Full
Outline
To integrate the Chronic Illness Trajectory Model and Self-Determination Theory to explore the dynamic evolutionary mechanisms of health-related behaviors in breast cancer patients and to propose a phased theoretical intervention framework.
A purposive sampling method was used to conduct longitudinal semi-structured interviews with 65 breast cancer patients.Data were organized and analyzed using grounded theory and narrative analysis combined with Nvivo 12 Plus software.
Patients' health-related behaviors exhibited a three-stage dynamic model:"external drive phase-motivation internalization phase-autonomous integration phase",which was dynamically influenced by the interaction of four dimensions:"cultural beliefs, family dynamics, medical interactions,and individual traits".Based on these findings,a three-tier intervention framework of "mindfulness-narrative-community" was proposed.
Health-related behaviors in breast cancer patients follow a nonlinear three-stage evolution of "external drive phase-motivation internalization phase-autonomous integration phase",dynamically influenced by four dimensions including cultural beliefs and family dynamics.The "mindfulness-narrative-community" three-tier intervention framework provides a scientific basis for developing individualized nursing strategies in clinical practice.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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