乳腺癌幸存者对预防与控制未来癌症复发的认知。

IF 1.6 Q4 ONCOLOGY International Journal of Breast Cancer Pub Date : 2019-05-02 eCollection Date: 2019-01-01 DOI:10.1155/2019/2652180
Monira Alwhaibi, Christa L Lilly, Hannah Hazard, Kimberly M Kelly
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引用次数: 3

摘要

背景:医学研究所已经建立了幸存者护理计划作为癌症护理的一个重要组成部分,以确保癌症幸存者及时得到适当的随访护理,并支持癌症幸存者应对复发风险,但对于癌症幸存者如何预防或控制未来的癌症复发知之甚少。本研究旨在评估乳腺癌女性对未来癌症复发的感知预防和感知控制。方法:对114例有乳腺癌病史的女性进行调查,采用并行混合方法对数据进行分析。二元逻辑回归模型检验了感知预防和感知控制癌症复发的预测因子。结果:大多数女性认为她们可以控制癌症复发(89%);很少有人(30%)认为他们可以预防癌症复发。妇女报告了时间表的组成部分(例如,早期诊断)、身份(例如,体内癌症)、原因(例如,遗传)、后果(例如,见证成功)和治疗/控制(例如,锻炼)或缺乏治疗/控制。报告缺乏控制的妇女不太可能认为她们可以控制癌症复发。报告原因的妇女不太可能认为她们可以预防或控制癌症复发。结论:女性对预防和控制肿瘤复发的认知是影响乳腺癌女性心理的重要因素。大多数女性认为她们可以控制癌症复发;然而,很少有人相信它们可以预防癌症复发。需要采取干预措施,重点是控制癌症复发,注重循证临床和生活方式干预。
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Breast Cancer Survivors' Perceptions of Prevention versus Control of Future Cancer Recurrence.

Background: The Institute of Medicine has established Survivorship Care Planning as a critical component of cancer care to ensure that cancer survivors receive the appropriate follow-up care in a timely manner and support cancer survivors in dealing with the risk of recurrence, yet little is known about how cancer survivors think about preventing or controlling future cancer recurrence. This study sought to assess breast cancer women's perceived prevention and perceived control of future cancer recurrence.

Methods: Women with a history of breast cancer (n=114) were surveyed, and data were analyzed using concurrent mixed methods. Binary logistic regression models examined predictors of perceived prevention and perceived control of cancer recurrence.

Results: Most women perceived that they could control cancer recurrence (89%); few (30%) perceived that they could prevent cancer recurrence. Women reported components of the timeline (e.g., early diagnosis), identity (e.g., cancer in body), causes (e.g., hereditary), consequences (e.g., witness success), and cure/control (e.g., exercise) or lack of cure/control. Women who reported lack of control were less likely to perceive that they could control cancer recurrence. Women who reported causes were less likely to perceive that they could prevent or control cancer recurrence.

Conclusions: Women's perceptions about the prevention and control of cancer recurrence are important and different factors in the minds of women with breast cancer. Most women believed they could control cancer recurrence; however, few believed they could prevent cancer recurrence. Interventions to focus on control of cancer recurrence, focusing on evidence-based clinical and lifestyle interventions, are needed.

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来源期刊
CiteScore
3.40
自引率
0.00%
发文量
25
审稿时长
19 weeks
期刊介绍: International Journal of Breast Cancer is a peer-reviewed, Open Access journal that provides a forum for scientists, clinicians, and health care professionals working in breast cancer research and management. The journal publishes original research articles, review articles, and clinical studies related to molecular pathology, genomics, genetic predisposition, screening and diagnosis, disease markers, drug sensitivity and resistance, as well as novel therapies, with a specific focus on molecular targeted agents and immune therapies.
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