Effectiveness of a theory-based tailored mHealth physical activity intervention for women undergoing chemotherapy for breast cancer:A quasi-experimental study  

定制化移动医疗应用程序对化疗期乳腺癌患者身体活动干预的效果研究

作　　者：Zhaohui Geng Jingting Wang Weibo Lyu Xinyu Li Wenjia Ye Wei Zheng Juan Yang Li Ning Lingzhi Cai Ying Liu Yingting Zhang Fulei Wu Changrong Yuan 耿朝辉;王婧婷;吕伟波;李心钰;叶文佳;郑蔚;杨娟;宁丽;蔡灵芝;刘颖;张颖婷;吴傅蕾;袁长蓉

机构地区：[1]School of Nursing,Shanghai University of Traditional Chinese Medicine,Shanghai,China [2]School of Nursing,Navy Medical University,Shanghai,China [3]Department of Breast Surgery,Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai,China [4]Department of Breast Surgery,Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai,China [5]Department of Nursing,Hangzhou First People’s Hospital,Hangzhou,China [6]Department of Breast Surgery,Hangzhou First People’s Hospital,Hangzhou,China [7]Department of Nursing,Shanghai First Maternity and Infant Hospital,Tongji University School of Medicine,Shanghai,China [8]School of Nursing,Fudan University,Shanghai,China

出　　处：《International Journal of Nursing Sciences》2024年第4期405-413,共9页国际护理科学（英文）

基　　金：the National Natural Science Foundation of China(72104145);the Humanities and Social Science Research Project of the Ministry of Education(21YJCZH032);the Shanghai Science and Technology Innovation Action Plan Sail-ing Project(21YF1447700);The funders had no role in the study design,collection,analysis and interpretation of data,writing of the report,or the decision to submit the article for publication.

摘　　要：Objectives:This study aimed to explore the effectiveness of the theory-based tailored mHealth physical activity(PA)intervention among patients with breast cancer undergoing chemotherapy.Methods:A quasi-experimental study design was adopted.A total of 60 breast cancer patients were selected from two tertiary hospitals in Shanghai and Hangzhou City from September 2019 to August 2021.According to the admission order,30 patients werefirst included in the control group,followed by 30 patients in the intervention group.A smartphone application(app)named“Breast Care”was developed based on social cognitive theory,self-efficacy theory,and the theory of planned behavior.The app integrated various functions,including information browsing,PA monitoring and feedback,symptom reporting,and social interaction.Patients in the intervention group received three months of personalized online PA guidance in addition to routine care.The control group received routine care.Baseline and post-intervention investigations after three months were conducted in two groups using the Short Form of International Physical Activity Questionnaire,the Hospital Anxiety and Depression Scale,and the Functional Assessment of Cancer TherapydBreast cancer.Results:After three months of intervention,compared to the control group,breast cancer patients in the intervention group showed significant improvements in walking,moderate PA,and overall PA(P<0.05).Compared to the baseline data,breast cancer patients in the intervention group had significant improvements in walking and overall PA after three months(P<0.05),whereas the control group experienced significant declines in walking,moderate PA,and overall PA after three months(P<0.05).There were statistically differences between the two groups in scores for anxiety,overall quality of life,and its dimensions,such as physical well-being,emotional well-being,and additional breast cancer well-being(P<0.05).Conclusions:The theory-based tailored mHealth PA intervention has demonstrated a positive impact on prom目的探讨基于定制化的移动医疗身体活动干预对促进乳腺癌患者化疗期间身体活动行为改变的效果。方法采用类实验研究设计。于2019年9月至2021年8月,从上海市及杭州市两所三级甲等医院选取60例乳腺癌患者,干预组和对照组各30例。基于社会认知理论、自我效能理论和计划行为理论开发手机应用程序——“乳腺康”,干预组患者在常规护理措施的基础上接受3个月个性化线上身体活动指导,包括手机应用程序干预和短信推送两种路径,对照组患者接受常规护理措施。干预后,采用国际体力活动问卷短卷、住院焦虑抑郁量表及乳腺癌患者生活质量评定量表对两组患者进行调查。结果干预后,干预组患者在步行、中等强度身体活动、身体活动总量、焦虑控制和生活质量水平均优于对照组(P<0.05)。与基线相比,干预组患者3个月后的步行及身体活动总量较之前有改善(P<0.05)。结论基于定制化移动医疗应用程序对化疗期乳腺癌患者身体活动行为改变和情绪管理方面发挥了积极作用。

关 键 词：ANXIETY Breast cancer CHEMOTHERAPY Depression Patients Physical activity TELEMEDICINE 

分 类 号：R473.73[医药卫生—护理学]