Perceived influences on post-diagnostic dietary change among a group of men with prostate cancer
Perceived influences on post-diagnostic dietary change among a group of men with prostate cancer
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DOI：
10.1111/ecc.12357
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发表时间：
2015-11-01
影响因子：
2.1
通讯作者：
Raats, M. M.
中科院分区：
文献类型：
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作者：
Kassianos, A. P.;Coyle, A.;Raats, M. M.
癌症诊断通常与失去代理和控制有关，这可能会对健康产生不利影响。患者可能会尝试通过饮食改变来重新获得控制，旨在预防疾病进展和/或复发。前列腺癌诊断后饮食改变的有效性证据尚不确定，这可能会导致患者和卫生专业人员的不确定性。这项定性研究探讨了英国8名在过去5年中被诊断患有前列腺癌的男性如何解释他们在诊断后对饮食所做的任何改变。数据是通过半结构化的电话访谈产生的，并进行了专题分析。这产生了两个主题，关于饮食变化的感知性质和重要性以及饮食变化的感知决定因素。后者重点关注机构等内部维度和外部维度，例如与卫生专业人员关系的感知作用、可信饮食信息的可用性和家庭影响。这项研究指出，家庭环境在使男子能够改变饮食方面具有重要意义。建议，即使卫生专业人员只能提供合格的，一般的饮食建议，这可能会为男性提供一个行动的重点和重新控制的手段。
A cancer diagnosis is often associated with loss of agency and control that can adversely affect well-being. Patients may try to regain control through dietary change aimed at preventing progression and/or recurrence. Evidence for the effectiveness of post-diagnostic dietary change in prostate cancer is not conclusive, which can cause uncertainty among patients and health professionals. This qualitative study explored how eight men in the UK, who had been diagnosed with prostate cancer in the previous 5years, accounted for any post-diagnostic changes they made to their diet. Data were generated through semi-structured telephone interviews and were subjected to thematic analysis. This yielded two themes concerning the perceived nature and importance of dietary change and the perceived determinants of dietary change. The latter focused on internal dimensions such as agency and external dimensions such as the perceived role of relationships with health professionals, the availability of credible dietary information and family influences. The study points to the importance of the family context in enabling the men to implement dietary change. It is suggested that, even if health professionals can only offer qualified, general advice about diet, this may provide men with a focus for action and a means of regaining control.