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

Abstract

To explore the factors that influence self-management behavior in cancer patients based on the theoretical domain framework. Studies in Chinese and English-language about factors influencing self-management behavior in cancer patients were searched from Wanfang DATA, CNKI, VIP, Sinomed, Pubmed, EMbase, CINAHL, Web of Science Core Collection, Cochrane library and Medline from inception to June 2022. Two investigators independently identified, extracted data, and collected characteristics and methodology of the studies. Factors were analyzed with Nvivo12, and theoretical domain framework was mapped to theoretical domain; then the secondary node was generalized by the theme analysis; finally, the specific influencing factors were summarized and analyzed. Thirty-four studies were included for analysis. A total of 194 factors were mapped to 13 theoretical domains, and 31 secondary nodes were summarized. The top three factors were mapped to the three theoretical domains, which were environmental context and resources, social/professional role and identity, and beliefs about consequences. Knowledge, age, self-efficacy, social support gender, economic status and physical status were the most influential factors for self-management in cancer patients. The influencing factors of self-management of cancer patients involve most of the theoretical domains, and are intersectional, multi-source and complex. It is important to further explore the key factors to provide the basis for the intervention of self-management behavior in cancer patients.