结直肠癌肠造口患者体力活动现状与影响因素分析

Analysis of physical activity status and influencing factors in patients with enterostomy

目的分析结直肠癌肠造口患者的体力活动现状,并探讨影响肠造口患者体力活动的影响因素。方法选取2018年2月-2019年2月在凉山彝族自治州第一人民医院行直肠癌造口的患者185例为研究对象,采用国际体力活动问卷(IPQA)分析患者的体力活动水平,并采用单因素分析和多因素logistic回归分析影响患者体力活动的相关因素。结果 185例结直肠癌造口患者体力活动总量达到低等体力活动水平共122例(65.95%),达到中等体力活动水平共38例(20.54%),达到高等体力活动水平共25例(13.51%)。单因素分析结果中,低等体力活动组、中等体力活动组和高等体力活动组在性别、是否在职、文化程度、造口类型、手术时间、造口适应总分、癌症疲乏总分、是否规律锻炼等方面比较差异有统计学意义(均P<0.05);多因素logistic回归分析结果显示,男性、文化程度较高、回肠造口、不规律锻炼、手术时间<1年、造口适应总分降低、癌症疲乏总分升高是影响结直肠癌造口患者低等体力活动的独立危险因素。结论结直肠癌造口患者的体力活动主要以低等体力活动水平为主,男性、文化程度较高、手术时间<1年、不规律锻炼、回肠造口、疲乏总分升高、造口适应总分下降是导致患者低体力活动的独立危险因素。

Objective To analyse the status of physical activity in colorectal cancer patients with enterostomy and explore the influencing factors of physical activity in these patients. Methods A total of 185 patients who underwent rectal cancer stoma at the First People’s Hospital of Liangshan Yi Autonomous Prefecture from February 2018 to February 2019 were selected as the research objects. The International Physical Activity Questionnaire was used to analyse the physical activity level of patients, and univariate analysis and multivariate logistic regression analysis were used to analyse related factors affecting patients’ physical activity. Results The total physical activity of patients with colorectal cancer ostomy reached a low physical activity level in 122 cases(65.95%), medium physical activity level in 38 cases(20.54%) and high physical activity level in 25 cases(13.51%). The results of univariate analysis showed statistically significant differences amongst the low physical activity group, middle physical activity group and high physical activity group in terms of gender, in-service, educational level, type of stoma, operation time, total score of stoma adaptation, total score of cancer fatigue and regular exercise(all P<0.05). The results of multivariate logistic regression analysis showed that males, higher educational level, ileostomy, irregular exercise, operation time<1 year, reduced ostomy adaptation score and increased cancer fatigue score were independent risk factors affecting low physical activity in colorectal cancer patients with ostomy. Conclusion The physical activity level of patients with colorectal cancer ostomy is mainly low. Male patients, high education level, operation time<1 year, irregular exercise, ileum ostomy, increased fatigue score and decreased stoma adaptation score are independent risk factors for low physical activity.