摘要
目的了解结直肠癌化疗患者体力活动及自我感受负担现况,分析二者之间的相关性。方法采用便利抽样法,选取2019年7—12月在温州医科大学附属第一医院化疗的232例结直肠癌患者为研究对象。采用一般资料调查问卷、癌症患者体力活动测定量表、自我感受负担量表进行调查。结果结直肠癌化疗患者体力活动能量消耗430.00(393.50,527.50)MET-min/周。活跃10例,占4.31%;适中41例,占17.67%;不足181例,占78.02%;自我感受负担得分为(31.89±8.08)分,条目均分(3.19±0.81)分。无明显负担25例,占10.78%;轻度负担61例,占26.29%;中度负担102例,占43.97%;重度负担44例,占18.97%;Pearson相关分析显示,直肠癌化疗患者体力活动与自我感受负担之间呈负相关(P<0.01);多元线性回归分析显示,结直肠癌化疗患者的体力活动、自理情况、家庭人均收入和居住地是自我感受负担的主要影响因素(均P<0.05)。结论结直肠癌化疗患者的体力活动不足比例及自我感受负担水平较高,临床护理工作中,应当加强对患者的健康教育,指导患者适当增加体力活动,降低患者的自我感受负担,提升患者的康复水平。
Objective To investigate the physical activity and self-perceived burden of patients with colorectal cancer under chemotherapy, and analyze the correlation between them. Methods A total of 232 patients with colorectal cancer under chemotherapy in the First Affiliated Hospital of Wenzhou Medical University from July to December in 2019 were selected using the method of convenient sampling. General information questionnaire, EPIC Physical Activity Questionnaire and Self-perceived Burden Scale were investigated. Results Physical activity energy expenditure was 430.00(393.50, 527.50) MET-min/week in colorectal cancer patients under chemotherapy. There were 10 active cases, accounting for 4.31%. Moderate 41 cases, accounting for 17.67%. Less than 181 cases, accounting for 78.02%. The score of self-perceived burden was(31.89±8.08), and the average score of items was(3.19±0.81). Twenty-five cases had no obvious burden, accounting for 10.78%. Sixty-one patients(26.29%) had mild burden. There were 102 patients with moderate burden, accounting for 43.97%. There were 44 cases with severe burden, accounting for 18.97%. Pearson correlation analysis showed that physical activity was negatively correlated with self-perceived burden among patients with rectal cancer chemotherapy(P<0.01). Multiple linear regression analysis showed that physical activity, self-care status, per capita family income and residence of colorectal cancer chemotherapy patients were the main influencing factors of self-perceived burden(all P<0.05). Conclusion Patients with colorectal cancer under chemotherapy have a high proportion of insufficient physical activity and a high level of self-perceived burden. In clinical nursing work, health education for patients should be strengthened to guide patients to increase physical activity appropriately, reduce patients’ self-perceived burden and improve patients’ rehabilitation level.
作者
徐晓微
翟银平
张芳
顾秋娣
陈瑜
XU Xiao-wei;ZHAI Yin-ping;ZHANG Fang;GU Qiu-di;CHEN Yu(Department of Gastroenterology,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou,Zhejiang 325000,China)
出处
《中华全科医学》
2021年第2期312-315,共4页
Chinese Journal of General Practice
基金
浙江省医药卫生科技计划项目(2019KY455)。
关键词
结直肠癌
体力活动
自我感受负担
Colorectal cancer
Physical activity
Self-perceived burden
