Potential profiling of health behavior autonomy in older adults with breast cancer
10.3760/cma.j.cn211501-20240522-01302
- VernacularTitle:老年乳腺癌患者健康行为自主性的潜在剖面分析
- Author:
Yutong ZHANG
1
;
Hongmei LI
1
;
Qian WANG
1
;
Qinyao LI
1
;
Miao LI
1
;
Panpan LI
1
Author Information
1. 山西医科大学汾阳学院护理系，汾阳 032200
- Publication Type:Journal Article
- Keywords:
Breast neoplasms;
Aged;
Health behaviors;
Autonomy;
Potential profiling
- From:
Chinese Journal of Practical Nursing
2024;40(35):2772-2780
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the categories of health behavior autonomy of elderly breast cancer patients and their influencing factors, so as to provide reference for developing targeted strategies.Methods:A convenience sampling method was used to select 300 elderly breast cancer patients from Fenyang Hospital in Shanxi Province from December 2023 to May 2024, and a cross-sectional survey was conducted using general information questionnaire, Functional Indicator of Autonomy (FIA), Simplified Bidirectional Social Support Scale (SBSS), and Fried Frailty Scale (FFS) to explore the potential categories of autonomy by using latent profile analysis, and multicategorical Logistic regression was used to analyze the effects of each factor on their different categories.Results:Validly recovered questionnaires were 256, and the female elderly breast cancer patients aged (65.54 ± 5.34) years. The autonomy of health behaviors of breast cancer patients was divided into three groups: "low autonomy group" (35.56%, 91/256), "medium autonomy group" (48.82%, 125/256), "high autonomy group" (15.62%, 40/256) in 3 potential profiles. Logistic regression analysis showed that patients′knowledge of the disease, debilitation, comorbidities, and bi-directional social support were influential factors in patients′autonomy in health behaviors ( OR values were 0.283-4.310, all P<0.05). Conclusions:There is significant heterogeneity in the level of health behavior autonomy among elderly breast cancer patients. Healthcare professionals should focus on the characteristics of different patients′autonomy and give personalized guidance and nursing interventions to improve the autonomy of patients′health management, in order to provide a basis for intervention to improve the health behaviors of elderly breast cancer.
