). While perceived social support may facilitate survivor efficacy for participation in decision making during cancer follow-up care, other factors, including marital satisfaction, appear to influence follow-up care use. Marital status and social support may be important factors to consider in survivorship care planning.
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