为什么有癌症的孩子会退出社交场合? 使用COM-B模型进行定性研究
Yuanshuo Ma1,2,3, Sulin Zhang1,2,3, Meina Yuan1,2,3
1School of Public Health, Hebei Medical University, Shijiazhuang, Hebei, 050017, China.
Journal of cancer survivorship : research and practice
|September 4, 2025
概括
癌症儿童的社会退缩是复杂的,受身体问题,自尊和社会支持的影响. 解决这些因素对于他们的重新融入和福祉至关重要.
科学领域:
- 儿童瘤学
- 行为科学
- 心理瘤学
背景情况:
- 对于患有癌症的儿童来说,
- 了解潜在因素对于开发有效的干预措施至关重要.
研究的目的:
- 通过COM-B模型探索癌症儿童的社会退缩因素和机制.
- 确定社会退缩的关键因素,包括能力,机会和动机.
主要方法:
- 一个混合主题分析41个在线疾病叙述从癌症儿童的家庭 (≤18岁).
- 使用基于互联网的疾病经验对儿童癌症的真实见解.
主要成果:
- 在能力 (身体问题,自我接受),动机 (耻辱感,自尊) 和机会 (人际交互,育儿风格,社会支持) 中确定主题.
- 耻辱会影响自尊,身体问题会影响人际交往,育儿/支持会影响自我接受,所有这些都会导致社会退缩.
- 揭示了各种因素影响社会退出行为的间接途径.
结论:
- 该COM-B模型为了解儿童癌症中社会退缩的多方面的原因提供了一个框架.
- 干预措施的重点不仅仅是身体恢复,还包括心理接受,动机和社会机会.
- 建议对癌症幸存者进行综合的身体社会干预,积极的育儿和增强的支持网络.
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