Influencing factors of self-management behavior in cancer patients based on a theoretical domain framework.
10.3724/zdxbyxb-2022-0716
- Author:
Xuemei XIAN
1
;
Yilin CHEN
2
;
Shina QIAO
2
;
Jing SHAO
3
;
Manjun WANG
2
;
Liqiu SUN
2
;
Zhihong YE
4
Author Information
1. Nursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China. xianxuemei@zju.edu.cn.
2. Nursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China.
3. Institute of Nursing Research, Zhejiang University School of Medicine, Hangzhou 310058, China.
4. Nursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China. yezh@zju.edu.cn.
- Publication Type:Journal Article
- Keywords:
Behavior;
Cancer;
Health management;
Self-management;
Survivors;
Theoretical domain
- MeSH:
Humans;
Self-Management;
Neoplasms/therapy*
- From:
Journal of Zhejiang University. Medical sciences
2023;52(5):605-615
- CountryChina
- Language:English
-
Abstract:
OBJECTIVES:To explore the factors that influence self-management behavior in cancer patients based on the theoretical domain framework.
METHODS:Studies in Chinese and English about factors influencing self-management behavior in cancer patients were searched from Wanfang database, CNKI, VIP, SinoMed, PubMed, Embase, CINAHL, Web of Science Core Collection, Cochrane library and Medline from inception to June 2022. Two investigators independently identified, extracted data, and collected characteristics and methodology of the studies. Factors were analyzed with Nvivo12, and the theoretical domain framework was mapped to the theoretical domain. Then the secondary node was generalized by theme analysis. Finally, the specific influencing factors were summarized and analyzed.
RESULTS:Thirty-four studies were included for analysis. A total of 194 factors were mapped to 13 theoretical domains, and 31 secondary nodes were summarized. Theoretical domains environmental context and resources, social/professional role and identity, and beliefs about consequences were the most common factors. Knowledge, age, self-efficacy, disease stage, social support, gender, economic status and physical status were the most influential factors for self-management in cancer patients.
CONCLUSIONS:The influencing factors of self-management of cancer patients involve most of the theoretical domains, are intersectional, multi-source and complex.
