Profiles of Health Competence Beliefs Among Young Adult Survivors of Childhood Cancer.
Profiles of Health Competence Beliefs Among Young Adult Survivors of Childhood Cancer.
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儿童癌症年轻幸存者的健康能力信念概况。
DOI：
10.1089/jayao.2012.0006
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发表时间：
2011
影响因子：
2
通讯作者：
Ittenbach,RichardF
中科院分区：
文献类型：
--
作者：
Brier,MoriahJ;Kazak,AnneE;Derosa,BranlynWerba;Hocking,MatthewC;Schwartz,LisaA;Ginsberg,JillP;Hobbie,Wendy;Ittenbach,RichardF
目的本研究的目的是确定青年（YA）年龄的癌症幸存者对他们的健康和福祉的信念概况。幸存者的信念和他们相关的心理社会和人口统计学特征可能是临床上有用的survivorshipcare.Patients和methodsYA儿童白血病（n=51），淋巴瘤（n=24），和实体瘤（n=44），年龄18-29岁（N=119），幸存者进行了分类，使用聚类分析的基础上，他们的反应健康能力信念清单，一项评估他们对健康、医疗保健满意度、自主性和认知能力的信念的措施。使用自我报告措施的健康问题，痛苦，人口统计学，和供应商报告的健康问题和癌症treatmentintensity.ResultsThree不同的集群进行了检查的集群分析所产生的信念配置文件：自适应（n=54），低自主性（n=25），和脆弱（n=40）。适应性幸存者有积极的信念，低痛苦，和最小的健康问题。低自主性幸存者与适应性集群中的幸存者相似，除了他们有低自主性信念，大多数人报告与父母住在一起。弱势群体有更多的负面信念，最医疗问题，和最高水平的distress.ConclusionHealth能力的信念配置文件确定了独特的亚组YA幸存者的儿科癌症，有潜在的不同的危险因素。通过健康信念模式对幸存者进行分类，可以帮助医疗保健提供者以适合幸存者个人需求和风险的方式治疗和教育他们的患者。
PurposeThe goal of this study was to identify profiles of young adult (YA)-aged cancer survivors' beliefs about their health and well-being. Survivors' beliefs and their associated psychosocial and demographic characteristics may be clinically useful in survivorship care.Patients and methodsYA survivors of pediatric leukemias (n=51), lymphomas (n=24), and solid tumors (n=44), aged 18–29 years old (N=119), were categorized using cluster analysis based on their responses to the Health Competence Beliefs Inventory, a measure assessing beliefs about their health, satisfaction with healthcare, autonomy, and cognitive competence. Profiles of beliefs generated by cluster analysis were examined using self-report measures of health problems, distress, demographics, and provider-reported health problems and cancer treatment intensity.ResultsThree distinct clusters were identified: Adaptive (n=54), Low Autonomy (n=25), and Vulnerable (n=40). Adaptive survivors had positive beliefs, low distress, and minimal health problems. The Low Autonomy survivors were similar to those in the Adaptive cluster except they had low autonomy beliefs and the majority reported living with their parents. The Vulnerable cluster had more negative beliefs, the most medical problems, and the highest levels of distress.ConclusionHealth competence belief profiles identified unique subsets of YA survivors of pediatric cancer that have potentially distinct risk factors. Categorizing survivors by health belief patterns may help healthcare providers treat and educate their patients in ways that are tailored to individual survivors' needs and risks.