| 华品珍.直肠癌造口患者体力活动水平及其相关因素影响分析[J].上海护理,2023,23(11): |
| 直肠癌造口患者体力活动水平及其相关因素影响分析 |
| Analysis of physical activity level and its related factors in patients with rectal cancer undergoing colostomy |
| DOI： |
| 中文关键词: 直肠癌造口 体力活动 手术时间 造口类型 术后辅助放化疗 疲乏 造口适应 |
| 英文关键词:Rectal cancer stoma Physical activity Operation time Type of stoma Postoperative adjuvant radiotherapy and chemotherapy tired Stomal adaptation |
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| 中文摘要: |
| 目的 观察直肠癌造口患者体力活动（PA）水平，并分析其相关影响因素。方法 选取2020年1月-2022年8月赣州市人民医院收治的76例直肠癌造口患者进行研究，采用国际体力活动问卷（IPAQ）评估患者过去一周的PA状况，设计一般资料调查问卷，记录患者基线资料，经Logistics回归分析直肠癌造口患者PA水平的关影响因素。结果 76例直肠癌造口患者中，术后有48例患者为低水平PA，占63.16%；28例患者为中高水平PA，占36.84%；低水平组、中高水平组患者手术时间、造口类型、术后辅助放化疗、造口适应量表（QAI-20）评分、癌症疲乏量表（CFS）评分一般资料比，有统计学差异（P＜0.05）；两组其他基线资料比较，无统计学差异（P＞0.05）。经Logistics回归分析，结果显示，手术时间＜1年、造口类型为回肠造口、术后辅助放化疗、QAI-20评分低、CFS评分高均为直肠癌造口患者PA低水平的影响因素（P＜0.05）。结论 直肠癌造口患者PA水平较低，可能受手术时间、造口类型、术后辅助放化疗、疲乏、造口适应水平等因素影响。 |
| 英文摘要: |
| Objective To observe the level of physical activity (PA) in patients with rectal cancer undergoing colostomy and analyze its related influencing factors. Methods 76 patients with rectal cancer who were admitted to Ganzhou People's Hospital from January 2020 to August 2022 were selected for the study. The PA status of the patients in the past week was assessed with the International Physical Activity Questionnaire (IPAQ), a general data questionnaire was designed, and the baseline data of the patients were recorded. Logistic regression was used to analyze the relevant factors affecting the PA level of patients with rectal cancer who underwent colostomy. Results Among 76 patients with rectal cancer, 48 patients (63.16%) had low level PA after operation; Twenty-eight patients had moderate and high levels of PA, accounting for 36.84%; There were statistical differences between the low level group and the middle and high level group in the operation time, stoma type, postoperative adjuvant radiotherapy and chemotherapy, stoma adaptation scale (QAI-20) score and cancer fatigue scale (CFS) score (P<0.05); There was no statistical difference between the two groups in other baseline data (P>0.05). Logistic regression analysis showed that operation time<1 year, stoma type of ileostomy, postoperative adjuvant radiotherapy and chemotherapy, low QAI-20 score, and high CFS score were all factors influencing the low level of PA in rectal cancer patients with stoma (P<0.05). Conclusion The PA level of rectal cancer patients with stoma is low, which may be affected by operation time, stoma type, postoperative adjuvant radiotherapy and chemotherapy, fatigue, stoma adaptation and other factors. |
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