Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.
J Cancer Surviv. 2012 Mar;6(1):37-44. doi: 10.1007/s11764-011-0191-9. Epub 2011 Jul 2.
Lung cancer survivors are at risk for cancer recurrence and other chronic illnesses related predominantly to prior tobacco use and older age. Optimal quality of post-treatment care requires greater knowledge of survivors' adherence to behavioral health recommendations. This study reports the rates of smoking, physical activity, alcohol use, cancer screenings, and routine primary care visits in non-small cell lung cancer (NSCLC) survivors.
Stage IA and IB NSCLC survivors (N = 183, mean age = 69.0 years) with no evidence of disease 1-6 years post-treatment completed standard survey items regarding health and cancer screening behaviors.
Most survivors (83.5%) had a history of smoking, but 64.8% quit prior to diagnosis and only 5.5% continued to smoke. Alcohol intake recommendations were exceeded by 5.4% and 17.3% of men and women, respectively. In a typical week, 23.1% met physical activity guidelines. Regarding cancer screenings, 89.3% were adherent to colorectal cancer screening guidelines. Among women, 72.0% had a mammogram within the previous year and 81.5% had a pap test in the previous 3 years; among men, 86.7% had a prostate-specific antigen test in the previous year. Almost all (97.3%) had seen a primary care provider in the past year.
DISCUSSIONS/CONCLUSIONS: The majority of lung cancer survivors were adherent to health promotion recommendations, but few engaged in the recommended level of physical activity.
Physical and pulmonary rehabilitation interventions may help lung cancer survivors maintain sufficient levels of physical activity, which can have numerous benefits for older adults.
肺癌幸存者存在癌症复发和其他与先前吸烟和年龄较大相关的慢性疾病风险。治疗后最佳的护理质量需要更多地了解幸存者对行为健康建议的依从性。本研究报告了非小细胞肺癌（NSCLC）幸存者的吸烟、身体活动、饮酒、癌症筛查和常规初级保健就诊的比率。
无疾病证据且治疗后 1-6 年的 IA 期和 IB 期 NSCLC 幸存者（N=183，平均年龄 69.0 岁）完成了关于健康和癌症筛查行为的标准调查项目。
大多数幸存者（83.5%）有吸烟史，但 64.8%在诊断前戒烟，只有 5.5%继续吸烟。男性和女性分别有 5.4%和 17.3%超过了酒精摄入建议。在典型的一周内，23.1%的人符合身体活动指南。在癌症筛查方面，89.3%的人遵守结直肠癌筛查指南。在女性中，72.0%的人在过去一年中进行了乳房 X 光检查，81.5%的人在过去 3 年内进行了巴氏涂片检查；在男性中，86.7%的人在过去一年中进行了前列腺特异性抗原检查。几乎所有（97.3%）人在过去一年中都看过初级保健医生。
讨论/结论：大多数肺癌幸存者都遵守健康促进建议，但很少有人达到建议的身体活动水平。
身体和肺部康复干预措施可能有助于肺癌幸存者保持足够水平的身体活动，这对老年人有许多好处。
