大肠癌患者锻炼自我效能的现况调查
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摘要
目的了解大肠癌患者锻炼自我效能的现状。方法采用方便抽样,于2017年4月至9月,对134例北京某三甲医院就诊的大肠癌患者进行问卷调查。问卷由一般资料调查表和锻炼自我效能量表两部分组成。结果大肠癌患者锻炼自我效能的得分为(51.86±14.71)分,得分最高的条目为"在假期中",得分最低的条目为"当我锻炼觉得身体不舒服时"。经济状况较好的大肠癌患者具有更高的锻炼自我效能。结论大肠癌患者的锻炼自我效能水平处于中等水平,有待进一步提高;充裕的闲暇时间可能会提高大肠癌患者的锻炼自我效能;医护人员应加强运动锻炼方面的健康宣教,重点关注身体状况欠佳和经济状况差的大肠癌患者。
Objective To understand the status quo of exercise self-efficacy in patients with colorectal cancer. Methods 134 colorectal patients were recruited by convenience sampling from April to September in 2017. They were investigated with the Exercise Self-Efficacy Scale and demographics and health status questionnaire. Results The score of the exercise self-efficacy was(51.86 ±14.71). The highest scoring item was ″during the vacation″, and the lowest scoring item was ″when I exercise, I feel ill″. Colorectal cancer patients with better economic condition have higher exercise self-efficacy. Conclusion The level of exercise self-efficacy in colorectal cancer patients was in the middle and remains to be further improved.Ample leisure time can be improved the exercise self-efficacy in patients with colorectal cancer. Medical personnel should strengthen the education about exercise and focus on the colorectal patients in the status of poor health and poor economy.
Objective To understand the status quo of exercise self-efficacy in patients with colorectal cancer. Methods 134 colorectal patients were recruited by convenience sampling from April to September in 2017. They were investigated with the Exercise Self-Efficacy Scale and demographics and health status questionnaire. Results The score of the exercise self-efficacy was(51.86 ±14.71). The highest scoring item was ″during the vacation″, and the lowest scoring item was ″when I exercise, I feel ill″. Colorectal cancer patients with better economic condition have higher exercise self-efficacy. Conclusion The level of exercise self-efficacy in colorectal cancer patients was in the middle and remains to be further improved.Ample leisure time can be improved the exercise self-efficacy in patients with colorectal cancer. Medical personnel should strengthen the education about exercise and focus on the colorectal patients in the status of poor health and poor economy.
引文
[1]Bandura A.Self-efficacy toward a unifying theory of behavior change[J].Psychol Rev,1977,84(2):191-215.
[2]尚刘文心,沈美芳,陈文瑶,等.慢性心力衰竭患者症状管理自我效能及其影响因素的调查研究[J].中华护理杂志,2014,49(6):674-679.
[3]林蓓蕾,张振香,康佳迅,等.社区脑卒中患者自我效能水平影响因素及对策[J].中国老年学杂志,2015,35(2):451-454.
[4]张小丽,张盼,邢凤梅,等.农村中老年糖尿病患者自我效能现状及影响因素[J].中国老年学杂志,2017,37(2):474-475.
[5]Silva AN,Moratelli L,Tavares PL,et al.Self-efficacy beliefs,locus of control,religiosity and non-adherence to immunosuppressive medications in kidney transplant patients[J].Nephrology(Carlton),2016,21(11):938-943.
[6]Mcauley E,Lox C,Duncan TE.Long-term maintenance of exercise,self-efficacy,and physiological change in older adults[J].J Gerontol B Psychoi Sci Soc,1993,48(4):218-224.
[7]Annesi JJ,Johnson PH,McEwen KL.Changes in self-efficacy for exercise and improved nutrition fostered by increased self-regulation among adults with obesity[J].J Prim Prev,2015,36(5):311-321.
[8]Lee H,Boo S,Yu J,et al.Physical Functioning,Physical Activity,Exercise Self-Efficacy,and Quality of Life Among Individuals With Chronic Heart Failure in Korea:A Cross-Sectional Descriptive Study[J].J Nurs Res,2017,25(2):131-139.
[9]杨尚剑.社会支持、自我效能与青少年体育锻炼满意度的关系[J].武汉体育学院学报,2016,50(2):90-94.
[10]马潇然,孙国珍,林红,等.舒张性心力衰竭患者运动自我效能与家庭运动行为相关性研究[J].护理学杂志,2016,31(23):9-11.
[11]李信欣,马香,张利峰,等.慢性下腰痛患者自我管理行为与自我效能的相关性分析[J].中国实用护理杂志,2016,32(31):2423-2428.
[12]Grimmett C,Bridgewater J,Steptoe A,et al.Lifestyle and quality of life in colorectal cancer survivors[J].Qual Life Res,2011,20(8):1237-1245.
[13]Peddle CJ,Au HJ,Courneya KS.Associations between exercise,quality of life,and fatigue in colorectal cancer survivors[J].Dis Colon Rectum,2008,51(8):1242-1248.
[14]Devin JL,Sax AT,Hughes GI,et al.The influence of highintensity compared with moderate-intensity exercise training on cardiorespiratory fitness and body composition in colorectal cancer survivors:a randomised controlled trial[J].J Cancer Surviv,2016,10(3):467-479.
[15]Wijndaele K,Matton L,Duvigneaud N,et al.Association between leisure time and physical activity and stress,social support and coping:A cluster-analytic approach[J].Psychol Sport Exerc,2007,8(4):425-440.
[16]Bandura A.Guide for constructing self-efficacy scales[M].Stanford,CA:Stanford University,2001.
[17]Shin Y,Jang H,Pender NJ.Psychometric evaluation of the exercise self-efficacy scale among Korean adults with chronic diseases[J].Research in Nursing and Health,2001,24(1):68-76.
[18]Tung WC,Gillett PA,Pattillo RE.Applying the Transtheoretical Model to physical activity in family caregivers in Taiwan[J].Public Health Nursing,2005,22(4):299-310.
[19]陈烨,陈琪尔,万丽红,等.2型糖尿病患者锻炼自我效能与体育锻炼的相关性研究[J].中华现代护理杂志,2010,16(2):129-132.
[20]刘茜.维持性血液透析患者体力活动现状及影响因素的研究[D].北京:北京协和医学院,2012.
[21]陈赟,孙柳,王艳玲,等.维持性血液透析患者居家运动情况的调查[J].中国护理管理,2017,17(5):707-711.
[22]Courneya KS,Friedenreich CM,Quinney HA,et al.A longitudinal study of exercise barriers in colorectal cancer survivors participating in a randomized controlled trial[J].Ann Behav Med,2005,29(2):147-153.
[23]Huffman KM,Pieper CF,Hall KS,et al.Self-Efficacy for Exercise,more than Disease-Related Factors,Associates with ObjectivelyAssessed Exercise Time and Sedentary Behavior in Rheumatoid Arthritis[J].Scand J Rheumatol,2015,44(2):106-110.
[24]van Putten M,Husson O,Mols F,et al.Correlates of physical activity among colorectal cancer survivors:results from the longitudinal population-based profiles registry[J].Support Care Cancer,2016,24(2):573-583.
[25]Lynch BM,Owen N,Hawkes AL,et al.Perceived barriers to physical activity for colorectal cancer survivors[J].Support Care Cancer,2010,18(6):729-734.
[26]Kang DW,Chung JY,Lee MK,et al.Exercise barriers in Korean colorectal cancer patients[J].Asian Pac J Cancer Prev,2014,15(18):7539-7545.
[27]胡蕴绮,周兰姝.社区老年人健康行为自我效能及其影响因素[J].中国老年学杂志,2013,33(4):897-899.
[2]尚刘文心,沈美芳,陈文瑶,等.慢性心力衰竭患者症状管理自我效能及其影响因素的调查研究[J].中华护理杂志,2014,49(6):674-679.
[3]林蓓蕾,张振香,康佳迅,等.社区脑卒中患者自我效能水平影响因素及对策[J].中国老年学杂志,2015,35(2):451-454.
[4]张小丽,张盼,邢凤梅,等.农村中老年糖尿病患者自我效能现状及影响因素[J].中国老年学杂志,2017,37(2):474-475.
[5]Silva AN,Moratelli L,Tavares PL,et al.Self-efficacy beliefs,locus of control,religiosity and non-adherence to immunosuppressive medications in kidney transplant patients[J].Nephrology(Carlton),2016,21(11):938-943.
[6]Mcauley E,Lox C,Duncan TE.Long-term maintenance of exercise,self-efficacy,and physiological change in older adults[J].J Gerontol B Psychoi Sci Soc,1993,48(4):218-224.
[7]Annesi JJ,Johnson PH,McEwen KL.Changes in self-efficacy for exercise and improved nutrition fostered by increased self-regulation among adults with obesity[J].J Prim Prev,2015,36(5):311-321.
[8]Lee H,Boo S,Yu J,et al.Physical Functioning,Physical Activity,Exercise Self-Efficacy,and Quality of Life Among Individuals With Chronic Heart Failure in Korea:A Cross-Sectional Descriptive Study[J].J Nurs Res,2017,25(2):131-139.
[9]杨尚剑.社会支持、自我效能与青少年体育锻炼满意度的关系[J].武汉体育学院学报,2016,50(2):90-94.
[10]马潇然,孙国珍,林红,等.舒张性心力衰竭患者运动自我效能与家庭运动行为相关性研究[J].护理学杂志,2016,31(23):9-11.
[11]李信欣,马香,张利峰,等.慢性下腰痛患者自我管理行为与自我效能的相关性分析[J].中国实用护理杂志,2016,32(31):2423-2428.
[12]Grimmett C,Bridgewater J,Steptoe A,et al.Lifestyle and quality of life in colorectal cancer survivors[J].Qual Life Res,2011,20(8):1237-1245.
[13]Peddle CJ,Au HJ,Courneya KS.Associations between exercise,quality of life,and fatigue in colorectal cancer survivors[J].Dis Colon Rectum,2008,51(8):1242-1248.
[14]Devin JL,Sax AT,Hughes GI,et al.The influence of highintensity compared with moderate-intensity exercise training on cardiorespiratory fitness and body composition in colorectal cancer survivors:a randomised controlled trial[J].J Cancer Surviv,2016,10(3):467-479.
[15]Wijndaele K,Matton L,Duvigneaud N,et al.Association between leisure time and physical activity and stress,social support and coping:A cluster-analytic approach[J].Psychol Sport Exerc,2007,8(4):425-440.
[16]Bandura A.Guide for constructing self-efficacy scales[M].Stanford,CA:Stanford University,2001.
[17]Shin Y,Jang H,Pender NJ.Psychometric evaluation of the exercise self-efficacy scale among Korean adults with chronic diseases[J].Research in Nursing and Health,2001,24(1):68-76.
[18]Tung WC,Gillett PA,Pattillo RE.Applying the Transtheoretical Model to physical activity in family caregivers in Taiwan[J].Public Health Nursing,2005,22(4):299-310.
[19]陈烨,陈琪尔,万丽红,等.2型糖尿病患者锻炼自我效能与体育锻炼的相关性研究[J].中华现代护理杂志,2010,16(2):129-132.
[20]刘茜.维持性血液透析患者体力活动现状及影响因素的研究[D].北京:北京协和医学院,2012.
[21]陈赟,孙柳,王艳玲,等.维持性血液透析患者居家运动情况的调查[J].中国护理管理,2017,17(5):707-711.
[22]Courneya KS,Friedenreich CM,Quinney HA,et al.A longitudinal study of exercise barriers in colorectal cancer survivors participating in a randomized controlled trial[J].Ann Behav Med,2005,29(2):147-153.
[23]Huffman KM,Pieper CF,Hall KS,et al.Self-Efficacy for Exercise,more than Disease-Related Factors,Associates with ObjectivelyAssessed Exercise Time and Sedentary Behavior in Rheumatoid Arthritis[J].Scand J Rheumatol,2015,44(2):106-110.
[24]van Putten M,Husson O,Mols F,et al.Correlates of physical activity among colorectal cancer survivors:results from the longitudinal population-based profiles registry[J].Support Care Cancer,2016,24(2):573-583.
[25]Lynch BM,Owen N,Hawkes AL,et al.Perceived barriers to physical activity for colorectal cancer survivors[J].Support Care Cancer,2010,18(6):729-734.
[26]Kang DW,Chung JY,Lee MK,et al.Exercise barriers in Korean colorectal cancer patients[J].Asian Pac J Cancer Prev,2014,15(18):7539-7545.
[27]胡蕴绮,周兰姝.社区老年人健康行为自我效能及其影响因素[J].中国老年学杂志,2013,33(4):897-899.