Exploration of information and support needs in relation to health concerns, diet and physical activity in colorectal cancer survivors
Exploration of information and support needs in relation to health concerns, diet and physical activity in colorectal cancer survivors
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DOI：
10.1111/ecc.12679
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发表时间：
2018-01-01
影响因子：
2.1
通讯作者：
Platell, C.
中科院分区：
文献类型：
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作者：
Hardcastle, S. J.;Maxwell-Smith, C.;Platell, C.
本研究的目的是探讨结直肠癌幸存者在健康问题和健康行为改变方面的信息和支持需求。与在过去2年内完成癌症积极治疗的参与者进行了面对面的访谈。参与者是从澳大利亚珀斯的一家医院招募的结直肠癌幸存者（N = 24，男性= 11，女性= 13 M，年龄= 69.38岁，SD = 4.19），其基础是他们现有的使他们处于心血管疾病风险增加的发病率。访谈记录采用专题分析法进行分析。结果如下：会议提出了五个主题：肠道变化;缺乏有关健康饮食和体育活动的知识;相互矛盾的信息;对支持的渴望;以及需要简单的信息和策略来保持健康。在提供饮食建议时，这些建议是为了解决肠道问题，而不是促进健康饮食。肿瘤学家提供的生活方式建议有限，患者缺乏饮食和体育活动指南的知识。肿瘤学家可以向患者提供来自世界癌症研究基金会（2011年）的明确信息;即增加体育活动和膳食纤维，减少红肉、加工肉类、酒精和体脂的消费。
The purpose of the current study was to explore colorectal cancer survivors' information and support needs in relation to health concerns and health behaviour change. Face-to-face interviews were conducted with participants who had completed active treatment for cancer within the previous 2 years. Participants were colorectal cancer survivors (N = 24, men = 11, women = 13M, age = 69.38 years, SD = 4.19) recruited from a hospital in Perth, Australia on the basis that they had existing morbidities that put them at increased risk of cardiovascular disease. Interview transcripts were analysed using thematic analysis. Results: Five main themes emerged: bowel changes; Lack of knowledge concerning healthy eating and physical activity; conflicting information; desire for support; and, need for simple messages and strategies to stay healthy. Where dietary recommendations were provided, these were to resolve bowel problems rather than to promote healthy eating. The provision of lifestyle advice from the oncologists is limited and patients' lack knowledge of guidelines for diet and physical activity. Oncologists could provide patients with clear messages from the World Cancer Research Fund (2011); that is to increase physical activity and dietary fibre and reduce consumption of red meat, processed meat, alcohol and body fatness.