Health behaviors, readiness to change, and interest in health promotion programs among smokers with lung cancer and their family members: a pilot study.
Health behaviors, readiness to change, and interest in health promotion programs among smokers with lung cancer and their family members: a pilot study.
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DOI：
10.1097/ncc.0b013e31825e4359
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发表时间：
2013-03
期刊：
影响因子：
2.6
通讯作者：
Hayman LL
中科院分区：
文献类型：
--
作者：
Cooley ME;Finn KT;Wang Q;Roper K;Morones S;Shi L;Litrownik D;Marcoux JP;Zaner K;Hayman LL
背景：肺癌的诊断提供了一个激励个人采取健康促进行为的机会。很少注意到利用这个机会，也激励亲属改变他们的健康behaviors.Objectives：本研究的目的是描述健康行为和准备改变生活方式，确定健康促进计划的兴趣，并检查吸烟者与肺癌及其家庭成员的健康行为的一致性。使用标准化问卷收集数据。结果：肺癌患者及其家属中持续吸烟的比例较高（43%比30%），水果和蔬菜摄入量低（92%比95%），身体活动不足的比例较高（84%比84%）。患者和家庭成员表示愿意在未来6个月内改变行为，其中63%为体力活动，73%为饮食，88%为戒烟，81%为体力活动，58%为饮食，91%为戒烟。在参与多行为风险降低程序的兴趣是高的patients and family members.Conclusions：大多数患者及其家属有多种行为风险因素，使他们处于危险中的健康outcomes.Implications实践：肿瘤科护士是在一个独特的位置，以提供领导，评估健康行为和实施循证干预措施，以提高肺癌患者家庭成员二人组的结果。
Background:The diagnosis of lung cancer presents an opportunity to motivate individuals to adopt health-promoting behavior. Little attention has been given to using this opportunity to also motivate relatives to change their health behaviors.Objectives:The objectives of this study were to describe health behaviors and readiness to change lifestyle, identify interest in health promotion programs, and examine concordance of health behaviors among smokers with lung cancer and their family members.Methods:Cross-sectional data were collected once from 37 lung cancer patient–family member dyads. Standardized questionnaires were used to collect data. Descriptive statistics and percent agreement were used for analyses.Results:Lung cancer patients and their family members had high rates of continued smoking (43% vs 30%), low intake of fruits and vegetables (92% vs 95%), and high rates of physical inactivity (84% vs 84%). Patients and family members indicated readiness to change behaviors within the next 6 months ranging from 63% for physical activity, 73% for diet, and 88% to quit smoking for patients and 81% for physical activity, 58% for diet, and 91% to quit smoking for family members. Interest in participating in a multiple behavioral risk reduction program was high for patients and family members.Conclusions:The majority of patients and their family members have multiple behavioral risk factors placing them at risk for poor health outcomes.Implications for Practice:Oncology nurses are in a unique position to provide leadership in assessing health behaviors and implementing evidence-based interventions to enhance outcomes for patient–family member dyads with lung cancer.