Institute of Clinical and Community Health Nursing, Taipei, Taiwan.
Cancer Nurs. 2011 Nov-Dec;34(6):443-52. doi: 10.1097/NCC.0b013e31820d4f05.
Cancer is a chronic disease that patients need to live with, and a physically active lifestyle will benefit them.
The objectives of the study were to detect the time spent on physical activity of different intensities in daily life among cancer patients during chemotherapy and to examine the factors influencing physical activity.
A total of 91 cancer patients (mean age, 53.3 years) undergoing chemotherapy in Taiwan completed the questionnaires. The revised International Physical Activity Questionnaire and Multiple Classification Analysis were used to explore the various aspects of physical activity.
With the exception of walking, the patients engaged in very few moderate or vigorous physical activities (both means, approximately 8 min/wk). Almost 40% of patients reached the recommended 150 min/week of moderate activity and/or 60 min/wk of vigorous-intensity physical activity, mainly by walking. Patients who held full-time jobs and who did not report symptoms of thirst engaged in more health-enhancing physical activities. Patients who were healthier perceived more benefits of and less barriers to exercise, and those who did not report symptoms of heart burn, chest pain, or pain in general spent more time engaging in light physical activity and less time sitting.
Most patients led a sedentary life while on chemotherapy. Walking is the most frequent health-enhancing physical activity among cancer patients.
Strategies to enhance cancer patients' physical activity level should include counseling patients to remain employed, offering symptom management such as pain relief, advising energy reserve skills, and providing appropriate places for exercise or walking.
癌症是一种慢性病，患者需要与之共存，积极的生活方式将使他们受益。
本研究旨在检测癌症患者化疗期间日常生活中不同强度体力活动的时间，并探讨影响体力活动的因素。
在台湾，共 91 名正在接受化疗的癌症患者（平均年龄 53.3 岁）完成了问卷。使用修订后的国际体力活动问卷和多项分类分析来探讨体力活动的各个方面。
除了步行外，患者很少进行中等到剧烈的体力活动（均值均约为 8 分钟/周）。几乎 40%的患者达到了每周 150 分钟中等强度活动和/或每周 60 分钟剧烈强度体力活动的推荐量，主要通过步行实现。全职工作且没有口渴症状的患者参与了更多的促进健康的体力活动。健康状况较好的患者认为锻炼的益处更多，障碍更少，并且没有报告烧心、胸痛或一般疼痛的患者，花更多的时间进行轻度体力活动，花更少的时间坐着。
大多数患者在化疗期间过着久坐的生活。对于癌症患者来说，步行是最常见的促进健康的体力活动。
增强癌症患者体力活动水平的策略应包括建议患者保持就业、提供疼痛缓解等症状管理、提供能量储备技能咨询，并提供适当的运动或散步场所。
