通过在线同伴支持社区为乳腺癌幸存者赋权。

IF 2.8 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Supportive Care in Cancer Pub Date : 2024-12-28 DOI:10.1007/s00520-024-09119-5
Marina Ruiz-Romeo, Laura Ciria-Suarez, Joan C Medina, Maria Serra-Blasco, Arnau Souto-Sampera, Aida Flix-Valle, Alejandra Arizu-Onassis, Carla Morales Moncada, Cristina Villanueva-Bueno, Vicente Escudero-Vilaplana, Eva Juan-Linares, Cristian Ochoa-Arnedo
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引用次数: 0

摘要

目的:乳腺癌对患者生活质量的影响。同伴支持可以提供情感上的理解,并增加获得信息、社会支持、应对策略和赋权的机会。communats是一个针对BC幸存者的在线同伴支持社区应用程序,涉及医疗保健专业人员。本研究旨在探讨参与社区如何促进赋权,并确定与之相关的变量。方法:采用前瞻性、横断面方法。121名确诊为BC的女性被纳入社区。社会人口学和临床变量,以及情绪困扰(HADS)、创伤后成长(PTGI)和赋权(Van Uden-Kraan赋权问卷)的测量,通过参与者完成的在线问卷收集。此外,在线社区参与数据直接从应用程序中获得。评估在纳入和3个月后进行。相关性用于指导线性回归分析,以确定预测更大授权结果的变量。结果:授权评估表明参与者通过参与社区感到被授权。最常见的赋权结果是“更好地了解情况”和“更好地接受疾病”。在回归分析中,“交换信息”和“寻找认可”是最具经验的授权过程,也是授权结果的最强预测因子。结论:参与社区活动增强了BC幸存者的赋权。社区内的授权过程部分地预测了整体授权结果。实践意义:赋权积极影响自我护理自主性、自我效能和治疗依从性,促进更健康的生活方式和提高治疗效果。因此,我们建议鼓励在线同伴支持社区的参与,因为它可能会增强赋权。
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Empowerment among breast cancer survivors using an online peer support community.

Objectives: Breast cancer (BC) impacts the patients' quality of life. Peer support can provide emotional understanding and enhances access to information, social support, coping strategies, and empowerment. Comunitats is an online peer support community app for BC survivors that involves healthcare professionals. This study aims to explore how participation in Comunitats promotes empowerment, and to identify the variables related to it.

Methods: A prospective, cross-sectional approach was applied. One hundred twenty-one women diagnosed with BC were included in Comunitats. Sociodemographic and clinical variables, along with measures of emotional distress (HADS), post-traumatic growth (PTGI), and empowerment (Van Uden-Kraan's Empowerment Questionnaire), were collected through an online questionnaire completed by the participants. Additionally, data on participation in the online community were obtained directly from the app. Assessments were conducted at inclusion and again 3 months later. Correlations were used to guide linear regression analysis to identify the variables predicting greater empowerment outcomes.

Results: Empowerment assessment indicated that participants felt empowered by their involvement in Comunitats. The most commonly experienced empowerment outcomes were "being better informed" and "improved acceptance of the illness." "Exchanging information" and "finding recognition" were the most strongly experienced empowerment processes and the strongest predictors of empowerment outcomes in the regression analysis.

Conclusion: Involvement in Comunitats enhances empowerment in BC survivors. Empowering processes within the community partially predict overall empowerment outcomes.

Practical implications: Empowerment positively impacts self-care autonomy, self-efficacy, and treatment adherence, promoting healthier lifestyles and enhanced treatment outcomes. Therefore, we recommend encouraging participation in online peer support communities, as it might enhance empowerment.

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来源期刊
Supportive Care in Cancer
Supportive Care in Cancer 医学-康复医学
CiteScore
5.70
自引率
9.70%
发文量
751
审稿时长
3 months
期刊介绍: Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease. Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.
期刊最新文献
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