Efverman Anna
Author Affiliation: Faculty of Health and Occupational Studies, Department of Caring Sciences, University of Gävle, Sweden.
Cancer Nurs. 2023 Jan 5. doi: 10.1097/NCC.0000000000001187.
Avoiding inactivity and staying active during cancer therapy have great health effects.
The aims of this study were to describe level of daily, leisure, and physical activities before, during, and after radiotherapy and to investigate whether patients who had not restored activity level after radiotherapy differed from patients who had restored activity level regarding different characteristics.
In this descriptive longitudinal study, 196 patients undergoing pelvic-abdominal radiotherapy reported their activity level at baseline, weekly during radiotherapy, and at 1 month after radiotherapy.
Patients decreased activity level during radiotherapy (P < .001 for all activities): physical activity (34% of patients decreased level), walking (26%), leisure activities (44%), social activities (15%), housework (34%), shopping (28%), and activities in general (28%). Almost half (47%) had not restored activity level after radiotherapy. Patients with colorectal cancer, older than 65 years, who had less education than university, and high capacity in overall daily activities at baseline were more likely than other patients not to restore activity level after radiotherapy. The patients not restoring their activity level after radiotherapy were more likely than others to experience anxious mood (P = .016), depressed mood (P = .003), and poor quality of life (P = .003) after radiotherapy.
Patients' activity level decreased during radiotherapy, and almost half of patients did not restore activity level after radiotherapy.
Given that restored activity level after radiotherapy was less common in certain subgroups and that patients who restored activity level experienced better quality of life and less frequent anxious and depressed mood, cancer nursing professionals should consider supporting these subgroups of patients in performing activities.
在癌症治疗期间避免不活动并保持活跃对健康有很大影响。
本研究的目的是描述放疗前、放疗期间和放疗后日常、休闲及体育活动的水平，并调查放疗后未恢复活动水平的患者与恢复活动水平的患者在不同特征方面是否存在差异。
在这项描述性纵向研究中，196例接受盆腔-腹部放疗的患者报告了他们在基线、放疗期间每周以及放疗后1个月时的活动水平。
患者在放疗期间活动水平下降（所有活动P <.001）：体育活动（34%的患者活动水平下降）、步行（26%）、休闲活动（44%）、社交活动（15%）、家务（34%）、购物（28%）以及总体活动（28%）。几乎一半（47%）的患者在放疗后未恢复活动水平。患有结直肠癌、年龄大于65岁、受教育程度低于大学且基线时总体日常活动能力较高的患者比其他患者在放疗后更有可能未恢复活动水平。放疗后未恢复活动水平的患者比其他患者在放疗后更有可能出现焦虑情绪（P = 0.016）、抑郁情绪（P = 0.003）以及生活质量较差（P = 0.003）。
患者在放疗期间活动水平下降，且几乎一半的患者在放疗后未恢复活动水平。
鉴于放疗后恢复活动水平在某些亚组中不太常见，且恢复活动水平的患者生活质量更好，焦虑和抑郁情绪出现频率更低，癌症护理专业人员应考虑支持这些亚组患者进行活动。
