肺癌患者化疗期间疲劳状况与体力活动水平的相关性分析

目的探讨肺癌患者化疗期间疲劳状况及体力活动水平，为采取有效干预方法提供依据。方法采用问卷调查的方式了解某院191例肺癌患者化疗前及化疗期间的疲劳状况、体力活动水平；按照美国癌症学会的体力活动指南标准，评价患者体力活动水平是否达标；进行疲劳状况与体力活动水平的相关性分析。结果患者化疗前无疲乏占11．52％，轻、中、重度疲乏分别占43．98％，31．94％，12．57％；化疗期间所有患者均感到不同程度的疲乏，轻、中、重度疲乏分别占15．71％，46．07％，38．22％；化疗期间的疲乏程度比化疗前更为严重，差异有统计学意义（x2=16．36，P〈0．05）。所有患者体力活动处于中低水平，其中低水平占67．02％；按照美国癌症学会指标，93．19％患者体力活动水平未达标。患者体力活动水平与疲乏总分存在负相关（P〈0．05）。结论肺癌患者化疗期间疲乏状况较为严重，体力活动水平较低，两者存在一定相关性；护理人员应加强对癌因性疲乏关注及活动方式的指导，以促进患者健康恢复。

Relationship between fatigue status and physical activities level of lung cancer patients treated by chemotherapy

Objective To analyze the fatigue status and physical activities level of lung cancer patients treated by chemotherapy in order to search for the effective intervention methods. Methods A total of 191 lung cancer patients treated by chemotherapy were investigated by filling out questionnaires. The relationship between fatigue status and physical activities level were analyzed. Results 11.52% patients did not feel fatigue, while 43.98% , 46.07% and 38.22% patients felt mild, moderate and heavy fatigue before chemotherapy. After receiving chemotherapy, 15.71% , 46.07% and 38.22% patients felt mild, moderate and heavy fatigue. The fatigue degree increased when patients were receiving chemotherapy （X2 = 16.36,P 〈0. 05）. All patients had low and moderate level of physical activity, majority patient were at the low level （67.02%）. 93.19% patients failed to meet the physical activity guide standard of American Cancer Society. There was a negative correlation between the fatigue degree and physical activities level （ P 〈 0. 05 ）. Conclusions The fatigue degree increased in lung cancer patients when they are receiving chemotherapy, and most of them were at low physical activities level. Targeted nursing and activities instruction are essential methods to ease the fatigue and improve recovery outcomes of the patients.