鼻咽癌患者头颈部康复运动依从性现状及影响因素  

Current status and influencing factors of head and neck rehabilitation exercise adherence in patients with nasopharyngeal carcinoma

作　　者：何星月 黄雅莲 方艳春 HE Xingyue;HUANG Yalian;FANG Yanchun(School of Nursing,University of South China,Hengyang 421200,China;Department of Oncology,The Central Hospital of Yongzhou,Yongzhou 425000,China;Department of Nursing,The Central Hospital of Shaoyang,Shaoyang 422000,China)

机构地区：[1]南华大学护理学院,湖南衡阳421200 [2]永州市中心医院肿瘤科,湖南永州425000 [3]邵阳市中心医院护理部,湖南邵阳422000

出　　处：《邵阳学院学报(自然科学版)》2025年第2期107-116,共10页Journal of Shaoyang University:Natural Science Edition

摘　　要：目的了解鼻咽癌患者头颈部康复运动依从性现状并分析其影响因素。方法采用便利取样法选取2024年1月至4月在湖南省永州市区内3家医院就诊的280例鼻咽癌患者,使用一般资料调查表、癌症自我管理效能感量表、社会支持调查表、癌因性疲乏量表、鼻咽癌患者康复运动依从性量表对其进行问卷调查。采用多元线性回归分析探讨鼻咽癌患者头颈部康复运动依从性的影响因素。结果鼻咽癌患者康复运动依从性量表得分为(37.41±8.41)分,康复运动依从性处于中等偏低水平。多元线性回归分析结果显示,患者目前工作状态、文化程度、居住地、临床分期、是否同步化疗、疲乏程度、社会支持、自我管理效能是鼻咽癌患者康复运动依从性的独立影响因素(P<0.05)。结论鼻咽癌患者头颈部康复运动的依从性普遍偏低,医护人员应根据个性化的评估结果积极采取合适的干预策略减轻患者的疲乏程度,提升患者的自我效能感,并充分调动可利用资源为患者提供全面的社会支持,从而提高患者的运动依从性。Objective To evaluate head and neck rehabilitation exercise adherence and its influencing factors among nasopharyngeal carcinoma patients.Methods A cross-sectional study was conducted using convenience sampling of 280 patients from three urban hospitals in Hunan Province between January and April 2024.Participants completed a questionnaire comprising scales for general information,cancer self-management efficacy,social support,cancer-related fatigue,and head and neck rehabilitation exercise adherence.Multiple linear regression analysis was employed to identify factors affecting adherence.Results The average adherence score was 37.41±8.41,indicating a moderate to low level of adherence.Significant independent factors influencing adherence included current work status,educational level,place of residence,clinical stage,synchronous chemotherapy,fatigue level,social support,and self-management efficacy(P<0.05).Conclusion Rehabilitation exercise adherence among nasopharyngeal carcinoma patients was generally low.Targeted intervention strategies by healthcare providers based on assessments,focusing on reducing patients’fatigue,enhancing their self-efficacy,and optimizing social support for them,are essential for improving exercise adherence.

关 键 词：鼻咽癌 癌因性疲乏 自我管理效能 社会支持 运动依从性 

分 类 号：R739.6[医药卫生—肿瘤] R47[医药卫生—临床医学]