家庭功能如何影响化疗癌症性厌食症患者的激活？混合方法研究。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing Pub Date : 2025-06-01 DOI:10.1016/j.soncn.2025.151904

Hongyue Zhong , Fangyi Li , Tian Xiao , Chunmei Liu , Qing Li , Li Li , Ruihan Xiao , Linyu Zhou , Xueqin Qiu , Xiaoju Chen

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引用次数: 0

摘要

目的：了解化疗患者癌症相关性厌食症（CA）患者激活的现状，探讨家庭功能、负性情绪与患者激活的关系。此外，澄清患者在自我管理方面的经验，并研究家庭功能如何影响他们在疾病管理中的激活。方法：对302例CA化疗患者进行问卷调查。调查采用一般信息问卷、患者激活量表、医院焦虑抑郁量表和家庭护理指数问卷。在定量研究的基础上，对16例CA化疗患者进行半结构化访谈，进行定性研究。结果：CA化疗患者的患者激活评分为66.08±13.70，为中等水平。结构方程模型分析显示，焦虑和抑郁在家庭功能与患者激活之间起部分中介作用。访谈结果发现，CA化疗患者激活患者的主要障碍有3个：(1)缺乏自我管理知识；(2)自我管理行为不足；(3)负面情绪的侵入。此外，发现家庭功能通过两个关键主题促进患者激活：(1)积极的家庭调整和(2)更紧密的整体家庭氛围。结论：通过整合定量和定性证据，本研究揭示了在接受CA化疗的个体中形成患者激活的多方面过程。家庭功能在情绪调节和患者激活增强中都是一个关键因素。对护理实践的启示：研究结果可以指导医护人员在帮助化疗的CA患者识别家庭支持的优势和资源，充分利用家庭功能的作用来增强患者的激活。

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How Does Family Function Affect the Activation Of patients With Cancer Anorexia Undergoing Chemotherapy? A Mixed Methods Study

Objective

To understand the current status of patient activation among chemotherapy patients with Cancer-related Anorexia (CA) and explore the relationship between family function, negative emotions, and patient activation. Additionally, to clarify patients’ experiences in self-management and examine how family function influences their activation in disease management.

Methods

A total of 302 chemotherapy patients with CA participated in the questionnaire survey. The investigation utilized a general information questionnaire, the Patient Activation Measure, the Hospital Anxiety and Depression Scale, and the Family Care Index Questionnaire. Based on the quantitative research, qualitative research was conducted, involving semi-structured interviews with 16 chemotherapy patients with CA.

Results

The patient activation score for chemotherapy patients with CA was 66.08 ± 13.70, indicating a moderate level. Structural equation modeling analysis revealed that anxiety and depression acting as partial mediators between family function and patient activation. Interview results identified 3 main barriers to patient activation among chemotherapy patients with CA: (1) lack of self-management knowledge, (2) inadequate self-management behaviors, and (3) intrusion of negative emotions. Additionally, family function was found to promote patient activation through 2 key themes: (1) positive family adjustment and (2) a closer overall family atmosphere.

Conclusions

By integrating quantitative and qualitative evidence, this study uncovers the multifaceted processes shaping patient activation among individuals undergoing chemotherapy with CA. Family function emerges as a critical factor in both emotional regulation and the enhancement of patient activation.

Implications for nursing practice

The findings can guide healthcare professionals in helping chemotherapy patients with CA to identify the strengths and resources within family support, fully harnessing the role of family function to enhance patient activation.

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来源期刊

Seminars in Oncology Nursing Nursing-Oncology (nursing)

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

45 days

期刊介绍： Seminars in Oncology Nursing is a unique international journal published six times a year. Each issue offers a multi-faceted overview of a single cancer topic from a selection of expert review articles and disseminates oncology nursing research relevant to patient care, nursing education, management, and policy development.