Winningham M L
University of Utah College of Nursing, Salt Lake City 84112.
Cancer Nurs. 1991 Oct;14(5):270-6.
Having the energy to maintain functional independence and social roles is an important component of quality of life in cancer patients. Unnecessary bedrest and prolonged sedentarism can contribute significantly to the development of fatigue and may result in rapid and potentially irreversible losses in energy and functioning. Walking is an important self-care activity that can counter some of the debilitating effects of disease, treatment, and inactivity. Research on exercise for ambulatory cancer patients has been limited to moderate intensity, interval, supervised exercise programs on cycle ergometers. However, lower intensity walking can be used as a self-care intervention for individuals or groups. Cancer patients often ask questions about what kind, frequency, duration, and intensity of exercise they should perform. By teaching self-care techniques, such as keeping a walking diary and pulse monitoring to regulate activity, nurses can help patients develop safe activity practices. I also present guidelines and precautions related to safe exercising by ambulatory patients during and after treatment for cancer.
拥有维持功能独立和社会角色的精力是癌症患者生活质量的重要组成部分。不必要的卧床休息和长期久坐会显著导致疲劳的产生，并可能导致能量和功能迅速且可能不可逆转的丧失。行走是一项重要的自我护理活动，它可以对抗疾病、治疗和缺乏活动带来的一些使人衰弱的影响。针对能够行走的癌症患者的运动研究一直局限于在周期测力计上进行的中等强度、间歇性、有监督的运动项目。然而，低强度行走可以作为个人或群体的自我护理干预措施。癌症患者经常会询问他们应该进行何种运动、运动频率、时长以及强度。通过教授自我护理技巧，比如记录行走日记和监测脉搏以调节活动量，护士可以帮助患者养成安全的活动习惯。我还介绍了癌症患者在治疗期间及治疗后安全运动的指导方针和注意事项。
