Cultural factors affecting the self-care of cancer survivors: An integrative review

Yeom, Jeong Won; Yeom, Insun; Park, Ha-Young; Lim, Sung-Hyun

doi:10.1016/j.ejon.2022.102165

Cited by 17 publications

(10 citation statements)

References 50 publications

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“…Cultural backgrounds may constitute a challenge for health care providers when providing health care and optimising the quality of health care and the possibility of providing cultural appropriate care 51 . Research shows valuable insights how culture influences patients self-care behaviours, and how health care providers can promote self-care behaviours if they understand cultural factors and develop nursing interventions that take cultural influences into account 57 . It is important to be aware of cultural differences in values, expectations, nuances of meaning, attitudes, language, environment, and perceptions of individuals, and how culture affects the definition of diseases, such as attribution of the causes of diseases, treatment processes, and curability.…”

Section: Culturementioning

confidence: 99%

“…Health care providers need support to navigate diverse cultural contexts and to develop skills to communicate with patients of multicultural backgrounds in order to make meaningful interactions and to work in a culturally competent manner 34 . It facilitates for health care providers to promote self-care behaviours if they understand cultural factors why interventions that take cultural influences into account needs to be developed 57 . Most patients with type 2 diabetes are treated in primary health care, receiving, in general, a yearly contact with a health care provider (diabetes nurse and a general practitioner) 15,109 .…”

Section: Development Of a Culturally Appropriate Tool To Support Self...mentioning

confidence: 99%

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Supporting Self-care in Migrants with Type 2 Diabetes

Pettersson

2024

Linköping University Medical Dissertations

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Background: Diabetes Mellitus, specifically type 2 diabetes, represents a growing global health concern, with a prevalence predicted to reach 783 million by 2045. Type 2 diabetes leads to personal suffering, reduced productivity and significant health care cost. Selfcare is the most important cornerstone in the treatment of type 2 diabetes and patient education is a prerequsite for performing adequate self-care. Migrants show a risk of uncontrolled diabetes and the prevalence of type 2 diabetes in migrants, living in European countries, poses challenges as cultural and language barriers might affect health care outcomes Culturally appropriate diabetes education is important for improving glycaemic control and health outcomes in migrant populations. In the Swedish health care setting, diabetes care follows national guidelines and is predominantly provided in primary health care centers. However, criticism has arisen regarding the lack of tailored care for migrants, leading to less effective health care. This thesis explores patients' competence and health providers' cultural competence influencing patient's self-care. Aim:The overall aim of this thesis was to gain knowledge that can contribute to optimising support of self-care in migrants with type 2 diabetes. The aim in study I was to compare foreign-and Swedish-born persons, diagnosed with type 2 diabetes, to study whether there are dissimilarities in knowledge about diabetes mellitus and to study determinants of knowledge. The aim in study II was to describe the cultural competence of primary health care professionals that specialize in diabetes care and to examine related factors that affect cultural competence. In study III the aim was to describe the process of developing a culturally appropriate tool to support self-care in migrants with type 2 diabetes and in study IV the aim was to evaluate the feasibility of a culturally appropriate website, supporting self-care in migrants with type 2 diabetes. Methods:This thesis includes four studies with two cross-sectional descriptive studies one co-design study, and one feasibility study. In study I where knowledge and glycaemic control were assessed, patients diagnosed with type 2 diabetes, receiving care at a primary health care center, participated. The data was collected with validated questionnaire and described by numbers and percentage, mean (SD) and median (range). Comparisons participants expressed interest and demand for the website, and the planned strategy for implementation was considered reasonable. They also felt it was possible to integration the tool into existing primary health care infrastructure, as a complementary cultural appropriate tool.Conclusions: There are vulnerable groups in the society such as migrants born in the Middle East, with type 2 diabetes. This thesis highlights the importance of patient's competence and health care providers' cultural competence and the influence of self-care. The development of a culturally appropriate tool, such as the website, is proposed as a practical s...

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Section: Culturementioning

confidence: 99%

Section: Development Of a Culturally Appropriate Tool To Support Self...mentioning

confidence: 99%

Supporting Self-care in Migrants with Type 2 Diabetes

Pettersson

2024

Linköping University Medical Dissertations

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“…纳入的34篇文献中，中文文献15篇［ 14 - 28 ］，英文文献19篇［ 29 - 47 ］，文献发表年份为2010—2022年。其中，量性研究24项（ n =5951），以横断面研究为主（共22项），纵向研究2项，样本量为60~764；质性研究5项（ n =106）；混合研究1项；系统评价2项；整合综述1项；范围综述1项。研究来自中国（ n =18）、美国（ n =2）、英国（ n =4）、加拿大（ n =2）等11个国家，研究对象涵盖乳腺癌、结直肠癌、肝癌、肺癌、肾细胞癌、头颈部癌等（表1 ）。…”

Section: 结果unclassified

Influencing factors of self-management behavior in cancer patients based on a theoretical domain framework

XIAN,

CHEN,

QIAO

et al. 2023

J Zhejiang Univ (Med Sci)

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目的基于理论域框架分析影响癌症患者自我管理行为的影响因素，为精准干预癌症患者自我管理行为提供依据。方法检索万方数据、中国知网、维普网、中国生物医学文献数据库（SinoMed）、PubMed、Embase、CINAHL、Web of Science核心合集、Cochrane library、Medline等数据库从建库到2022年6月关于癌症患者自我管理行为影响因素的中英文文献。两位研究者独立识别、提取数据，收集研究特征和方法。采用Nvivo12软件以理论域框架理论域为一级节点对影响因素进行编码，然后使用主题分析提炼二级节点，最后对具体影响因素进行汇总和分析。结果共纳入34篇文献，共有194个编码点被编码到13个理论域，并归纳出31个二级节点；涉及环境和资源、社会/职业角色和认同、结果信念三个理论域的相关节点最多；知识、年龄、自我效能、疾病分期、社会支持、性别、经济状况、身体状况是对自我管理影响较多的单因素。结论癌症患者自我管理的影响因素涉及理论域框架的绝大多数理论域，并且具有交叉性、多源性和复杂性。

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“…Cancer, like other diseases, is not exempt from the influence of cultural factors. Cultural aspects, values and behaviors along with life experiences, socio-economic status and personality differences determine the meaning of cancer for patients and their families, and it affects how they deal with the disease, the continuation of the treatment, the management of complications and the prognosis of the disease [ 24 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

A study of COVID anxiety, spiritual well-being and resilience levels in patients with cancer undergoing chemotherapy during the COVID-19 pandemic: a cross-sectional study in the south of Iran

et al. 2023

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Background Patients with cancer are at higher risk of contracting COVID-19 with poor prognosis. Therefore, the present study was conducted to investigate anxiety, spiritual well-being, and resilience levels in patients with cancer undergoing chemotherapy during the COVID-19 pandemic in the south of Fars Province, Iran. Methods This is a descriptive study with a cross-sectional design conducted on the patients undergoing chemotherapy at Dr. Ali Shariati Hospital in Fasa from November 2021 to February 2022. Cancer patients undergoing chemotherapy were included in the study by census method. Out of 210 patients, 155 participated in the study. Data were collected electronically using the standard instruments of Ellison’s Spiritual Well-being Scale, COVID-19 anxiety questionnaire, and Connor-Davidson resilience scale. The collected data were analyzed in SPSS 22 using descriptive statistics, Pearson correlation tests, T-test, ANOVA and multivariate linear regression at a level of significance of P < 0.05. Results The participants’ resilience mean score was 46.35 ± 26.51 and their spiritual well-being mean score was 69.58 ± 9.32. In addition, their COVID anxiety mean, score was found to be 16.85 ± 10.51. The results showed a significant direct correlation between the patients’ spiritual well-being and resilience (r = 0.47, P < 0.001) and a significant inverse correlation between the patients’ spiritual well-being and COVID-19-related anxiety (r = − 0.275, P < 0.001). In addition, there was a significant inverse correlation between the variables of resilience and COVID-19-related anxiety (r = − 0.637, P < 0.001). Based on multivariate linear regression, the most common predictors in resilience were age and history of infection with COVID-19, and in spiritual health and anxiety, was a history of infection with COVID-19. Conclusion Enhancement of spiritual well-being and resilience in patients should be an integral part of care as these qualities are valuable resources in fighting cancer and lowering patients’ anxiety, especially during the COVID-19 pandemic.

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Cultural factors affecting the self-care of cancer survivors: An integrative review

Cited by 17 publications

References 50 publications

Supporting Self-care in Migrants with Type 2 Diabetes

Supporting Self-care in Migrants with Type 2 Diabetes

Influencing factors of self-management behavior in cancer patients based on a theoretical domain framework

A study of COVID anxiety, spiritual well-being and resilience levels in patients with cancer undergoing chemotherapy during the COVID-19 pandemic: a cross-sectional study in the south of Iran

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