青年宫颈癌患者化疗期身体活动轨迹及影响因素研究  

Study on the physical activity trajectory and its influencing factors in young patients with cervical cancer during chemotherapy

作　　者：白杨 冯宪凌[1] 胡方舟 BAI Yang;FENG Xianling;HU Fangzhou(Department of Gynecology,Henan Provincial People's Hospital&Henan Provincial Key Laboratory of Nursing Medicine,Zhengzhou 450000,Henan,China)

机构地区：[1]河南省人民医院妇科,河南省护理医学重点实验室,河南郑州450000

出　　处：《护士进修杂志》2024年第24期2584-2589,共6页Journal of Nurses Training

基　　金：河南省护理医学重点实验室项目(编号:HNSYHLKT202305)。

摘　　要：目的调查青年宫颈癌患者在化疗期不同阶段的身体活动(physical activity,PA)水平及影响因素。方法采用便利抽样法,选取2022年5月-2023年6月在我院妇科住院化疗的136例青年宫颈癌患者为研究对象,采用一般资料调查表、国际体力活动问卷、运动自我效能感量表和中文版Pipe疲乏修订量表,分别于化疗前(T1)、首次化疗后(T2)、化疗中期(T3)、化疗结束(T4)及化疗结束后2个月(T5)5个时间点进行问卷调查,采用logistic回归分析PA的影响因素。结果青年宫颈癌患者化疗期5个时间点PA达标率分别为35.29%、33.09%、27.94%、30.88%及50.74%,呈现先下降后上升的趋势,化疗中期PA水平降至最低。logistic回归分析结果显示,运动自我效能和癌因性疲乏在不同化疗阶段均为青年宫颈癌患者PA的重要影响因素(P<0.05)。结论青年宫颈癌患者化疗期PA水平整体较低,锻炼自我效能和社会支持是主要影响因素,提示医护人员需重点关注,为进一步制订针对性的干预措施提供依据。Objective To investigate the physical activity(PA)level and its influencing factors in young patients with cervical cancer at different stages of chemotherapy.Methods A total of 136 young cervical cancer patients who were hospitalized for chemotherapy in the gynecology department of our hospital from May 2022 to June 2023 were selected as the research subjects by convenience sampling method,and were conducted the questionnaire investigation by a general information survey form,the international physical activity questionnaire,the exervise self-efficacy scale,and the revised Pipe fatigue scale at 5 time points:Before chemotherapy(T1),after the first chemotherapy(T2),midway through chemotherapy(T3),after chemotherapy(T4),and 2 months after chemotherapy(T5).logistic regression analysis was used to investigate the influencing factors of PA.Results The rate of PA meeting the standard at 5 time points of chemotherapy in young cervical cancer patients was 35.29%,33.09%,27.94%,30.88%,and 50.74%,respectively,which showing a trend of first decreasing and then increasing,and the level of PA decreased to the lowest in the middle period of chemotherapy.The results of logistic regression analysis showed that exercise self-efficacy and cancer-related fatigue were important influencing factors for young cervical cancer patients'PA in different stages of chemotherapy(P<0.05).Conclusion The overall level of PA in young cervical cancer patients during chemotherapy is generally low,and exercise self-efficacy and cancer-related fatigue are the main influencing factors.It is suggested that medical staff should pay attention to it,so as to provide a basis for further development of targeted intervention measures.

关 键 词：宫颈癌 青年 身体活动 化疗 护理 

分 类 号：R473.73[医药卫生—护理学] R737.33[医药卫生—临床医学]