直肠癌永久性造口患者体力活动现状及影响因素研究  

Physical activity and its influencing factors among rectal cancer patients with permanent colostomy

作　　者：宋琴芬 尹光啸 刘春娥[1] 于克玲 吕雪 Song Qinfen;Yin Guangxiao;Liu Chun'e;Yu Keling;Lv Xue(Nursing Department,Dalian University Affiliated Xinhua Hospital,Dalian 116021,China)

机构地区：[1]大连大学附属新华医院护理部,辽宁大连116021 [2]大连大学附属中山医院骨科 [3]大连大学附属新华医院造口门诊,辽宁大连116021

出　　处：《护理学杂志》2021年第1期14-18,共5页Journal of Nursing Science

摘　　要：目的调查直肠癌永久性造口患者的体力活动现状并分析其影响因素,为医护人员开展直肠癌永久性造口患者体力活动指导和干预提供参考。方法采用便利抽样法选取直肠癌永久性造口患者286例,采用基本资料调查表和中文版国际体力活动问卷短卷进行调查。结果45.80%直肠癌永久性造口患者为低水平体力活动,仅25.87%患者达到指南推荐的每周至少150 min的中度至高强度体力活动。单因素分析结果显示不同年龄、性别、个人月收入、吸烟、造口术后时间、是否存在造口并发症患者体力活动指南推荐量达标率比较,差异有统计学意义(P<0.05,P<0.01)。Logistic回归分析结果显示,性别、个人月收入、吸烟及造口术后时间是影响直肠癌永久性造口患者体力活动达到指南推荐量的主要因素(P<0.05,P<0.01)。结论直肠癌永久性造口患者体力活动状况不佳,特别是女性、中等收入群体、吸烟及术后1~6个月的患者,医护人员应高度关注该人群的体力活动状况,制订个性化体力活动处方,提高其身体运动水平,促进身体康复。Objective To investigate the status and influencing factors of physical activity in rectal cancer patients with permanent colostomy,so as to provide reference for medical staff conducting targeted physical activity guidance and intervention for those patients.Methods A total of 286 rectal cancer patients with permanent colostomy were selected using convenient sampling,then they were investigated using the basic information questionnaire and the Chinese version of short International Physical Activity Questionnaire.Results Totally 45.80% patients had low level of physical activity,only 25.87% patients achieved guidelines recommended level of at least 150 minutes moderate to vigorous physical activity per week.Univariate analysis showed that,there were significant differences in standard reaching rate of guidelines recommended physical activity among the patients with different age,gender,personal monthly income,smoking,months after colostomy,and whether having colostomy complications(P<0.05,P<0.01).Logistic regression analysis results indicated that,gender,personal monthly income,smoking and months after colostomy were the major influencing factors of reaching guidelines recommended physical activity among rectal cancer patients with permanent colostomy(P<0.05,P<0.01).Conclusion Physical activity among rectal cancer patients with permanent colostomy is not good,especially in patients who are female,smoking,having middle-income and within 1 to 6 months after surgery.Medical staff should pay more attention to their physical activity,and develop personalized exercise prescription,so as to enhance their physical activity and improve physical rehabilitation.

关 键 词：直肠癌 永久性造口 体力活动 体力活动处方 康复护理 

分 类 号：R473.2[医药卫生—护理学] R473.6[医药卫生—临床医学]