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Published in

Lippincott, Williams & Wilkins, Cancer Nursing, 2023

DOI: 10.1097/ncc.0000000000001289

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Self-management Behaviors and Associated Factors in Adult Cancer Survivors

Journal article published in 2023 by Mar Lar Aung ORCID, Huilin Cheng ORCID
This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

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Abstract

Background Despite numerous systematic reviews on self-management interventions for cancer survivors, little is known about survivors’ daily self-management practices and the influencing factors. Objective To identify self-management behaviors and related factors among cancer survivors. Methods Six databases were searched for primary quantitative, qualitative, and mixed-methods studies on self-management behaviors in cancer survivors that were published in English-language, peer-reviewed journals between 2012 and July 2022. The methodological quality of the included studies was evaluated using the Mixed Methods Appraisal Tool. The data extracted using a predetermined form were analyzed using qualitative content analysis. Results A total of 22 articles were included in the review; the majority were qualitative research, and half had moderate to high quality of evidence. Nine domains of self-management behaviors were identified, namely, physical activity/exercise, diet, emotional management, complementary and alternative medicine, symptom management, religiosity/spirituality, attending regular follow-ups, adjustment of other lifestyles, and medication management. Four categories of factors were associated with self-management behaviors in cancer survivors: (1) personal factors (demographic and psychological), (2) health status, (3) family factors, and (4) healthcare system. However, the relationships between self-management behaviors and these factors were mainly identified from qualitative studies or addressed in single studies. Conclusions Self-management behaviors in cancer survivors are multifaceted. There is an urgent need for quantitative exploration of factors associated with self-management in cancer survivors. Implications for practice This review provides nurses with a comprehensive basis for designing self-management support interventions for cancer survivors.