Factors Influencing Health Promotion Lifestyle in Female Breast Cancer Survivors: The Role of Health Behavior Self-Efficacy and Associated Factors.

Publisher: Elsevier, Inc Country of Publication: United States NLM ID: 8504688 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-3449 (Electronic) Linking ISSN: 07492081 NLM ISO Abbreviation: Semin Oncol Nurs Subsets: MEDLINE

Publication: Philadelphia, PA : Elsevier, Inc.
Original Publication: [Orlando, FL] : Grune & Stratton, [c1985-

Breast Neoplasms*/psychology ; Self Efficacy* ; Cancer Survivors*/psychology ; Health Promotion*/methods ; Health Behavior*; Humans ; Female ; Middle Aged ; Adult ; Longitudinal Studies ; Aged ; Life Style ; Surveys and Questionnaires

Objectives: To examine the factors influencing health-promoting lifestyles and the changes in health behavior self-efficacy and health-promoting lifestyles among female breast cancer survivors over a 6-month period.
Methods: A longitudinal design with purposive sampling was deployed. Data collection occurred at the baseline (T1), 3 months (T2), and 6 months (T3). In total, 53 breast cancer survivors agreed to participate. All participants completed the first two rounds of data collection, 49 participants completed data collection at the 6-month mark (T3). The Chinese versions of the Self-Rated Abilities for Health Practices Scale (SRAHP) and the Health-Promoting Lifestyle Profile (HPLP) were used.
Results: Health behavior self-efficacy and health-promoting lifestyle scores increased over time. Age, impaired cardiac function, those taking a career break, psychological well-being, and responsible health practice in self-efficacy for health behaviors were significant predictors of health-promoting lifestyle.
Conclusions: Younger breast cancer survivors, those taking a career break, and those with poor health behavior self-efficacy were less likely to engage in a health-promoting lifestyle and may require guidance in improving overall health behaviors.
Implications for Nursing Practice: Healthcare providers should not only be aware of the suboptimal health promotion lifestyle in breast cancer survivors but also focus on enhancing health behavior self-efficacy. This is particularly crucial for younger breast cancer survivors or those currently unemployed.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier Inc. All rights reserved.)

Keywords: Breast cancer; Health promotion; Lifestyle; Self-efficacy; Survivors

Date Created: 20240324 Date Completed: 20240425 Latest Revision: 20240425

20240426

10.1016/j.soncn.2024.151622

38522967