首页|青年宫颈癌患者化疗期身体活动轨迹及影响因素研究

青年宫颈癌患者化疗期身体活动轨迹及影响因素研究

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目的 调查青年宫颈癌患者在化疗期不同阶段的身体活动(physical activity,PA)水平及影响因素。方法 采用便利抽样法,选取2022年5月-2023年6月在我院妇科住院化疗的136例青年宫颈癌患者为研究对象,采用一般资料调查表、国际体力活动问卷、运动自我效能感量表和中文版Pipe疲乏修订量表,分别于化疗前(T1)、首次化疗后(T2)、化疗中期(T3)、化疗结束(T4)及化疗结束后2个月(T5)5个时间点进行问卷调查,采用logistic回归分析PA的影响因素。结果 青年宫颈癌患者化疗期5个时间点PA达标率分别为35。29%、33。09%、27。94%、30。88%及50。74%,呈现先下降后上升的趋势,化疗中期PA水平降至最低。logistic回归分析结果显示,运动自我效能和癌因性疲乏在不同化疗阶段均为青年宫颈癌患者PA的重要影响因素(P<0。05)。结论 青年宫颈癌患者化疗期PA水平整体较低,锻炼自我效能和社会支持是主要影响因素,提示医护人员需重点关注,为进一步制订针对性的干预措施提供依据。
Study on the physical activity trajectory and its influencing factors in young patients with cervical cancer during chemotherapy
Objective To investigate the physical activity(PA)level and its influencing factors in young patients with cervical cancer at different stages of chemotherapy.Methods A total of 136 young cervical cancer patients who were hospitalized for chemotherapy in the gynecology department of our hospital from May 2022 to June 2023 were selected as the research subjects by convenience sampling method,and were conducted the questionnaire investigation by a general information survey form,the international physical activity questionnaire,the exervise self-efficacy scale,and the revised Pipe fatigue scale at 5 time points:Before chemotherapy(T1),after the first chemotherapy(T2),midway through chemotherapy(T3),after chemotherapy(T4),and 2 months after chemotherapy(T5).logistic regression analysis was used to investigate the influencing factors of PA.Results The rate of PA meeting the standard at 5 time points of chemotherapy in young cervical cancer patients was 35.29%,33.09%,27.94%,30.88%,and 50.74%,respectively,which showing a trend of first decreasing and then increasing,and the level of PA decreased to the lowest in the middle period of chemotherapy.The results of logistic regression analysis showed that exercise self-efficacy and cancer-related fatigue were important influencing factors for young cervical cancer pa-tients'PA in different stages of chemotherapy(P<0.05).Conclusion The overall level of PA in young cervical canc-er patients during chemotherapy is generally low,and exercise self-efficacy and cancer-related fatigue are the main in-fluencing factors.It is suggested that medical staff should pay attention to it,so as to provide a basis for further de-velopment of targeted intervention measures.

cervical canceryouthphysical activitychemotherapynursing

白杨、冯宪凌、胡方舟

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河南省人民医院妇科 河南省护理医学重点实验室,河南郑州 450000

宫颈癌 青年 身体活动 化疗 护理

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(24)