肺癌幸存者体力活动现状及影响因素分析

    Analysis of the current situation and influencing factors of physical activity among lung cancer survivors

    • 摘要: 目的:了解肺癌幸存者出院后1个月体力活动水平,并分析其影响因素。方法:选取肺癌病人118例为研究对象,于出院后1个月采用国际体力活动短问卷(IPAQ-SF)对病人体力活动水平进行测评,收集病人一般资料、健康行为能力量表(SRAHP)、癌症疲乏量表、呼吸问卷评分等相关数据,分析病人体力活动水平的影响因素。结果:118例肺癌幸存者中,高水平体力活动15例(12.71%),中水平体力活动24例(20.34%),低水平体力活动79例(66.75%)。将病人分为体力活动水平较低组(低水平体力活动)和较高组(中、高水平体力活动),单因素分析显示,年龄、家庭月收入、文化程度、合并慢阻肺、吸烟、SRAHP分级和呼吸困难、躯体疲乏、认知疲乏、情绪疲乏得分在2组间差异均有统计学意义(P<0.05~P<0.01);logistic回归分析显示,文化程度、呼吸困难、SRAHP分级和躯体疲乏、认知疲乏均为肺癌幸存者体力活动水平的独立影响因素(P<0.05~P<0.01)。结论:肺癌幸存者体力活动存在不足,应注重对肺癌幸存者进行健康行为生活方式教育,关注病人活动时呼吸困难情况、疲乏程度,积极降低阻碍因素,增加强化因素,以促进肺癌幸存者体力活动水平的提升。

       

      Abstract: Objective: To understand the physical activity level of lung cancer survivors after 1 month of discharge,and analyze its influencing factors. Methods: A total of 118 lung cancer patients were selected as the research subjects.After 1 month of discharge,the international physical activity short questionnaire (IPAQ-SF) was used to assess the physical activity level of patients.The general information,and scores of health behavior capacity scale(SRAHP),cancer fatigue scale and respiratory questionnaire were collected to analyze the influencing factors of the patients' physical activity level. Results: Among the 118 lung cancer survivors,15 cases (12.71%) had a high level of physical activity,24 cases (20.34%) had a moderate level of physical activity,and 79 cases (66.75%) had a low level of physical activity.The patients were divided into the lower level physical activity group(low physical activity) and higher level physical activity group(moderate and high-level physical activity).The results of univariate analysis showed that the differences in the age,monthly family income,educational level,combined chronic obstructive pulmonary disease,smoking,SRAHP grade,and scores of dyspnea,physical fatigue,cognitive fatigue and emotional fatigue were statistically significant between two groups(P<0.05 to P<0.01).The results of logistic regression analysis showed that the educational level,dyspnea,SRAHP grade,physical fatigue and cognitive fatigue were the independent influencing factors of physical activity level in lung cancer survivors(P<0.05 to P<0.01). Conclusions: There is a deficiency in physical activity among lung cancer survivors.Emphasis should be placed on providing health behavior and lifestyle education to lung cancer survivors.Attention should be paid to the breathing difficulties and fatigue levels of patients during activities.Obstructive factors should be actively reduced and reinforcing factors increased to promote the improvement of physical activity levels among lung cancer survivors.

       

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