School of Nursing, University at Buffalo, The State University of New York, Buffalo, New York, USA.
Cancer Nurs. 2011 Mar-Apr;34(2):E1-13. doi: 10.1097/NCC.0b013e3181e4588d.
In Western culture, evidence has shown that in women with breast cancer exercise decreases fatigue and improves quality of life. However, only 1 pilot study about the effect of exercise has been examined in the Asian breast cancer population that indicated feasibility. Therefore, it is important to further study the effect of an exercise program for Taiwanese women with breast cancer.
The purpose of this study was to test the effects of a walking program on Taiwanese women newly diagnosed with early-stage breast cancer.
This was an experimental, longitudinal study with 4-time repeated measures based on Bandura's Self-efficacy Theory, with the aim of implementing interventions to boost exercise self-efficacy and to evaluate research outcomes. SPSS 17.0 with descriptive statistics using frequency, percentage, mean, and SD as well as inferential statistics such as t test, χ test, hierarchical linear model, repeated-measures analysis of variance, and analysis of covariance was used for data analysis.
Results of this study indicated that subjects in the exercise group had significantly better quality of life, less fatigue, less sleep disturbances, higher exercise self-efficacy, more exercise behavior, and better exercise capacity compared with those in the usual-care group after the intervention.
This program was effective and feasible, but more research studies with experimental, longitudinal design to verify the effects of this exercise program on Taiwanese women with breast cancer will be needed.
Nurses, depending on skill and knowledge, can encourage physical activity, refer patients to rehabilitation programs, and prescribe and monitor exercise in breast cancer population.
在西方文化中，有证据表明，患有乳腺癌的女性进行锻炼可以减轻疲劳感，提高生活质量。然而，仅有一项关于运动对亚洲乳腺癌患者影响的试点研究表明其具有可行性。因此，进一步研究运动方案对台湾乳腺癌女性的影响非常重要。
本研究旨在测试针对台湾早期乳腺癌女性的步行方案的效果。
这是一项基于班杜拉自我效能理论的实验性、纵向研究，采用 4 次重复测量设计，旨在实施干预措施以提高运动自我效能，并评估研究结果。采用 SPSS 17.0 进行数据分析，使用描述性统计（频率、百分比、平均值和标准差）和推断性统计（t 检验、卡方检验、层次线性模型、重复测量方差分析和协方差分析）。
本研究结果表明，与常规护理组相比，运动组的受试者在干预后生活质量明显更好，疲劳感、睡眠障碍更少，运动自我效能更高，运动行为更多，运动能力更好。
该方案有效且可行，但需要更多具有实验性、纵向设计的研究来验证该运动方案对台湾乳腺癌女性的效果。
护士可以根据自身技能和知识，鼓励患者进行身体活动，将患者转介至康复计划，并为乳腺癌患者开具和监测运动处方。
