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前列腺癌放疗后 1 年患者的障碍与活动、生活质量和自我效能

Barriers and applied activity, quality of life and self-efficacy in prostate cancer survivors 1 year after completing radiotherapy.

机构信息

Department of Physiotherapy, Faculty of Health Sciences, University of Granada, Av. De La Ilustración, 60, 18016, Granada, Spain.

Oncological Radiotherapy Service of the "Hospital PTS", Clínico San Cecilio University Hospital, Granada, Spain.

出版信息

Support Care Cancer. 2023 Apr 20;31(5):284. doi: 10.1007/s00520-023-07729-z.

Abstract

PURPOSE

The aims of the study were to assess self-reported physical activity (PA) levels, barriers to PA, quality of life and self-efficacy to manage chronic disease of prostate cancer survivor 1 year after radiotherapy treatment.

METHODS

A cross-sectional case-control study was performed. Prostate cancer survivor patients treated with radiotherapy were recruited from the Radiation Oncology Service of the "Complejo Hospitalario Universitario" (Granada) and compared with age-matched healthy men. Outcomes included were perception of benefits for physical activity and potential barriers (Exercise Benefits/Barriers Scale), physical activity levels assessed by the International Physical Activity Questionnaire (IPAQ), quality of life (EuroQol five-dimension three-levels) and self-efficacy (Self-Efficacy to Manage Chronic Disease).

RESULTS

A total of 120 patients were included in our study. Significant differences were found between groups with worse results for the prostate cancer patient group in the variable perception of the benefit of physical activity, potential barriers, and physical activity. Regarding quality of life and self-efficacy, significant differences were also observed between groups with a greater score in the control group.

CONCLUSION

In conclusion, the results of this study reveal that self-reported PA levels, as measured using the IPAQ, were low in prostate cancer survivors after treatment. Results also showed worse perception of benefits for PA and potential barriers by the cancer survivors. Similarly, the quality of life and self-efficacy to manage chronic disease of prostate cancer survivors was lower.

摘要

目的

本研究旨在评估前列腺癌放疗 1 年后患者的体力活动(PA)水平、PA 障碍、生活质量和慢性病自我管理效能感。

方法

采用病例对照的横断面研究方法,从“格拉纳达综合医院”放射肿瘤科招募接受放疗的前列腺癌幸存者患者,并与年龄匹配的健康男性进行比较。结果包括对体力活动益处和潜在障碍的感知(运动益处/障碍量表)、通过国际体力活动问卷(IPAQ)评估的体力活动水平、生活质量(欧洲五维健康量表 3 级)和自我效能(慢性病自我管理效能感)。

结果

本研究共纳入 120 例患者。两组之间存在显著差异,前列腺癌患者组在体力活动益处、潜在障碍和体力活动方面的感知变量结果更差。在生活质量和自我效能方面,两组之间也存在显著差异,对照组的评分更高。

结论

综上所述,本研究结果表明,接受治疗后的前列腺癌幸存者自我报告的 PA 水平较低,通过 IPAQ 测量。结果还显示,癌症幸存者对 PA 的益处和潜在障碍的感知更差。同样,前列腺癌幸存者的生活质量和慢性病自我管理效能感也较低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/754e/10119230/561795c436c6/520_2023_7729_Fig1_HTML.jpg

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