探索肺癌化疗患者对自我管理的观点:使用COM-B模型进行定性采访研究
Ruimei Jia1, Nina Xie1, Yue Li2
1School of Nursing, Shaanxi University of Chinese Medicine, Xianyang, People's Republic of China.
Patient preference and adherence
|July 18, 2025
概括
接受化疗的肺癌患者难以自我管理,特别是与治疗相关的方面. 干预措施应针对能力,动机和机会障碍,以改善患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 行为科学 行为科学
- 健康心理学 心理健康心理学
背景情况:
- 肺癌化疗患者表现出低于最佳的自我管理行为.
- 与治疗相关的自我管理是一个特别关注的领域,比其他管理方面得分较低.
研究的目的:
- 探索患者在肺癌化疗期间自我管理的观点.
- 应用能力,机会和动机-行为 (COM-B) 模型来理解自我管理的挑战.
主要方法:
- 与15名肺癌化疗患者进行了半结构面试.
- 在COM-B模型的指导下,面试主题开发和内容分析.
主要成果:
- 确定了能力因素:症状/副作用管理不良,自我管理意识低.
- 确定了激励因素:复杂的饮食,低信心,支持不足,缺乏意义.
- 确定了机会因素:财务负担,对知识的获取有限,实践机会少.
结论:
- 建议有针对性的干预措施:加强症状管理,健康教育,同行支持和改善信息获取.
- 建议建立支持网络和权威的健康平台,以减轻财务负担.
- 旨在促进肺癌化疗患者的全面自我管理.
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