Menzies Health Institute Queensland, Griffith University, Gold Coast, QLD, Australia.
Centre for Health Services Research, University of Queensland, Brisbane, QLD, Australia.
Lymphology. 2022;55(1):10-20.
Although cancer survivors are recommended to exercise, they may lack confidence (self-efficacy) to be active. This research aimed to measure exercise barriers and related selfefficacy in individuals with cancer-related lymphedema as well as examine relationships between self-efficacy and participant characteristics. A cross-sectional survey was undertaken in individuals with cancer-related lymphedema using a validated 14-item Likert scale assessing self-efficacy to overcome general and lymphedema-specific exercise barriers (0%=not at all confident, 100%=extremely confident). Demographic, medical and lymphedema data were also collected. Of 109 participants (52% response), 79% (n=86) had breast cancer-related lymphedema. Participants were found to be moderately confident to exercise when facing general (48% [95% CI: 44, 52]) and lymphedema- specific exercise barriers (51% [95% CI: 47, 55]). Participants who were female, sedentary (p<0.05), had lymphedema for ≥2 years, and reported greater symptom burden (p<0.05) recorded lower general exercise barriers selfefficacy. Lower lymphedema-specific exercise barriers self-efficacy was reported by individuals who were sedentary, had cancers other than breast, and higher symptom burden. These findings suggest general and lymphedema- specific barriers challenge exercise confidence in those with cancer-related lymphedema, and strategies tailored to improve confidence in overcoming exercise barriers are warranted. Supporting individuals to be sufficiently active during and following cancer treatment should consider behavior change strategies tailored to the unique needs faced by individuals with lymphedema.
尽管癌症幸存者被建议进行锻炼，但他们可能对积极锻炼缺乏信心（自我效能感）。本研究旨在测量患有与癌症相关的淋巴水肿的个体的运动障碍和相关的自我效能感，并探讨自我效能感与参与者特征之间的关系。使用经过验证的 14 项李克特量表，对患有与癌症相关的淋巴水肿的个体进行了横断面调查，该量表评估了克服一般和淋巴水肿特异性运动障碍的自我效能感（0%=完全没有信心，100%=非常有信心）。还收集了人口统计学、医学和淋巴水肿数据。在 109 名参与者（52%的回应率）中，79%（n=86）患有乳腺癌相关的淋巴水肿。结果发现，参与者在面对一般（48%[95%CI：44, 52]）和淋巴水肿特异性运动障碍（51%[95%CI：47, 55]）时，对锻炼具有中等程度的信心。女性（p<0.05）、久坐（p<0.05）、淋巴水肿持续时间≥2 年以及报告有更大症状负担（p<0.05）的参与者记录的一般运动障碍自我效能感较低。久坐、患有除乳腺癌以外的癌症以及更高症状负担的个体报告的淋巴水肿特异性运动障碍自我效能感较低。这些发现表明，一般和淋巴水肿特异性障碍挑战了患有与癌症相关的淋巴水肿的个体的锻炼信心，需要制定有针对性的策略来提高克服运动障碍的信心。在癌症治疗期间和之后支持个体保持足够的活跃状态，应考虑针对患有淋巴水肿的个体的独特需求制定行为改变策略。
