前立腺がん患者における医療的支援の少ない男性の食事変化に対する障壁の特定
M Smith1, R S Garcia1, D Cho1
1The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
まとめ
医療的支援の少ない前立腺がん(PCa)患者の男性は、健康的な食事を実践する上で特有の障壁に直面している。文化的に調整され、家族を含んだ介入は、この集団における転帰を改善するために不可欠である。
背景:
- 前立腺がん(PCa)は、黒人男性および社会経済的地位の低い男性に不均衡に影響を与え、罹患率、進行、死亡率の上昇につながっている。心血管疾患は、限局性PCa患者の死因の第一位であり、食事のようなライフスタイル介入の必要性を強調している。医療的支援の少ないPCa患者とその家族の間での地中海食(MD)の採用のような食事変化の障壁についての理解は限られている。
主要な成果:
- 食事/医師の助言に対する態度、社会文化的影響(家族、友人、文化)、感情的/精神的影響、自己効力感に影響を与える構造的障壁の4つの主要なテーマが現れた。家族の賛同、明確な教育、感情的/精神的ニーズへの配慮が食事行動変容に不可欠である。肯定的な医師の助言と文化的規範が食事への態度に影響を与えた。
結論:
- 文化的に配慮され、パートナーが関与する食事介入は、医療的支援の少ないPCa患者にとって不可欠である。教育と並行して感情的、精神的、構造的要因に対処することで、介入の効果を高めることができる。将来の介入は、遵守と転帰を改善するために、家族のサポートと文化的な関連性を統合すべきである。
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