摘要
目的观察康复期乳腺癌患者体力活动状况及相关症状,探讨其对患者生活质量的影响。方法采用横断面调查研究方法,选择本院2016年1月至2018年12月收治的590乳腺癌患者为研究对象,使用国际体力活动问卷(international physicalactivities questionnaire,IPAQ)、记忆症状评估量表(memorial symptom assessment scale,MSAS)评价患者体力活动及相关症状情况。按照患者体力活动水平,将其分别纳入低、中、高体力活动组,比较三组患者欧洲癌症研究和治疗组织研制的生活质量调查问卷第3版评分,分析IPAQ评分与整体生活质量(general quality of life,GQL)的相关性;应用多元逐步回归分析,计算患者相关症状对其GQL的影响。结果 590例患者中,低体力活动248例,中体力活动271例,高体力活动71例。患者相关症状以缺乏活力、脱发、精神紧张、出汗、焦虑不安为主,发生率分别为90.00%、88.47%、87.46%、85.42%、81.02%。高体力活动组患者生活质量各领域评分及总分均显著高于中体力活动组和低体力活动组(P均< 0.05),中体力活动组患者生活质量各领域评分及总分均显著高于低体力活动组(P均< 0.05)。多元逐步回归分析显示,康复期乳腺癌患者各项相关症状与其GQL均呈负相关(P均< 0.05),上述症状可共同解释康复期乳腺癌患者GQL评分总变异的81.83%。结论康复期乳腺癌患者体力活动普遍不足,缺乏活力、脱发等相关症状明显,显著影响患者生活质量,应加强体力锻炼并重视患者相关症状的干预。
Objective To observe the physical activity and related symptoms of convalescent breast cancer patients, and to explore its impact on the quality of life of patients. Method A cross-sectional survey was conducted among 590 convalescent breast cancer patients who were selected in our hospital from January 2016 to December 2018. International physical activities questionnaire (IPAQ) and memorial symptom assessment scale (MSAS) were used to assess physical activity and related symptoms. According to the level of physical activity, the patients were divided into low, medium and high physical activity groups. The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire scores among the three groups were compared, and the correlation between IPAQ scores and general quality of life (GQL) was analyzed. Multivariate stepwise regression analysis was used to calculate the effect of related symptoms on GQL. Result Among 590 patients, 248 cases had low physical activity, 271 cases had moderate physical activity and 71 cases had high physical activity. The main symptoms were lack of vitality, alopecia, mental tension, sweating and anxiety. The incidence rates were 90.00%, 88.47%, 87.46%, 85.42% and 81.02% respectively. The scores and total scores of each field of QOL in high physical activity group were higher than those in medium physical activity group and low physical activity group (Pall < 0.05), while those in medium physical activity group were higher than those in low physical activity group (Pall < 0.05). Multivariate stepwise regression analysis showed that the related symptoms of convalescent breast cancer patients were negatively correlated with their GQL. The above symptoms could explain 81.83% of the total variation of GQL score in convalescent breast cancer patients. Conclusion Physical activity is generally insufficient in convalescent breast cancer patients, lack of vitality, hair loss and other related symptoms are obvious, and affect the quality of life of patients, physical exe
作者
钟少晖
胡敏
ZHONG Shao-hui;HU Min(Comprehensive Treatment Area,Hezhou Traditional Chinese Medicine Hospital,Guangxi,Hezhou542899,China;Department of Oncology,Hezhou Traditional Chinese Medicine Hospital,Guangxi,Hezhou 542899,China)
出处
《中国医学前沿杂志（电子版）》
2019年第5期70-74,共5页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
基金
2016年广西壮族自治区医药卫生科技计划项目(2016KY459)
关键词
康复期
乳腺癌
体力活动
相关症状
横断面调查
Rehabilitation period
Breast cancer
Physical activity
Related symptoms
Cross-sectional survey
