为那些患有癌症和癌症后生活的人提供自我管理支持服务的推动因素和障碍:使用理论领域框架进行定性研究
Nickola D Pallin1, Sheena M McHugh1, Márcia Carvalho2
1School of Public Health, University College Cork, Cork, Republic of Ireland.
Psycho-oncology
|December 4, 2023
概括
许多癌症幸存者面临着进入自我管理支持 (SMS) 计划的障碍. 关键问题包括缺乏意识,不方便的服务提供,以及恐惧和自信等心理社会因素,阻碍了最佳的癌症幸存者护理.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 心理社会瘤学
背景情况:
- 自主管理支持 (SMS) 计划可以改善癌症幸存者的生活质量.
- 有效的短信程序的低采用需要了解访问障碍.
研究的目的:
- 确定癌症幸存者治疗后获得SMS服务的推动因素和障碍.
- 探索患者对SMS可访问性的体验和看法.
主要方法:
- 使用半结构面试对26名癌症幸存者的定性研究.
- 语录的诱导编码和映射到理论领域框架 (TDF).
主要成果:
- 缺乏关于短信的知识和无法提供服务 (时间,地点) 的服务是显著的障碍.
- 心理社会因素,如低信心和恐惧,以及社会影响,影响了访问.
- 将SMS目标与个人身份和意图对齐,影响了参与支持的决定.
结论:
- 除了知识缺口和提供商标志之外,心理社会和情绪因素阻碍了SMS访问.
- 调查结果为瘤医疗保健服务提供了关于加强SMS覆盖癌症幸存者的策略的信息.
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