基于结构方程模型的结直肠癌共病糖尿病患者化疗期运动行为现状及影响因素分析

Status and influencing factors of exercise behavior in patients with colorectal cancer comorbid diabetes during chemotherapy based on structural equation model

目的了解结直肠癌共病糖尿病患者化疗期运动行为现状,并借助结构方程模型探讨其影响因素的作用路径及效应,为改善结直肠癌共病糖尿病患者化疗期运动行为提供参考。方法于2022年12月至2023年4月采用便利抽样法选取复旦大学附属中山医院行化疗的结直肠癌共病糖尿病患者127例作为研究对象,采用自行设计的一般资料调查表和运动管理能力调查表进行横断面调查,采用结构方程模型分析运动行为的影响因素。结果最终纳入124例患者,男95例,女29例,年龄39~90(65.22±8.87)岁。结直肠癌共病糖尿病患者化疗期运动水平较低,每周运动总量为(3.70±3.50)METs,运动能力、自我效能感、社会支持是运动行为的独立影响因素(β=1.796、2.070、-0.944,均P<0.05)。结论结直肠癌共病糖尿病患者化疗期运动行为受多因素影响,自我效能感、社会支持和运动能力是运动行为的独立影响因素,提高运动能力、增强自我效能感是改善结直肠癌共病糖尿病患者运动管理的有效途径。

ObjectiveTo investigate the current status of exercise behavior in patients with colorectal cancer comorbid diabetes during chemotherapy,and to explore the pathways and effects of influencing factors using structural equation model,so as to provide reference for improving exercise behavior in patients with colorectal cancer comorbid diabetes during chemotherapy.MethodsFrom December 2022 to April 2023,127 patients with colorectal cancer comorbid diabetes who received chemotherapy in Zhongshan Hospital Affiliated to Fudan University were selected by convenience sampling method as the research object.Self-designed general data questionnaire and exercise management ability questionnaire were used for cross-sectional investigation,and structural equation model was used to analyze the influencing factors of exercise behavior.ResultsA total of 124 patients were included,including 95 males and 29 females,aged 39-90(65.22±8.87)years.The exercise level of patients with colorectal cancer comorbid diabetes during chemotherapy was lower,and the total weekly exercise was(3.70±3.50)METs.Exercise ability,self-efficacy and social support were independent influencing factors of exercise behavior(β=1.796,2.070,-0.944,all P<0.05).ConclusionsThe exercise behavior of patients with colorectal cancer comorbid diabetes during chemotherapy is affected by multiple factors,self-efficacy,social support and exercise ability are independent influencing factors of exercise behavior.Improving exercise ability and enhancing self-efficacy is an effective way to improve exercise management of patients with colorectal cancer comorbid diabetes.