Predictors of quality of life for long-term cancer survivors with preexisting disabling conditions.
Predictors of quality of life for long-term cancer survivors with preexisting disabling conditions.
复制标题
DOI：
10.1188/12.onf.e122-e131
复制
发表时间：
2012-03-01
影响因子：
1.9
通讯作者：
Stuifbergen, Alexa
中科院分区：
文献类型：
--
作者：
Becker, Heather;Kang, Sook Jung;Stuifbergen, Alexa
目的/目标：探讨一旦控制了背景因素，资源、障碍和健康促进行为的测量是否会显着增加对癌症诊断前发生的残疾幸存者的健康相关生活质量的预测。设计：一项描述性相关研究。背景：从美国各地招募已完成积极治疗的先前存在残疾状况的成年癌症幸存者。样本：145 名受访者中的大多数是乳腺癌患有脊髓灰质炎和多发性硬化症等神经肌肉疾病的幸存者。癌症诊断后的平均时间为九年。方法：受访者完成了一项邮寄调查。主要研究变量：健康促进行为、自我效能、健康促进障碍、社会支持、功能限制、癌症相关变量、抑郁和生活质量。结果：样本报告的身体健康状况比其他没有预先存在残疾状况的癌症幸存者要差。在将情境因素纳入方程后，促进健康的行为和心理社会因素（例如抑郁症状和自我效能）显着增加了对健康相关生活质量的身体、社会、情感和功能组成部分的预测。结论：鉴于他们的健康状况面临多重威胁，研究结果强调了为这一人群提供最大程度促进其健康的方法的重要性。 对护理的影响：护士可能能够帮助幸存者预先存在的残疾状况通过提供减少抑郁和建立参与促进健康行为的感知能力的干预措施，减少较差的健康状况和功能限制对生活质量的负面影响。
PURPOSE/OBJECTIVES: To explore whether measures of resources, barriers, and health-promoting behaviors would add significantly to the prediction of health-related quality of life among survivors with disabilities that occurred prior to their cancer diagnosis once contextual factors were controlled for.DESIGN: A descriptive correlational study.SETTING: Adult cancer survivors with preexisting disabling conditions who had completed active treatment were recruited from throughout the United States.SAMPLE: Most of the 145 respondents were breast cancer survivors with preexisting neuromuscular conditions such as polio and multiple sclerosis. The average time since cancer diagnosis was nine years.METHODS: Respondents completed a mailed survey.MAIN RESEARCH VARIABLES: Health-promoting behaviors, self-efficacy, barriers to health promotion, social support, functional limitations, cancer-related variables, depression, and quality of life.FINDINGS: The sample reported poorer physical well-being than other cancer survivors without preexisting disabling conditions. Health-promoting behaviors and psychosocial factors, such as depressive symptoms and self-efficacy, added significantly to the prediction of physical, social, emotional, and functional components of health-related quality of life after contextual factors entered the equations.CONCLUSIONS: The findings underscore the importance of providing this population with the means to promote their health to the greatest extent possible, given the multiple threats to their health status.IMPLICATIONS FOR NURSING: Nurses may be able to help survivors with preexisting disabling conditions reduce the negative influence of poorer health status and functional limitations on quality of life by providing interventions that reduce depression and build perceived ability to engage in health-promoting behaviors.