癌症青少年的过渡准备:基于自决理论的横截面研究
Jun Ma1, Siqi Zhou1, Xiangtian Bai2
1Xiangya School of Nursing, Central South University, Changsha, China.
概括
这项研究评估了癌症青少年的过渡准备,发现年龄,诊断持续时间,治疗完成,保险和能力是关键因素. 受社会支持和自我效能影响的患者激活对于成功过渡至关重要.
科学领域:
- 儿科瘤学 儿科瘤学
- 青少年健康 青少年健康
- 健康心理学 心理健康心理学
背景情况:
- 患有癌症的青少年在从儿科到成人护理的过渡期间面临着独特的挑战.
- 准备过渡对于确保护理连续性和最佳健康结果至关重要.
- 自决理论 (SDT) 为理解影响这种过渡的心理需求提供了一个框架.
研究的目的:
- 评估中国中部癌症青少年的过渡准备情况.
- 以自决理论 (SDT) 为指导,确定影响过渡准备的因素.
- 探索心理结构在过渡过程中的调解作用.
主要方法:
- 使用问卷评估自我管理,过渡到成年,患者激活,社会支持和自我效能.
- 采用多重线性回归来确定与过渡准备相关的因素.
- 应用PROCESS宏调度和链调度分析,以测试理论路径.
主要成果:
- 217名患有癌症的青少年参与了这项研究;平均过渡准备得分为59.95.
- 年龄,诊断时间,治疗完成,保险和能力显著预测过渡准备.
- 确定了两个重要的链中介路径:感知到的社会支持 - 自我有效性 - 患者激活 - 过渡准备和自我有效性 - 感知到的社会支持 - 患者激活 - 过渡准备.
结论:
- SDT构造对于增强癌症青少年的过渡准备有价值.
- 患者激活是干预的关键目标,由社会支持和自我有效性支持.
- 了解这些途径可以为改善年轻癌症幸存者的过渡体验提供干预信息.
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