构建鼻咽癌患者营养自我管理的用户画像：基于福格行为模型的质性研究
Developing personas for nutritional self-management in nasopharyngeal carcinoma patients: a qualitative study based on the Fogg Behavior Model.
文献信息
| PMID | 42746460 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Xuejiao Lei |
| 作者单位 | Department of Radiotherapy, Chongqing University Cancer Hospital, Chongqing, China. |
| 期刊 | Frontiers in nutrition |
| SCI 分区 | Q1 |
| IF | 6.1 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 鼻咽癌 |
中文摘要
目的： 营养不良在鼻咽癌病程中普遍存在，需要长期自我管理。当前标准化的营养管理模式难以满足患者多样化的需求。本研究旨在识别鼻咽癌患者营养自我管理的行为特征及影响因素，并构建用户画像。
方法： 本研究于2025年7月至9月在中国重庆一家肿瘤医院开展，采用目的抽样法招募患者。通过半结构化访谈收集数据。在NVivo 15中进行定向内容分析，并在福格行为模型框架（动机、能力、提示）下归纳整理主题。该过程依次包括标记意义单元、提取事实标签和构建维度模型。通过基于这些维度对患者进行分类来构建用户画像。
结果： 共纳入21例患者，构建了涵盖五个维度的标签框架，包括动机、能力、提示、心理状态和家庭支持。识别出五种典型行为画像：主动管理者、症状驱动的积极管理者、生存驱动的被动应对者、认知-行为脱节者和家庭主导的被动依从者。
结论： 鼻咽癌患者的营养自我管理行为存在显著异质性。可基于患者画像提供精准、个性化的干预。未来可基于画像开发营养管理系统，实现画像的动态更新，以提高干预的准确性。
英文摘要
PURPOSE: Malnutrition is common throughout the course of nasopharyngeal carcinoma and requires long-term self-management. Current standardized nutritional management models struggle to meet the diverse needs of patients. This study aimed to identify the behavioral characteristics and influencing factors of nutritional self-management among patients with nasopharyngeal carcinoma and to develop user personas.
METHODS: This study was conducted from July to September 2025 in a cancer hospital in Chongqing, China, and patients were recruited using purposive sampling. Data were collected through semi-structured interviews. Directed content analysis was conducted in NVivo 15, with themes organized inductively under the Fogg Behavior Model framework (motivation, ability, prompt). The process sequentially involved marking meaning units, extracting factual labels, and constructing dimension models. Personas were developed by categorizing patients based on these dimensions.
RESULTS: A total of 21 patients were enrolled, and a label framework spanning five dimensions was developed, including motivation, ability, prompt, psychological state, and family support. Five typical behavioral personas were identified: proactive managers, symptom-driven active managers, survival-driven passive copers, cognition-behavior disconnected individuals, and family-led passive compliers.
CONCLUSION: Nutritional self-management behaviors in patients with nasopharyngeal carcinoma exhibit significant heterogeneity. Precise, personalized interventions can be provided based on patient personas. In the future, a nutritional management system could be developed based on personas, enabling dynamic updates to these personas to enhance the accuracy of interventions.