Exploration of Health-Promoting Lifestyle and Related Factors Among Bladder Cancer Survivors

[[abstract]]背景：膀胱癌為男性泌尿道常見的惡性腫瘤，而罹癌後健康促進生活型態有助於存活期間展開正向之生活方式，可提升心理與生理之健康狀態，然而目前對於膀胱癌族群之健康促進生活型態之研究證據仍然有限。目的：本研究目的為探討台灣膀胱癌病人於存活期之健康促進生活型態變化及重要之預測因子。方法：前瞻縱貫性研究設計，方便取樣，共收案台灣某地區醫院81位存活期膀胱癌病患，以三個時間點進行資料收集，研究工具包含人口學基本資料及健康促進生活型態量表，以描述性統計、皮爾森相關係數、廣義估計方程式進行資料分析。結果：膀胱癌病患於存活期之健康促進生活型態，營養及心理安適暨健康責任面向，隨時間呈現越來越好的趨勢。身體活動為膀胱癌存活者最差之健康促進生活型態次面向。放射線治療、頻尿為其重要預測因子。結論／實務應用：研究結果顯示腫瘤照護人員應於膀胱癌病患接受治療前、治療後並且續追蹤三個月，以監測其健康促進生活型態，並進一步發展以病患為中心的護理介入措施，以提高膀胱癌病人更佳之存活期健康成效。 Background: Bladder cancer is a common urinary tract cancer in men. A health-promoting lifestyle helps patients develop a positive lifestyle during survival and can improve mental and physical health. However, the evidence of health-promoting lifestyle is insufficient in bladder cancer populations. Purpose: The purposes of this study were to examine the trend and factors associated with health-promoting lifestyle in Taiwanese bladder cancer survivors and to identify the predictors of a health-promoting lifestyle. Methods: A prospective longitudinal design with convenient sampling was used. A total of 81 participants were sampled. Data were collected at three points in time using a demographic questionnaire and the Health-Promoting Lifestyle Profile questionnaire. Data were analyzed by descriptive statistics, Pearson's correlation, and Generalized Estimating Equations. Results: Survivors were concerned about nutrition, psychological wellbeing, and personal responsibility of health-promoting lifestyle over time. Physical activity presented the poorest results in health-promoting lifestyle. Radiotherapy and frequent urination were predictors of health-promoting lifestyle. Conclusion: The results imply that oncology nurses should keep track of the health-promoting lifestyles among bladder cancer survivors. After that, further development of patient-center care interventions and enhancing better health outcomes of bladder the patients in survival periods is advised