Sheng Yanlei, Shen Fan, Xiong Mo, Huang Qin, Li Qingyi, Hu Luhong
Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Qiaokou District, 1095 Jiefang Road, Wuhan, 430030, Hubei, China.
School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, China.
BMC Psychol. 2025 Feb 28;13(1):171. doi: 10.1186/s40359-025-02541-2.
Numerous studies have reported that a majority of colorectal cancer patients in China have low levels of physical activity. Early identification of relevant factors is beneficial for formulating physical activity interventions. This study aimed to describe the status of physical activity in colorectal cancer patients and determine psychosocial predictors of low levels of physical activity.
We conducted a cross-sectional survey of 230 hospitalized patients with colorectal cancer in a tertiary hospital in Hubei Province. The research utilized a self-designed general information questionnaire, International Physical Activity Questionnaire Short Form (IPAQ-SF), Social Support Rating Scale (SSRS), Brief Illness Perception Questionnaire (BIPQ), and Posttraumatic Growth Inventory (PTGI) as assessment tools. SPSS 25.0 was used for descriptive statistical analysis, Chi-squared test, Student's t-test, and binary logistic regression analysis.
The prevalence of low physical activity among colorectal cancer patients was 52.5%. Binary logistic regression analysis revealed that monthly per capita household income of 3000-5000 yuan (OR = 0.274, 95% CI: 0.080-0.942), monthly per capita household income > 5000 yuan (OR = 0.191, 95% CI: 0.037-0.992), duration of diagnosis between 7 and 12 months (OR = 0.132, 95% CI: 0.030-0.587), social support score (OR = 0.802, 95% CI: 0.679-0.947), illness perception score (OR = 1.136, 95% CI: 1.019-1.266), and posttraumatic growth scores (OR = 0.915, 95% CI: 0.847-0.989) were independent predictors of physical activity in colorectal cancer patients.
Overall, colorectal cancer patients in China have low levels of physical activity. These findings may provide valuable insights for healthcare professionals to identify individuals with low levels of physical activity and to develop effective intervention strategies. In future clinical practice, healthcare providers can promote physical activity in colorectal cancer patients through interventions aimed at enhancing social interactions, improving proper knowledge and understanding of the disease, and fostering posttraumatic growth.
众多研究报告称，中国大多数结直肠癌患者身体活动水平较低。尽早识别相关因素有助于制定身体活动干预措施。本研究旨在描述结直肠癌患者的身体活动状况，并确定身体活动水平较低的心理社会预测因素。
我们对湖北省一家三级医院的230例住院结直肠癌患者进行了横断面调查。研究采用自行设计的一般信息问卷、国际身体活动问卷简表（IPAQ-SF）、社会支持评定量表（SSRS）、简易疾病认知问卷（BIPQ）和创伤后成长量表（PTGI）作为评估工具。使用SPSS 25.0进行描述性统计分析、卡方检验、t检验和二元逻辑回归分析。
结直肠癌患者身体活动水平较低的患病率为52.5%。二元逻辑回归分析显示，人均月家庭收入3000 - 5000元（OR = 0.274，95%CI：0.080 - 0.942）、人均月家庭收入>5000元（OR = 0.191，95%CI：0.037 - 0.992）、确诊时间7至12个月（OR = 0.132，95%CI：0.030 - 0.587）、社会支持得分（OR = 0.802，95%CI：0.679 - 0.947）、疾病认知得分（OR = 1.136，95%CI：1.019 - 1.266）和创伤后成长得分（OR = 0.915，95%CI：0.847 - 0.989）是结直肠癌患者身体活动的独立预测因素。
总体而言，中国结直肠癌患者身体活动水平较低。这些发现可为医护人员识别身体活动水平较低的个体并制定有效的干预策略提供有价值的见解。在未来的临床实践中，医护人员可通过旨在加强社交互动、改善对疾病的正确认识和理解以及促进创伤后成长的干预措施，来促进结直肠癌患者的身体活动。
