Latent profile analysis of potential health-promoting behaviors in patients after esophageal cancer surgery: a multicenter cross-sectional survey.
Juan Wang, Yuan Yu, Li Liu, Yan Miao, Yue Fu, Yanting Ning, Junli Liang
Abstract
Open AccessOBJECTIVES: The objectives of this study were to identify potential health-promoting behaviors in patients after esophageal cancer surgery and explore their influencing factors by performing latent profile analysis. METHODS: A convenience sampling method was used to select 438 postoperative patients with esophageal cancer from 14 cancer centers across the country as survey participants. A sociodemographic and disease-related information collection form, the revised version of the Health-Promoting Lifestyle Profile-II, the Social Support Rating Scale, and the Chinese version of the cancer self-efficacy scale were used. A latent profile analysis of potential health-promoting behaviors was conducted, and the factors influencing each category were identified through single-factor analysis and logistic regression analysis. RESULTS: The health-promoting behaviors of patients after esophageal cancer surgery could be divided into three categories: low-level health-promoting behaviors (27.6%, n = 121), medium-level health-promoting behaviors (56.2%, n = 246), and high-level health-promoting behaviors (16.2%, n = 71). The results of logistic regression analysis revealed that age, education level, place of residence, the receipt of neoadjuvant treatment before surgery, the level of social support, and the level of self-efficacy after esophageal cancer surgery were factors influencing health-promoting behaviors (all P < 0.05). CONCLUSIONS: The health-promoting behaviors of patients after esophageal cancer surgery are heterogeneous. Medical staff can perform individualized interventions for patients after esophageal cancer surgery according to the different types of influencing factors to improve their health-promoting behaviors.