基于远程指导运动干预对乳腺癌术后患者生活质量、体适能及体力活动参与度变化的影响  

The Effects of the Exercise Intervention with Remote Guidance on Quality of Life,Physical Fitness and Physical Activity Participation in Postoperative Breast Cancer Patients

作　　者：董晓升 丁萌[2] 伊向仁[1] 余之刚[3] DONG Xiaosheng;DING Meng;YI Xiangren;YU Zhigang(School of Physical Education,Shandong University,Jinan Shandong 250061;School of Physical Education,,Shandong Normal University,Jinan Shandong 250358;Department of Breast Surgery,the Second Hospital of Shandong University,Jinan Shandong 250033)

机构地区：[1]山东大学体育学院,山东济南250061 [2]山东师范大学体育学院,山东济南250358 [3]山东大学第二医院乳腺外科,山东济南250033

出　　处：《成都体育学院学报》2021年第3期126-131,共6页Journal of Chengdu Sport University

摘　　要：目的:探究12周的基于远程指导运动干预对乳腺癌术后患者生活质量、体适能和体力活动参与度的影响。方法:本研究为干预12周的随机对照试验。60名(42~60岁,女性)符合纳入标准的乳腺癌术后患者被随机分配到试验组(30人)和对照组(30人)。试验组干预的内容:每周3次力量、耐力和功能性训练,使用远程运动康复视频指导,每周4次心肺耐力训练,要求在规定运动时间内完成目标步数;通过社交媒体每天推送乳腺癌运动康复知识。对照组仅接受康复知识推送。测试指标包括生活质量、体适能及体力活动参与度。结果:12周干预后,与对照组比较,试验组乳腺癌术后患者的疲劳感、体脂百分比、体力活动的阻碍、肌肉力量和体力活动的社会支持均明显改善。此外试验组腰臀比显著降低(P<0.01)和体力活动的享受度有显著提高(P<0.01)。结论:基于远程指导运动干预对乳腺癌术后患者的生活质量、体适能及体力活动参与度均有一定的改善作用。Objective:To investigate the effects of the exercise intervention with remote guidance on quality of life,physical fitness and physical activity participation in postoperative breast cancer patients.Methods:This study was a randomized control trial with an intervention period of 12 weeks.60 participants(42-60 years,Female)were randomly assigned to intervention group(N=30)and control group(N=30).Procedure of exercise in the intervention group included training of strength,endurance,and function with remote video guidance of rehabilitation,three times per week,cardiorespiratory capacity training in which the subjects were asked to complete the required number of steps in given time,4 time per week;Knowledge on postoperative rehabilitation of breast cancer was sent to the patients via social media apps on a daily basis.The control group received only rehabilitation knowledge during the same period of time.The indicators of test include quality of life,physical fitness and physical activity participation.Results:After 12 weeks of intervention,compared with the control group,the fatigue,body fat percentage,physical activity obstacle,muscle strength and social support of physical activity in the intervention group were significantly improved.In addition,the waist hip ratio(P<0.01)and enjoyment of physical activity in the intervention group were significantly improved(P<0.01).Conclusion:The exercise intervention with remote guidance can improve the rehabilitative effects on postoperative patients with breast cancer in quality of life,physical fitness and physical activity participation.

关 键 词：远程指导 运动干预 乳腺癌 生活质量 体适能 体力活动参与度 

分 类 号：G804.5[文化科学—运动人体科学]