Factors predicting adherence to risk management behaviors of women at increased risk for developing lymphedema.
Factors predicting adherence to risk management behaviors of women at increased risk for developing lymphedema.
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DOI：
10.1007/s00520-014-2321-1
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发表时间：
2015-01
影响因子：
3.1
通讯作者：
Taylor, Alan
中科院分区：
文献类型：
--
作者：
Sherman, Kerry A.;Miller, Suzanne M.;Roussi, Pagona;Taylor, Alan
乳腺癌治疗后，20-30%的女性会受到淋巴水肿的影响。然而，即使妇女被告知，她们也不一定坚持推荐的淋巴浮肿自我管理方案。利用认知-社会健康信息处理框架，我们评估了影响坚持淋巴水肿风险管理的认知和情绪因素。通过福克斯·蔡斯癌症中心乳房诊所招募了接受过乳房和淋巴结手术的乳腺癌妇女。参与者(N=103)完成了与淋巴水肿相关的感知风险、信念和期望、痛苦、管理痛苦的自我调节能力、知识和对风险管理行为的坚持的测量。然后他们收到了美国癌症协会的出版物《淋巴水肿：每个患有乳腺癌的女性应该知道的事情》。在基线后6个月和12个月重新评估认知和情感变量。最大似然多水平模型分析表明，总体遵守情况随着时间的推移而增加，基线评估与6个月和12个月评估之间存在显著差异。对戴手套的坚持程度显著低于除使用电动剃须刀以外的所有其他行为。随着时间的推移，痛苦显著减少，知识显著增加。更多的知识、更高的制定行为的自我效能感、更低的痛苦和更高的管理痛苦的自我调节能力与更多的坚持相关。了解淋巴水肿风险管理并对管理这种风险有信心的女性更有可能坚持推荐的策略。作为常规护理的一部分，应严格评估这些因素，以确保妇女具有寻求治疗的自我效能和管理痛苦的自我调节技能，这可能会破坏寻求医疗援助的努力。
Lymphedema affects 20-30% of women following breast cancer treatment. However, even when women are informed, they do not necessarily adhere to recommended lymphedema self-management regimens. Utilizing the Cognitive-Social Health Information Processing framework, we assessed cognitive and emotional factors influencing adherence to lymphedema risk management. Women with breast cancer who had undergone breast and lymph node surgery were recruited through the Fox Chase Cancer Centre breast clinic. Participants (N=103) completed measures of lymphedema-related perceived risk, beliefs and expectancies, distress, self-regulatory ability to manage distress, knowledge, and adherence to risk management behaviors. They then received the American Cancer Society publication “Lymphedema: What Every Woman with Breast Cancer Should Know”. Cognitive and affective variables were reassessed at 6- and 12-months post-baseline. Maximum likelihood multilevel model analyses indicated that overall adherence increased over time, with significant differences between baseline and 6- and 12- month assessments. Adherence to wearing gloves was significantly lower than that for all other behaviors except electric razor use. Distress significantly decreased, and knowledge significantly increased, over time. Greater knowledge, higher self-efficacy to enact behaviors, lower distress, and higher self-regulatory ability to manage distress were associated with increased adherence. Women who understand lymphedema risk management and feel confident in managing this risk are more likely to adhere to recommended strategies. These factors should be rigorously assessed as part of routine care to ensure that women have the self-efficacy to seek treatment and the self-regulatory skills to manage distress, which may undermine attempts to seek medical assistance.
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影响因子：
3.8
作者：
Kwan, Marilyn L.;Shen, Ling;Thiadens, Saskia R. J.
通讯作者：
Thiadens, Saskia R. J.
DOI：
10.1097/phm.0b013e31820be160
发表时间：
2011-05-01
影响因子：
3
作者：
Korpan, Marta I;Crevenna, Richard;Fialka-Moser, Veronika
通讯作者：
Fialka-Moser, Veronika
影响因子：
120.7
作者：
Lerman, C;Narod, S;Lynch, H
通讯作者：
Lynch, H
体重指数和与乳腺癌治疗相关的淋巴水肿。
影响因子：
3.1
作者：
Ridner, Sheila H.;Dietrich, Mary S.;Stewart, Bob R.;Armer, Jane M.
通讯作者：
Armer, Jane M.
DOI：
10.1007/s11764-008-0049-y
发表时间：
2008-06-01
期刊：
Journal of cancer survivorship : research and practice
影响因子：
--
作者：
Clough-Gorr, Kerri M;Fink, Aliza K;Silliman, Rebecca A
通讯作者：
Silliman, Rebecca A