Health behaviors and well-being among those "living" with metastatic cancer in Alabama.
Health behaviors and well-being among those "living" with metastatic cancer in Alabama.
复制标题
阿拉巴马州转移性癌症“生活者”的健康行为和幸福感。
DOI：
10.1007/s00520-021-06583-1
复制
发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Demark-Wahnefried,Wendy
中科院分区：
文献类型：
--
作者：
Bail,JenniferR;Bail,SumanthV;Cagle,Jessica;Tiesi,Koriann;Caffey,Jayla;Bakitas,Marie;Demark-Wahnefried,Wendy
背景大约有 500 万美国人患有转移性癌症。转移性癌症幸存者 (MCS) 面临健康行为不良的风险，这可能会对健康产生负面影响。方法使用修改后的 Dillman 方案，向 542 名 MCS 邮寄了一份调查问卷，询问身心健康（PROMIS® 措施）、健康行为和支持性护理兴趣。返回的调查结果通过双键输入 REDCap®。使用 SPSS 分析数据。结果返回 277 份调查（51% 回复）。受访者（51% 女性；88% 白种人；12% 非裔美国人；Mage = 65 岁；Msurvivorship = 38 个月；23% 女性癌症，23% 黑色素瘤，21% 胃肠道癌症，15% 泌尿生殖系统癌症，12% 肺部癌症和 6% 其他癌症）报告每日水果和蔬菜 (F&V) 摄入量较低摄入量（M= 4.1）和每周中度至剧烈体力活动（PA）分钟数（M= 41.9），66%的受访者患有超重或肥胖。虽然身体健康 (M= 43.6) 和精神健康 (M= 47.7) 的平均得分被认为是“良好”，但观察到的分数在“一般”到“差”范围内（40% 身体健康；23% 精神健康）。与未达到 PA（每周≥ 150 分钟）和饮食（每日≥5 份 F&V）指南的 MCS 报告的身体健康 (p= .003;p= .056) 和精神 (p= .033,p= .549) 健康状况分别比未达到的 MCS 好。虽然目前支持性护理的使用率较低 (12%)，但未来的兴趣很高 (57%)，其中对营养 (46%)、MCS 支持小组 (38%) 和园艺 (31%) 的兴趣最大。结论我们的研究结果表明，定期进行 PA 并摄入更多 F&V 可能会增强 MCS 的身心健康。未来的研究可能会探索人们高度感兴趣的支持性护理方法，例如园艺，以帮助 MCS 改善关键的健康行为。
BackgroundApproximately 5 million Americans are living with metastatic cancer. Metastatic cancer survivors (MCS) are at risk for poor health behaviors, which may negatively influence well-being.MethodsUsing a modified Dillman protocol, 542 MCS were mailed a survey querying physical and mental health (PROMIS® measures), health behaviors, and supportive care interest. Returned surveys were double-key entered into REDCap®. Data were analyzed using SPSS.ResultsTwo hundred seventy-seven surveys were returned (51% response). Respondents (51% female; 88% Caucasian; 12% African-American; Mage = 65 years; Msurvivorship = 38 months; 23% female cancers, 23% melanoma, 21% gastrointestinal, 15% genitourinary, 12% pulmonary, and 6% other) reported low daily fruit and vegetable (F&V) intake (M= 4.1) and weekly minutes of moderate-to-vigorous physical activity (PA) (M= 41.9), with 66% of respondents having overweight or obesity. While mean scores for physical (M= 43.6) and mental (M= 47.7) health were considered “good,” scores in the “fair” to “poor” ranges were observed (40% physical; 23% mental). MCS meeting PA (≥ 150 min per week) and dietary (≥ 5 daily servings of F&V) guidelines reported better physical (p= .003;p= .056) and mental (p= .033,p= .549) health, respectively, compared to MCS who were not. While current supportive care use was low (12%), future interest was high (57%), with greatest interest for nutrition (46%), MCS support group (38%), and gardening (31%).ConclusionsOur findings suggest that engaging in regular PA and consuming more F&Vs may enhance physical and mental health among MCS. Future research may explore supportive care approaches with high interest, such as gardening, to aid MCS in improving key health behaviors.