中华护理杂志 ›› 2025, Vol. 60 ›› Issue (12): 1512-1517.DOI: 10.3761/j.issn.0254-1769.2025.12.017
王意茹(
), 王红(
), 安晓, 周智聪, 孙旭, 刘晓熠, 仝紫薇
收稿日期:2024-09-24
出版日期:2025-06-20
发布日期:2025-06-17
通讯作者:
王红,E-mail:hongwang1971@163.com作者简介:王意茹:女,本科(硕士在读),护士,E-mail:1473513546@qq.com
基金资助:
WANG Yiru(
), WANG Hong(
), AN Xiao, ZHOU Zhicong, SUN Xu, LIU Xiaoyi, TONG Ziwei
Received:2024-09-24
Online:2025-06-20
Published:2025-06-17
摘要:
康复是提高癌症患者生存质量的有效措施,而良好的康复动机是影响患者康复依从性的重要因素。该文主要围绕癌症患者康复动机的概述、评估工具、影响因素以及提升其康复动机的护理策略等方面进行综述,以期为医护人员制订针对性康复管理策略,提高癌症患者的康复依从性提供参考。
王意茹, 王红, 安晓, 周智聪, 孙旭, 刘晓熠, 仝紫薇. 癌症患者康复动机的研究进展及护理启示[J]. 中华护理杂志, 2025, 60(12): 1512-1517.
WANG Yiru, WANG Hong, AN Xiao, ZHOU Zhicong, SUN Xu, LIU Xiaoyi, TONG Ziwei. Research progress on rehabilitation motivation in cancer patients[J]. Chinese Journal of Nursing, 2025, 60(12): 1512-1517.
| [1] | Bray F, Laversanne M, Sung H, et al. Global cancer statistics 2022:GLOBOCAN estimates of incidence and mortality world-wide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2024, 74(3):229-263. |
| [2] |
徐梅, 林雯雯, 宁丽, 等. 肺癌患者自我管理行为的潜在剖面分析[J]. 中华护理杂志, 2024, 59(20):2487-2495.
DOI URL |
|
Xu M, Lin WW, Ning L, et al. Potential profiling of self-management behavior in lung cancer patients[J]. Chin J Nurs, 2024, 59(20):2487-2495.
DOI URL |
|
| [3] | 中国康复医学会肿瘤康复专业委员会, 江苏省整合医学研究会. 以功能障碍为中心的中国癌症患者运动康复专家共识[J]. 中国康复医学杂志, 2023, 38(1):1-7. |
| Oncology Rehabilitation Professional Committee, Chinese Reha-bilitation Medical Association, Jiangsu Society of Integrative Medicine. Expert consensus on exercise rehabilitation for Chinese cancer patients focusing on functional impairment[J]. Chin J Rehabil Med, 2023, 38(1):1-7. | |
| [4] | Erlik M, Timm H, Larsen ATS, et al. Reasons for non-partici-pation in cancer rehabilitation:a scoping literature review[J]. Support Care Cancer, 2024, 32(6):346. |
| [5] |
朱虹宣, 庞建美, 孙盛楠, 等. 老年肺癌患者术后过渡期肺康复行为影响因素的质性研究[J]. 中华护理杂志, 2024, 59(1):15-21.
DOI URL |
|
Zhu HX, Pang JM, Sun SN, et al. A qualitative study of the factors of pulmonary rehabilitation behavior of elderly patients with lung cancer in the post-operative transitional period[J]. Chin J Nurs, 2024, 59(1):15-21.
DOI URL |
|
| [6] | Hosseini F, Alavi NM, Mohammadi E, et al. Motivation for heal-ing in cancer patients:a qualitative study[J]. Iran J Nurs Mid-wifery Res, 2021, 26(6):555-561. |
| [7] | Shahsavari H, Shahriari M, Alimohammadi N. Motivational fac-tors of adherence to cardiac rehabilitation[J]. Iran J Nurs Mid-wifery Res, 2012, 17(4):318-324. |
| [8] | World Health Organization. International classification of fun-ctioning, disability and health[EB/OL].(2024-07-28)[2024-09-13]. https://www.who.int/icidh. |
| [9] |
Gillison FB, Rouse P, Standage M, et al. A meta-analysis of te-chniques to promote motivation for health behaviour change from a self-determination theory perspective[J]. Health Psychol Rev, 2019, 13(1):110-130.
DOI PMID |
| [10] |
Geelen RJ, Soons PH. Rehabilitation:an ‘everyday' motivation model[J]. Patient Educ Couns, 1996, 28(1):69-77.
PMID |
| [11] | Yoshida T, Otaka Y, Osu R, et al. Motivation for rehabilitation in patients with subacute stroke:a qualitative study[J]. Front Re-habil Sci, 2021,2:664758. |
| [12] | Deci EL, Ryan RM. The “what” and “why” of goal pursuits:human needs and the self-determination of behavior[J]. Psychol Inq, 2000, 11(4):227-268. |
| [13] | Cook DA, Artino AR Jr. Motivation to learn:an overview of contemporary theories[J]. Med Educ, 2016, 50(10):997-1014. |
| [14] | Locke EA, Latham GP. Building a practically useful theory of goal setting and task motivation. A 35-year odyssey[J]. Am Psy-chol, 2002, 57(9):705-717. |
| [15] | Ryan RM, Mims V, Koestner R. Relation of reward contingen-cy and interpersonal context to intrinsic motivation:a review and test using cognitive evaluation theory[J]. J Pers Soc Psy-chol, 1983, 45(4):736-750. |
| [16] |
McAuley E, Duncan T, Tammen VV. Psychometric properties of the Intrinsic Motivation Inventory in a competitive sport setting:a confirmatory factor analysis[J]. Res Q Exerc Sport, 1989, 60(1):48-58.
DOI PMID |
| [17] | Siu K, Lopez V. Intrinsic Motivation Inventory:translation and validation in Chinese women with urinary incontinence[J]. Int J Urol Nurs, 2010, 4(1):39-46. |
| [18] | Robertson MC, Cox-Martin E, Shegog R, et al. The acceptabi-lity of an electronically delivered acceptance- and mindful-ness-based physical activity intervention for survivors of breast cancer:one-group pretest-posttest design[J]. JMIR Cancer, 2022, 8(2):e31815. |
| [19] | Thies S, Lehmann C, Kriz D, et al. Patientenfragebogen zur erfassung der reha-motivation(PAREMO-20)-testtheoretische überprüfung und validierung an einer stichprobe von kreb-spatienten unterschiedlicher diagnosegruppen[J]. Rehabilita-tion, 2008, 47(5):308-318. |
| [20] | Hafen K, Jastrebow J, Nübling R, et al. Development of a Patient Questionnaire for Assessment of Motivation for Rehabilitation(PAREMO)[J]. Rehabilitation(Stuttg), 2001, 40(1):3-11. |
| [21] | Thies S, Lehmann C, Kriz D, et al. Patient Questionnaire for Assessment of Rehabilitation Motivation(PAREMO-20) psy-chometric evaluation and validation in a sample of cancer patients with different tumour sites[J]. Rehabilitation (Stuttg), 2008, 47(5):308-318. |
| [22] | Hossieni F, Mohammadi E, Hosseini R, et al. Development and psychometric evaluation of the Motivation for Healing Scale in patients with cancer[J]. J Caring Sci, 2023, 13(1):12-19. |
| [23] |
Morielli AR, Boulé NG, Usmani N, et al. Predictors of adhe-rence to aerobic exercise in rectal cancer patients during and after neoadjuvant chemoradiotherapy[J]. Psychol Health Med, 2018, 23(2):224-231.
DOI PMID |
| [24] |
Ohlsson-Nevo E, Alkebro I, Ahlgren J. Cancer patients' interest in participating in cancer rehabilitation[J]. Acta Oncol, 2019, 58(12):1676-1683.
DOI PMID |
| [25] | 诸海燕, 张宇平, 陈江霞, 等. 癌症患者康复需求及影响因素分析[J]. 医院管理论坛, 2020, 37(2):31-34. |
| Zhu HY, Zhang YP, Chen JX, et al. Analysis of rehabilitation needs and influencing factors of cancer patients[J]. Hosp Manag Forum, 2020, 37(2):31-34. | |
| [26] | Hussey C, Hanbridge M, Dowling M, et al. Cancer survivor-ship:understanding the patients' journey and perspectives on post-treatment needs[J]. BMC Sports Sci Med Rehabil, 2024, 16(1):82. |
| [27] | Li W, Li XT, Chen T, et al. Factors affecting lung cancer patients' intention to perform early postoperative exercise:a qualitative study based on theory of planned behavior[J]. Support Care Cancer, 2023, 31(12):649. |
| [28] | Bayly J, Wakefield D, Hepgul N, et al. Changing health beha-viour with rehabilitation in thoracic cancer:a systematic re-view and synthesis[J]. Psychooncology, 2018, 27(7):1675-1694. |
| [29] | Mikkelsen MK, Nielsen DL, Vinther A, et al. Attitudes towards physical activity and exercise in older patients with advanced cancer during oncological treatment:a qualitative interview study[J]. Eur J Oncol Nurs, 2019,41:16-23. |
| [30] | Kok A, Passchier E, May AM, et al. Expectations and expe-riences of participating in a supervised and home-based physical exercise intervention in patients with head and neck cancer during chemoradiotherapy:a qualitative study[J]. Curr Oncol, 2024, 31(2):885-899. |
| [31] | 张欣, 林小敏, 王玉栋, 等. 动机性访谈法研究的可视化分析[J]. 中国健康教育, 2024, 40(5):413-419. |
| Zhang X, Lin XM, Wang YD, et al. Visual analysis on moti-vational interviewing research[J]. Chin J Health Educ, 2024, 40(5):413-419. | |
| [32] | Seven M, Reid A, Abban S, et al. Motivational interviewing in-terventions aiming to improve health behaviors among cancer survivors:a systematic scoping review[J]. J Cancer Surviv, 2023, 17(3):795-804. |
| [33] | 曾海珍, 洪张翔. 基于积极心理学的动机性访谈对门诊化疗患者自我效能及治疗依从性的影响[J]. 国际护理学杂志, 2023, 42(5):847-851. |
| Zeng HZ, Hong ZX. Effects of motivational interviews based on positive psychology on self-efficacy and treatment com-pliance in outpatient chemotherapy patients[J]. Int J Nurs, 2023, 42(5):847-851. | |
| [34] |
Fisher JD, Fisher WA, Misovich SJ, et al. Changing AIDS risk behavior:effects of an intervention emphasizing AIDS risk reduction information,motivation,and behavioral skills in a college student population[J]. Health Psychol, 1996, 15(2):114-123.
DOI PMID |
| [35] | 张启扬, 许新梅, 张文东, 等. 基于信息-动机-行为技巧模型的健康教育对鼻咽癌放疗患者自我管理效能和生活质量的影响[J]. 肿瘤基础与临床, 2023, 36(6):538-541. |
| Zhang QY, Xu XM, Zhang WD, et al. Effect of health edu-cation based on information-motivation-behavior skill model on self-management efficacy and quality of life of patients with nasopharyngeal carcinoma undergoing radiotherapy[J]. J Basic Clin Oncol, 2023, 36(6):538-541. | |
| [36] |
车旭, 乔东鸽, 王红霞, 等. 维持性血液透析患者治疗依从性影响因素结构方程模型构建与验证[J]. 中华护理杂志, 2024, 59(5):562-569.
DOI URL |
|
Che X, Qiao DG, Wang HX, et al. Construction and validation of structural equation modeling of factors influencing treatment adherence in maintenance hemodialysis patients[J]. Chin J Nurs, 2024, 59(5):562-569.
DOI URL |
|
| [37] | 吴越, 裘加林, 程韧, 等. 智慧医疗[M]. 北京: 清华大学出版社, 2011. |
| Wu Y, Qiu JL, Cheng R, et al. WitMED[M]. Beijing: Tsinghua University Press, 2011. | |
| [38] |
Feyzioğlu Ö, Dinçer S, Akan A, et al. Is Xbox 360 Kinect-based virtual reality training as effective as standard phy-siotherapy in patients undergoing breast cancer surgery?[J]. Support Care Cancer, 2020, 28(9):4295-4303.
DOI PMID |
| [39] | Caputo MP, Rodriguez CS, Padhya TA, et al. Telehealth inter-ventions in head and neck cancer patients:a systematic review[J]. Cancer Nurs, 2023, 46(5):E320-E327. |
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