恶性肿瘤化疗期癌性疲乏患者运动状况及其影响因素分析

Physical activity state of cancer-related fatigue patients during malignant tumor chemotherapy period and its influencing factor analysis

目的：了解患有恶性肿瘤化疗期癌性疲乏患者的运动状况，并分析其影响因素，以期为临床护理工作者提供依据。方法：采用自行设计的一般资料调查问卷及肿瘤患者运动障碍问卷对我院2014年1月-2015年1月收治的423名恶性肿瘤并具有不同程度癌性疲乏的患者进行问卷调查。结果：本次调查结果显示，在被调查的423例患者中有315例患者进行运动，但只有98例患者运动强度达到了美国肿瘤学会2012年发布的运动指南推荐的标准；“不知道运动能够减轻疲乏程度”、“害怕运动对疾病及治疗带来负面影响”、“疲乏”、“缺乏运动技能”及“无运动习惯”等是影响癌性疲乏患者实施运动疗法的主要障碍因素。结论：医护人员必须意识到癌性疲乏对肿瘤患者生活质量的严重影响，运用疲乏测量工具来进行有效评估，积极规范地管理和干预疲乏，提高患者的生活质量。

Objective：To know about physical activity state of cancer - related fatigue patients during malignant tumor chemotherapy period and to analyze its influencing factors in the hope of providing references for clinical nurses. Methods：Self - designed questionnaire was employed to investigate 423 malignant tumor patients for their general information,who suffered from different levels of cancer - related fatigue and were cured in our hospital from January 2014 to January 2015. Results：As shown by the investigation,among the 423 patients investigated,315 cases of patients have taken part in physical activities, but only 98 of them met recommended standard of Guidelines on Physical Activity published by American Society of Clinical Oncology;″do not know physi-cal activity can alleviate fatigue″,″worry that physical activity may affect disease and treatment adversely″,″feel fatigue″,″lack exercise skill″ and ″have no exercise habit″ were major factors hindering physical activity from treating cancer - related fatigue patients. Conclusion：Medical staff must be aware of the severe influence of cancer - related fatigue on living quality of cancer patient,assess their fatigue levels with effective measuring tool,and control and intervene in fatigue state actively according to standards,so as to improve living quality of patients.