老年卵巢癌患者居家锻炼行为感知现状及影响因素分析  

Status and influencing factors of home exercise behavior perception in elderly patients with ovarian cancer

作　　者：金姣姣 王姗姗 陈怡[1] 赵丹丹[1] 潘琼 杨颖琳[1] Jin Jiaojiao;Wang Shanshan;Chen Yi;Zhao Dandan;Pan Qiong;Yang Yinglin(Department of Nursing,the First Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou 310003,China;Department of Gynaecology and Obstetrics,the Women′s Hospital,School of Medicine,Zhejiang University,Hangzhou 310006,China)

机构地区：[1]浙江大学医学院附属第一医院护理部,杭州310003 [2]浙江大学医学院附属妇产科医院护理部,杭州310006

出　　处：《中国实用护理杂志》2025年第1期49-55,共7页Chinese Journal of Practical Nursing

基　　金：2024年度浙江省医药卫生科技计划(2024KY980);浙江大学医学院附属第一医院护理学科建设科研专项基金(2024ZYHL10)。

摘　　要：目的评估老年卵巢癌患者居家锻炼行为感知现状并分析其影响因素,为老年卵巢癌患者居家锻炼康复提供指导和借鉴。方法通过便利抽样法选取2021年1月1日至2023年10月1日在浙江大学医学院附属第一医院治疗的老年卵巢癌患者227例作为调查对象。选择一般资料调查表、锻炼益处及障碍量表(EBBS)、社会支持评定量表(SSRS)、一般自我效能感量表(GSES)及简易疲乏自评量表(BFI)进行横断面调查,分析老年卵巢癌患者居家锻炼行为感知水平的影响因素。结果227例老年卵巢癌患者中,年龄<70岁151例,≥70岁76例,EBBS总分为(123.37±11.02)分,GSES得分为(29.35±6.54)分,SSRS得分为(37.68±7.44)分,BFI得分为(5.82±2.01)分。相关分析显示,老年卵巢癌患者居家锻炼行为感知与一般自我效能感、社会支持呈正相关(r=0.752、0.901,均P<0.01),与癌因性疲乏呈负相关(r=-0.198,P<0.01)。一般自我效能感、社会支持、年龄≥70岁、丧偶、未曾被告知锻炼益处、中重度癌因性疲乏、病程≥12个月是老年卵巢癌患者锻炼行为感知的影响因素(t值为-4.56~4.46,均P<0.05)。结论老年卵巢癌患者居家锻炼行为感知水平有待提高,在老年卵巢癌患者居家锻炼行为制订中,加强对患者居家锻炼行为感知益处的宣教和认识,做好运动前对患者的身心状态评估,积极减轻患者癌因性疲乏,同时结合家庭支持力量有利于提高老年卵巢癌患者居家锻炼行为感知水平,从而促进患者居家锻炼行为。Objective To evaluate the perceived level of home exercise behavior in elderly patients with ovarian cancer and analyze its influencing factors,so as to promote home exercise behavior of patients and improve the quality of life.MethodsA total of 227 elderly patients with ovarian cancer from January 1,2021 to October 1,2023 in the First Affiliated Hospital,School of Medicine,Zhejiang University were selected by convenience sampling method.A cross-sectional survey was conducted by General Information Questionnaire,Exercise Benefits/Barriers Scale(EBBS),Social Support Rating Scale(SSRS),General Self-efficacy Scale(GSES)and Brief Fatigue Inventory(BFI).The influencing factors on the perceived level of home exercise behavior in elderly patients with ovarian cancer were analyzed.ResultsThere were 227 elderly female patients with ovarian cancer,including 151 patients aged<70 years old and 76 patients aged≥70 years old.The scores of EBBS,SSRS,GSES,BFI were(123.37±11.02),(37.68±7.44),(29.35±6.54),(5.82±2.01)points.The perception of exercise behavior was positively correlated with general self-efficacy and social support(r=0.752,0.901,both P<0.01),was negatively correlated with cancer-related fatigue(r=-0.198,P<0.01).The results showed that general self-efficacy,social support,age≥70 years old,no spouse,not being informed of the benefits of exercise,fatigue due to moderate and severe cancer,duration of disease≥12 months were the influencing factors(t values were-4.56-4.46,all P<0.05).ConclusionsElderly patients with ovarian cancer need to improve their perception level of home exercise behavior.In the formulation of home exercise behavior for elderly patients with ovarian cancer,education and cognition on the perceived benefits of home exercise behavior should be strengthened,and patients′physical and mental status should be evaluated before exercise to actively reduce cancer-related fatigue.At the same time,the combination of family support can improve the perceived level of exercise behavior of elderly patien

关 键 词：老年人 卵巢肿瘤 锻炼 感知 

分 类 号：R473.73[医药卫生—护理学]