目的:在社会认知理论的保护伞下,我们研究了个人的影响,环境,和行为因素对大肠癌幸存者坚持健康饮食行为的影响。
方法:基于Pluye和Hong\的框架,进行了系统的混合研究综述.在PubMed中应用了广泛的搜索策略,WebofScience,Embase,CINAHL,和PsycINFO(从记录日期到2022年1月22日)。采用支柱集成过程来集成提取的数据。使用混合方法评估工具评估所有保留研究的质量。
结果:分析中包括28项研究,总样本量为5106,有15项定量研究,12项定性研究,和1混合方法研究。批判性评估显示,28项研究中有22项(79%)被评为五颗星,而6人(21%)被评为四颗星。影响大肠癌幸存者坚持健康饮食行为的个人因素包括预后预期,自我效能感,心理因素,关于健康饮食的知识,人口统计学和疾病特征,环境因素纳入了健康饮食的外部信息,周围人的力量,社会活动,文化环境,社会经济地位,和教育。行为因素包括饮食的自我调节,目标,以及其他与健康饮食行为密切相关的行为。
结论:大肠癌幸存者对健康饮食行为的坚持受到个人因素的共同影响,环境因素和行为因素。
OBJECTIVE: Under the umbrella of social cognitive theory, we examined the influences of personal, environmental, and behavioral factors on adherence to
healthy eating behaviors among colorectal cancer survivors.
METHODS: Based on Pluye and Hong\'s framework, a systematic mixed studies
review was conducted. An extensive search strategy was applied in PubMed, Web of Science, Embase, CINAHL, and PsycINFO (from date of record to 2022 January 22). The pillar integration process was employed to integrate the extracted data. The Mixed Methods Appraisal Tool was used to appraise the quality of all retained studies.
RESULTS: Twenty-eight studies with a total sample size of 5106 were included in the analysis, with 15 quantitative studies, 12 qualitative studies, and 1 mixed method study. The critical appraisal showed that 22 of the 28 studies (79%) were rated with five stars, while 6 (21%) were rated with four stars. The personal factors influencing adherence to
healthy eating behaviors among colorectal cancer survivors included outcome expectancies, self-efficacy, psychological factors, knowledge about
healthy eating, demographic and disease characteristics, environmental factors incorporated outside information on
healthy eating, power of surrounding people, social activities, cultural milieus, socioeconomic status, and education. The behavioral factors included self-regulation of diet, goals, and other behaviors closely related to healthy eating behaviors.
CONCLUSIONS: Adherence to healthy eating behaviors among colorectal cancer survivors was influenced collectively by personal factors, environmental factors and behavioral factors.