Self-regulatory fatigue, quality of life, health behaviors, and coping in patients with hematologic malignancies.
Self-regulatory fatigue, quality of life, health behaviors, and coping in patients with hematologic malignancies.
复制标题
血液系统恶性肿瘤患者的自我调节疲劳、生活质量、健康行为和应对。
DOI：
10.1007/s12160-014-9621-z
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Gastineau,DennisA
中科院分区：
文献类型：
--
作者：
SolbergNes,Lise;Ehlers,ShawnaL;Patten,ChristiA;Gastineau,DennisA
背景自我调节疲劳可能在复杂的医疗疾病中发挥重要作用。目的检查造血干细胞移植前 (N= 213) 和术后 1 年 (HSCT;N= 140) 患者的自我调节疲劳、生活质量和健康行为之间的关联。还检查了 HSCT 前自我调节疲劳与应对策略之间的关联。方法收集 HSCT 前和一年后的数据。分层线性回归模型。结果 HSCT 前较高的自我调节疲劳与 HSCT 前 (p's < .001) 和 HSCT 后 1 年 (p's < .01) 较低的整体、身体、社交、情绪和功能生活质量相关； HSCT 前 (p< .02) 和 HSCT 后 (p< .03) 体力活动较低，HSCT 后健康营养摄入较少 (p< .01)；后续一年生活质量和健康营养的变化（即下降）；以及在 HSCT 前使用回避应对策略 (p's < .001)。结论这是第一项显示 HSCT 前自我调节疲劳与生活质量和健康行为下降相关的研究，并预测 HSCT 后 1 年这些变量的变化。
BackgroundSelf-regulatory fatigue may play an important role in a complex medical illness.PurposeExamine associations between self-regulatory fatigue, quality of life, and health behaviors in patients pre- (N= 213) and 1-year post-hematopoietic stem cell transplantation (HSCT;N= 140). Associations between self-regulatory fatigue and coping strategies pre-HSCT were also examined.MethodPre- and 1-year post-HSCT data collection. Hierarchical linear regression modeling.ResultsHigher self-regulatory fatigue pre-HSCT associated with lower overall, physical, social, emotional, and functional quality of life pre- (p's < .001) and 1-year post-HSCT (p's < .01); lower physical activity pre-HSCT (p< .02) and post-HSCT (p< .03) and less healthy nutritional intake post-HSCT (p< .01); changes (i.e., decrease) in quality of life and healthy nutrition over the follow-up year; and use of avoidance coping strategies pre-HSCT (p's < .001).ConclusionThis is the first study to show self-regulatory fatigue pre-HSCT relating to decreased quality of life and health behaviors, and predicting changes in these variables 1-year post-HSCT.