结直肠癌化疗患者体力活动对自我感受负担的影响研究

目的 了解结直肠癌化疗患者体力活动及自我感受负担现况,分析二者之间的相关性.方法 采用便利抽样法,选取2019年7-12月在温州医科大学附属第一医院化疗的232例结直肠癌患者为研究对象.采用一般资料调查问卷、癌症患者体力活动测定量表、自我感受负担量表进行调查.结果 结直肠癌化疗患者体力活动能量消耗430.00(393....

Effects of physical activity on self-perceived burden among patients with colorectal cancer under chemotherapy

Objective To investigate the physical activity and self-perceived burden of patients with colorectal cancer under chemotherapy, and analyze the correlation between them. Methods A total of 232 patients with colorectal cancer under chemotherapy in the First Affiliated Hospital of Wenzhou Medical University from July to December in 2019 were selected using the method of convenient sampling. General information questionnaire, EPIC Physical Activity Questionnaire and Self-perceived Burden Scale were investigated. Results Physical activity energy expenditure was 430.00(393.50, 527.50) MET-min/week in colorectal cancer patients under chemotherapy. There were 10 active cases, accounting for 4.31%. Moderate 41 cases, accounting for 17.67%. Less than 181 cases, accounting for 78.02%. The score of self-perceived burden was(31.89±8.08), and the average score of items was(3.19±0.81). Twenty-five cases had no obvious burden, accounting for 10.78%. Sixty-one patients(26.29%) had mild burden. There were 102 patients with moderate burden, accounting for 43.97%. There were 44 cases with severe burden, accounting for 18.97%. Pearson correlation analysis showed that physical activity was negatively correlated with self-perceived burden among patients with rectal cancer chemotherapy(P<0.01). Multiple linear regression analysis showed that physical activity, self-care status, per capita family income and residence of colorectal cancer chemotherapy patients were the main influencing factors of self-perceived burden(all P<0.05). Conclusion Patients with colorectal cancer under chemotherapy have a high proportion of insufficient physical activity and a high level of self-perceived burden. In clinical nursing work, health education for patients should be strengthened to guide patients to increase physical activity appropriately, reduce patients’ self-perceived burden and improve patients’ rehabilitation level.