乳腺癌化疗患者锻炼行为觉知的影响因素研究

Influencing factors of exercise behavior perception in breast cancer patients undergoing chemotherapy

目的调查乳腺癌静脉化疗患者的锻炼行为觉知水平,分析其影响因素,为临床干预提供参考。方法采用便利抽样法选取192例乳腺癌静脉化疗患者,使用一般资料调查表、锻炼益处及障碍量表、运动自我效能量表、社会支持评定量表进行调查。分析锻炼益处及障碍评分与运动自我效能、社会支持评分的相关性;采用多元线性回归分析锻炼行为觉知的影响因素。结果192例乳腺癌患者锻炼益处及障碍评分总分(109.82±14.82)分,运动自我效能评分(61.45±8.59)分,社会支持评分(42.17±5.73)分;锻炼益处及障碍评分与运动自我效能评分、社会支持评分呈正相关(均P<0.05);多元线性回归分析显示,运动自我效能、社会支持、婚姻状况、文化程度、TNM分期是乳腺癌患者锻炼行为觉知水平的影响因素(均P<0.05)。结论乳腺癌静脉化疗患者锻炼行为觉知水平受到多种因素影响,临床工作者可针对影响因素进行干预,提高患者的锻炼行为觉知水平。

Objective To investigate the exercise behavior perception in breast cancer patients undergoing intravenous chemotherapy,and to analyze its influencing factors,so as to provide a reference for clinical intervention.Methods A total of 192 breast cancer patients undergoing intravenous chemotherapy were selected using convenience sampling method.Then they were investigated by utilizing a general information questionnaire,the Exercise Benefits/Barriers Scale(EBBS),the Self-efficacy for Exercise Scale(SEES)and the Social Support Rating Scale(SSRS).The correlations between the scores of EBBS and SEES as well as SSRS were analyzed.Multiple linear regression analysis was used to analyze the influencing factors of exercise behavior perception.Results The participants′total score of EBBS was(109.82±14.82)points,SEES was(61.45±8.59)points and SSRS was(42.17±5.73)points.The score of EBBS was positively correlated with the scores of SEES and SSRS(both P<0.05).The results of multiple linear regression analysis showed that,the score of SEES,the score of SSRS,marital status,educational background and TNM stage were the influencing factors of exercise behavior perception in breast cancer patients undergoing chemotherapy(all P<0.05).Conclusion The exercise behavior perception in breast cancer patients undergoing intravenous chemotherapy is influenced by multiple factors,medical staff should take targeted intervention according to the influencing factors,so as to improve their level of exercise behavior perception.