Metabolic syndrome is a group of disorders—hypertension, dyslipidemia, obesity, and insulin resistance—that together increase the risk of coronary heart disease, stroke, and diabetes. Although ~60% of cancer patients have metabolic syndrome, which increases their risk of mortality, oncology providers lack clear guidance about its management. The development of metabolic syndrome lifestyle interventions requires a better understanding of these patients’ knowledge, attitudes, and intervention preferences in order to inform management. During 2022–2023, 19 adult cancer patients with metabolic syndrome engaged in semistructured interviews focused on metabolic syndrome and lifestyle interventions. Interviews were analyzed using hybrid thematic analysis involving deductive and inductive coding. The findings indicated that patients lack knowledge about metabolic syndrome, were motivated to prioritize lifestyle modifications, and expressed strong interest in personalized care plans focused on healthy lifestyle rather than simply on weight loss. As part of their tailored intervention plans, participants desired clear communication with, and coordination of care among, their medical team and shared decision-making with providers about treatment decisions. The findings indicate that patients with metabolic syndrome want collaborative, patient-centered care, tailored interventions, and practical implementation strategies. This research will be used to inform the development of future lifestyle interventions for patients diagnosed with metabolic syndrome based on their identified needs and preferences.
代谢综合征是一组包括高血压、血脂异常、肥胖和胰岛素抵抗在内的紊乱状态，这些因素共同增加了冠心病、中风和糖尿病的风险。尽管约60%的癌症患者患有代谢综合征，这会增加其死亡风险，但肿瘤科医生在管理该综合征方面缺乏明确指导。制定代谢综合征生活方式干预措施需要更好地了解这些患者的知识水平、态度及干预偏好，从而为临床管理提供依据。2022年至2023年期间，19名患有代谢综合征的成年癌症患者参与了半结构化访谈，访谈内容聚焦于代谢综合征及生活方式干预。研究采用演绎与归纳编码相结合的混合主题分析法对访谈内容进行解析。结果显示，患者对代谢综合征认知不足，有动力优先改变生活方式，并对以健康生活方式（而非单纯减重）为核心的个性化护理方案表现出强烈兴趣。在定制化干预方案中，参与者希望与医疗团队保持清晰沟通、实现跨部门协调照护，并在治疗决策中与医护人员共同商议。研究表明，代谢综合征患者期望获得协作式、以患者为中心的照护，定制化干预措施以及切实可行的实施策略。本研究将基于患者明确的需求与偏好，为未来代谢综合征患者生活方式干预方案的制定提供依据。
肿瘤(癌症)患者之家