结直肠癌患者久坐行为现状及影响因素研究

朱纯静; 陈鸟鸟; 汪少艳; 麻祥微; 滕洋洋; 黄朝玲

doi:10.16766/j.cnki.issn.1674-4152.003150

结直肠癌患者久坐行为现状及影响因素研究

doi: 10.16766/j.cnki.issn.1674-4152.003150

1.
温州医科大学附属第二医院消化内科，浙江温州 325000
2.
温州医科大学附属第二医院肛肠外科，浙江温州 325000
3.
温州医科大学附属第一医院肝胆外科，浙江温州 325000

基金项目:

浙江省医药卫生科技计划项目 2023KY908

详细信息

通讯作者:
陈鸟鸟，E-mail: znn36258@163.com

中图分类号: R735.35 R735.37
计量
- 文章访问数: 332
- HTML全文浏览量: 146
- PDF下载量: 21
- 被引次数: 0
出版历程
- 收稿日期: 2023-03-28
- 网络出版日期: 2023-10-19

Sedentary behavior and its influencing factors among patients with colorectal cancer

1.
Department of Gastroenterology, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

摘要

摘要: 目的了解结直肠癌患者久坐行为现状及影响因素，为制定针对性的干预措施提供参考。方法采取便利抽样法，对温州市两所三甲医院2020年12月—2022年12月收治的201例结直肠癌患者进行问卷调查，使用研究团队自行设计的一般资料问卷、中文版国际体力活动问卷(international physical activity questionnaire, IPAQ)、社会支持评定量表(social support rate scale, SSRS)、埃德蒙顿症状评估量表(Edmonton symptom assessment scale, ESAS)对患者的一般资料特征、久坐行为、社会支持和身心症状进行调查。结果本研究共调查217例结直肠癌患者，共回收有效问卷201份，结果显示结直肠癌患者每天久坐行为时间为(8.69±2.40)h。单因素分析结果显示不同性别、职业状态、文化程度、家庭月收入、居住方式、TNM分期、是否造口的结直肠癌患者的久坐行为得分比较差异有统计学意义(均P < 0.05)。多元回归分析结果显示，文化程度、造口、疲乏、抑郁和社会支持是患者久坐行为的影响因素(均P < 0.05)。结论结直肠癌患者久坐行为时间处于高等水平，低文化水平、有造口、疲乏、抑郁和低水平社会支持的患者更容易产生久坐行为，未来可以结合认知行为疗法和远程可穿戴设备等方式制定针对性的干预措施，进而减少患者久坐行为。
- 结直肠癌 /
- 久坐行为 /
- 造口 /
- 社会支持 /
- 影响因素
Abstract: Objective To understand the status and influencing factors of sedentary behavior among patients with colorectal cancer, and to provide reference for the formulation of targeted interventions. Methods A total of 201 patients with colorectal cancer in two Grade A tertiary hospital in Wenzhou were selected by convenience sampling method and investigated with the questionnaire. The general information characteristics, sedentary behavior, social support and psychosomatic symptoms of the patients were investigated using the general information questionnaire designed by the research team, the Chinese version of the international physical activity questionnaire (IPAQ), social support rate scale (SSRS), and Edmonton symptom assessment scale (ESAS). Results A total of 217 patients with colorectal cancer were investigated in this study, and 201 questionnaires were effectively collected. The total score of sedentary behavior among patients with colorectal cancer patients was (8.69±2.40) h. Univariate analysis showed that there were statistically significant differences in the sedentary behavior scores of colorectal cancer patients with different gender, occupational status, education level, family monthly income, living style, TNM stage and whether stoma (all P < 0.05). Multivariate regression analysis showed that degree of education, stoma, fatigue, depression and social support were the influencing factors of sedentary behavior among patients with colorectal cancer. Conclusion The sedentary behavior of patients with colorectal cancer is at a high level. The patients with low education level, stoma, fatigue, depression and low levels of social support are prone to experience sedentary behavior. In the future, cognitive behavioral therapy and remote wearable devices can be combined to develop targeted interventions to reduce sedentary behavior of patients.
- Colorectal cancer /
- Sedentary behavior /
- Stoma /
- Social support /
- Influencing factors

HTML全文

表 1 结直肠癌患者久坐行为的单因素分析(x ± s，分)

Table 1. Univariate analysis of sedentary behavior in patients with colorectal cancer(x ±s, points)

项目	例数	总分	统计量	P值
性别			2.521^a	0.044
男性	114	9.17±2.04
女性	87	8.20±3.40
年龄(岁)			0.324^b	0.724
< 40	30	8.12±1.08
40~60	102	8.32±2.50
>60	69	8.87±2.27
婚姻状态			-1.903^a	0.058
有配偶	173	8.64±2.06
无配偶	28	9.27±2.41
职业状态			4.626^b	0.004
在职	91	7.94±1.48
下岗或待业	61	8.46±2.42
病退或退休	49	9.12±2.20
文化程度			6.018^b	0.001
小学以下	68	9.71±2.09
初中	69	8.63±2.08
高中或中专	37	8.78±2.04
大专以上	27	6.91±2.23
家庭月收入(元)			3.369^b	0.016
< 3 000	46	10.28±1.85
3 000~5 000	112	8.61±1.50
>5 000	43	8.12±1.92
医保类型			1.570^b	0.055
居民医保	135	9.14±2.55
职工医保	52	9.02±1.65
自费	14	8.94±1.70
居住方式			1.746^a	0.032
独居	32	9.92±1.80
非独居	169	8.15±2.47
TNM分期			3.134^b	0.027
Ⅰ期	17	7.96±2.11
Ⅱ期	45	8.04±1.44
Ⅲ期	102	8.90±1.99
Ⅳ期	37	9.73±1.68
并发症			0.781^a	0.436
有	30	8.47±1.78
无	171	8.84±2.29
是否造口			5.903^a	0.008
是	117	9.94±2.06
否	84	7.11±1.41
注: ^a为t值, ^b为F值。

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表 2 结直肠癌患者久坐行为影响因素的多元回归分析(n=201)

Table 2. Multiple regression analysis of influencing factors of sedentary behavior in patients with colorectal cancer (n=201)

变量	B	SE	β	t值	P值
文化程度	-0.423	0.129	-0.108	-2.121	< 0.001
造口	0.829	0.261	0.206	3.173	0.002
疲乏	1.309	0.473	0.179	2.768	0.006
抑郁	0.939	0.424	0.201	1.289	0.003
社会支持	-0.692	0.328	-0.137	-2.111	0.036

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