TY - JOUR AU - Obro, Louise Faurholt AU - Osther, Palle Jörn Sloth AU - Ammentorp, Jette AU - Pihl, Gitte Thybo AU - Heiselberg, Kasper Kvols AU - Krogh, Peter Gall AU - Handberg, Charlotte PY - 2022 DA - 2022/9/8 TI -通过移动健康和健康指导为前列腺癌患者提供自我管理支持:解释描述病人的经验和观点乔- Res JMIR形式SP - e34471六世- 6 - 9千瓦-手机千瓦移动健康KW - mHealth KW -前列腺癌KW -自我管理KW -健康指导KW -指导AB -背景:观察管理策略如积极监测和观察等待被认为是低风险的局限性前列腺癌患者接受的方法和一种安全的选择积极的治疗。在观察性治疗中，治疗被推迟到疾病进展，但通常从未发生。然而，大约90%的低风险疾病患者由于焦虑而选择积极治疗。解决焦虑的策略对于这一人群的优化管理和提高低风险局限性前列腺癌患者的生活质量是必要的。一项综述强调，移动健康(mHealth)与健康指导相结合，可以支持患者对健康行为的自我管理，并提高幸福感。目的:本研究旨在探讨患者对通过使用移动健康设备和健康指导提供自我管理支持的干预措施的经验和观点，以确定使患者能够进行可持续的改善福祉的改变的支持性特征。方法:我们采用解释性描述方法，结合对13名有意选择的前列腺癌患者的半结构化访谈和在指导课程中患者-教练互动的参与者观察。对访谈进行转录和分析。自我决定理论被用作一个理论透镜。 Field notes and coaching notes from each session were used to orient data generation and confirm or challenge the analysis. Results: Our analysis suggested that patients’ self-awareness and psychological identity influenced their experiences with and perspectives on the self-management support offered by mHealth and health coaching in clinical practice. The patients’ individual experiences and perspectives indicated that they placed themselves in a dynamic continuum of sustaining or repressing their identity, self-awareness, and individual qualities. Our analysis revealed 4 interacting themes, all related to the psychological identity of the patients. Conclusions: For the group of patients with prostate cancer to experience well-being, we found it important for them to sustain their self-image when offered a self-management intervention. Motivation and autonomy were important aspects for the individual patients to sustain their self-image throughout the intervention. In contrast, demotivation and a sense of paternalism could result in fostering an experience of having to repress self-awareness. SN - 2561-326X UR - https://formative.www.mybigtv.com/2022/9/e34471 UR - https://doi.org/10.2196/34471 UR - http://www.ncbi.nlm.nih.gov/pubmed/35925751 DO - 10.2196/34471 ID - info:doi/10.2196/34471 ER -