Zhang Na, He Xin, Zhang Huanhuan, Zhu Yajing, Liu Yan
Department of Thoracic Surgery, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Chaoyang District, Beijing 100021, China.
Evid Based Complement Alternat Med. 2022 Jul 19;2022:7572530. doi: 10.1155/2022/7572530. eCollection 2022.
The aim of the study is to understand the current status of physical activity in patients with lung cancer surgery, explore its influencing factors, and analyze the correlation between physical activity and exercise self-efficacy and perception of social support.
The General Information Questionnaire was designed for 145 patients, Chinese version of EPIC-PAQ physical activity scale for lung cancer patients. The Exercise Self-Efficacy Scale (SEE) is used to evaluate the ability of people to organize and execute motor behaviors in various difficult situations. The Perceived Social Support Scale (PSSS) was used to emphasize individual self-understanding and self-feeling.
The median and quartile of total physical activity scores in lung cancer surgery patients were 73.0 (34.8, 129.7) points; univariate analysis showed that there were statistically significant differences in physical activity levels among lung cancer surgery patients with different ages, work status before hospitalization, and perceived disease severity. The results of multivariate analysis showed that age, perceived disease severity, exercise self-efficacy, and total score of perceived social support affected the physical activity level of patients ( < 0.05). Efficacy were positively correlated with perceived social support ( < 0.01).
The level of physical activity of patients undergoing lung cancer surgery needs to be further improved. Physical activity is affected by patient age, perceived disease severity, exercise self-efficacy, and perceived social support and is positively correlated with exercise self-efficacy and perceived social support. Medical staff should provide targeted activity guidance according to the age and other characteristics of patients undergoing lung cancer surgery, enhance patients' exercise self-efficacy and comprehend social support, and improve their physical activity level, thereby promoting patients' early recovery.
本研究旨在了解肺癌手术患者的体力活动现状，探讨其影响因素，并分析体力活动与运动自我效能感及社会支持感知之间的相关性。
为145例患者设计一般信息问卷，采用中文版肺癌患者体力活动量表（EPIC-PAQ）。运动自我效能量表（SEE）用于评估人们在各种困难情况下组织和执行运动行为的能力。领悟社会支持量表（PSSS）用于强调个体的自我认知和自我感受。
肺癌手术患者总体力活动得分的中位数和四分位数分别为73.0（34.8，129.7）分；单因素分析显示，不同年龄、住院前工作状态及疾病严重程度感知的肺癌手术患者体力活动水平存在统计学差异。多因素分析结果显示，年龄、疾病严重程度感知、运动自我效能感及领悟社会支持总分影响患者的体力活动水平（<0.05）。自我效能感与领悟社会支持呈正相关（<0.01）。
肺癌手术患者的体力活动水平有待进一步提高。体力活动受患者年龄、疾病严重程度感知、运动自我效能感及领悟社会支持的影响，且与运动自我效能感和领悟社会支持呈正相关。医护人员应根据肺癌手术患者的年龄等特征提供有针对性的活动指导，增强患者的运动自我效能感，提高其对社会支持的领悟，提升其体力活动水平，从而促进患者早日康复。
