Lai Agnes Yuen Kwan, Choi Asa, Yiu Denise Yee Shan, Sun Yuying, Kwok Tyrone Tai On, Yeung Wing Fai, Lam David Chi Leung, Lam Tai Hing
School of Nursing and Health Sciences, Hong Kong Metropolitan University, Hong Kong, China.
Institute of Education, University College London, United Kingdom.
Asia Pac J Oncol Nurs. 2025 Jul 19;12:100759. doi: 10.1016/j.apjon.2025.100759. eCollection 2025 Dec.
This study explored knowledge of physical activity (PA) benefits, practices, preferences, and the acceptability of instant messaging interventions among patients with advanced lung cancer (ALC).
A cross-sectional survey was conducted using non-probability convenience sampling at a major regional teaching hospital in Hong Kong.
Of 100 participants approached, 82 ALC patients (mean age 64 years; 46.3% male) were included. Most believed PA could alleviate fatigue (72.0%), improve mood (72.0%), enhance sleep (65.9%), and relieve cancer-related discomfort (53.7%). However, only 34.1% were informed about PA benefits by health professionals, and 28.0% actively sought PA information. While 91.5% and 42.7% of ALC patients considered light and moderate PA, respectively, PA engagement declined, with those meeting the recommended 150 minutes of moderate PA per week dropping from 52.4% pre-diagnosis to 22.0% post-diagnosis. Among participants, 78.0% owned smartphones, and 92.2% of these had messaging apps. Most (81.3%) found it was feasible to use instant messaging for cancer-related information, and 71.9% believed health messages could encourage PA. Preferred topics included dietary information (85.9%), cancer treatments (70.3%), PA (67.2%), and infection prevention (35.9%). Most preferred receiving 1-3 messages per week (76.6%), especially in the afternoon (57.8%).
This study highlights gaps between ALC patients' positive beliefs about PA and health care providers' engagement, as well as deficiencies in health knowledge and behavior. Integrating PA guidance into routine care could support ALC patients' physical and mental well-being. Future research should explore smartphone-based messaging interventions to deliver personalized health education, promote PA, and improve outcomes.
ClinicalTrials.gov NCT04104516.
本研究探讨晚期肺癌（ALC）患者对体育活动（PA）益处的了解、实践情况、偏好以及即时通讯干预措施的可接受性。
在香港一家主要的地区教学医院采用非概率便利抽样进行横断面调查。
在接触的100名参与者中，纳入了82名ALC患者（平均年龄64岁；46.3%为男性）。大多数人认为体育活动可以缓解疲劳（72.0%）、改善情绪（72.0%）、提高睡眠质量（65.9%）以及减轻癌症相关不适（53.7%）。然而，只有34.1%的人从医护人员那里了解到体育活动的益处，28.0%的人主动寻求体育活动信息。虽然分别有91.5%和42.7%的ALC患者考虑进行轻度和中度体育活动，但体育活动参与度下降，达到每周推荐的150分钟中度体育活动量的患者比例从诊断前的52.4%降至诊断后的22.0%。在参与者中，78.0%拥有智能手机，其中92.2%安装了即时通讯应用程序。大多数人（81.3%）认为使用即时通讯获取癌症相关信息是可行的，71.9%的人认为健康信息可以鼓励进行体育活动。偏好的主题包括饮食信息（85.9%）、癌症治疗（70.3%）、体育活动（67.2%）以及感染预防（35.9%）。大多数人希望每周收到1 - 3条信息（76.6%），尤其是在下午（57.8%）。
本研究凸显了ALC患者对体育活动的积极信念与医护人员参与度之间的差距，以及健康知识和行为方面的不足。将体育活动指导纳入常规护理可以支持ALC患者的身心健康。未来的研究应探索基于智能手机的即时通讯干预措施，以提供个性化健康教育、促进体育活动并改善结果。
ClinicalTrials.gov NCT04104516。
