基于多理论模型的运动干预对结直肠癌术后患者体力活动持续时间及意愿的影响：一项准实验研究
The effects of multi-theory model-based exercise intervention on the duration of and willingness to perform physical activity in postoperative colorectal cancer patients: a quasi-experimental study.
作者信息
Qin Xiaohong, Zhao Yanhui, Yin Qing, Liu Meiling, Zhang Lianjie, Chen Si
机构信息
The First Hospital of Jilin University, No. 71 Xinmin Street, Changchun, Jilin, 130021, China.
The Second Norman Bethune Hospital of Jilin University, No. 218 Ziqiang Street, Changchun, Jilin, 130000, China.
出版信息
Support Care Cancer. 2025 Jun 26;33(7):630. doi: 10.1007/s00520-025-09672-7.
AIM
Postoperative colorectal cancer (CRC) patients have less physical activity (PA) and prolonged sedentary time, which negatively affects their quality of life and longevity. Therefore, the aim of this study was to evaluate the effects of an exercise intervention based on the multi-theory model (MTM) on the time of and willingness to perform PA in postoperative CRC patients.
METHODS
A quasi-experimental study was conducted with an intervention group and a control group. A convenience sampling method was used to include 70 CRC patients admitted to the Department of Colorectal Surgery of a Grade III hospital in Jilin Province, China. The intervention group received basic nursing care + MTM exercise intervention, and the control group received basic nursing care + knowledge-based education. The duration of the intervention was 1 month. The Measuring Change in Physical Activity Questionnaire (MCPAQ), the International Physical Activity Questionnaire (IPAQ), and the Core Quality of Life Scale (EORTC-QLQ-30) were used to evaluate patients at admission, 1 week after the intervention, and 1 month after the intervention. The data were analyzed using descriptive analysis, repeated-measures ANOVA to analyze differences at multiple time points, and independent sample t tests or rank-sum tests for comparisons between groups.
RESULTS
The demographic characteristics were similar between the two groups at baseline (p > 0.05). In the intervention group, the willingness to perform PA, walking duration (light-intensity physical activity, LPA), moderate-vigorous physical activity (MVPA) duration, and quality of life were greater than those in the control group (p < 0.05) at 1 week and 1 month after the exercise intervention. In addition, sedentary behavior (SB) was lower in the intervention group than in the control group (p < 0.05). In addition, the measurements over time also revealed positive effects of exercise intervention on PA duration and willingness to perform PA in postoperative CRC patients in the intervention group.
CONCLUSION
Exercise interventions based on the MTM are important for improving the duration of and willingness to perform PA, improving quality of life, and reducing sedentary time in postoperative CRC patients.
目的
结直肠癌（CRC）术后患者的身体活动（PA）较少且久坐时间延长，这对他们的生活质量和寿命产生负面影响。因此，本研究的目的是评估基于多理论模型（MTM）的运动干预对CRC术后患者进行PA的时间和意愿的影响。
方法
进行了一项准实验研究，设有干预组和对照组。采用便利抽样方法纳入了中国吉林省某三级医院结直肠外科收治的70例CRC患者。干预组接受基础护理+MTM运动干预，对照组接受基础护理+基于知识的教育。干预持续时间为1个月。使用身体活动测量变化问卷（MCPAQ）、国际身体活动问卷（IPAQ）和核心生活质量量表（EORTC-QLQ-30）在入院时、干预后1周和干预后1个月对患者进行评估。数据采用描述性分析、重复测量方差分析以分析多个时间点的差异，以及独立样本t检验或秩和检验进行组间比较。
结果
两组在基线时的人口统计学特征相似（p>0.05）。在运动干预后1周和1个月时，干预组进行PA的意愿、步行时间（轻度身体活动，LPA）、中度至剧烈身体活动（MVPA）时间和生活质量均高于对照组（p<0.05）。此外，干预组的久坐行为（SB）低于对照组（p<0.05）。此外，随时间的测量还显示运动干预对干预组CRC术后患者的PA持续时间和进行PA的意愿有积极影响。
结论
基于MTM的运动干预对于改善CRC术后患者进行PA的持续时间和意愿、提高生活质量以及减少久坐时间很重要。
Zotero 插件