结核与肺部疾病杂志2024，Vol.5Issue(3)：197-206,10.DOI:10.19983/j.issn.2096-8493.2024048
肺癌化疗患者住院期间体力活动水平和症状群的相关性分析
Correlation analysis of physical activity levels and symptom clusters in lung cancer chemotherapy patients during hospitalization
摘要
Abstract
Objective:Investigate the patients'willingness to engage in exercise and level of physical activity with patients with lung cancer undergoing chemotherapy,and analyze the correlation between their physical activity level and symptom clusters.Methods:A cross-sectional survey was conducted from June to August 2022 among 232 lung cancer chemotherapy patients hospitalized at the Department of Respiratory Medicine,Shanghai Pulmonary Hospital,using a general questionnaire,the International Physical Activity Questionnaire(IPAQ),the revised version of the lung cancer module of the M.D.Anderson Symptom Inventory(MDASI-LC).A total of 229 valid questionnaires were collected,with an effective recovery rate of 98.71％.Exploratory factor analysis was employed to identify the categories of symptom clusters,and Spearman's rank correlation analysis was used to examine the correlation between their physical activity level and symptom clusters.Results:Six symptom clusters were identified in patients with lung cancer undergoing chemotherapy:respiratory symptom cluster,sleep-related symptom cluster,psychological symptom cluster,gastrointestinal symptom cluster,lung cancer-specific symptom cluster and cachexia symptom cluster.Moderate-intensity physical activity was negatively associated with psychological and cachexia symptoms(r=-0.153,-0.159;both P＜0.05),while walking activity was negatively correlated with respiratory,sleep-related,psychological,and lung cancer-specific symptom clusters(r=-0.257,-0.222,-0.284,-0.181;all P＜0.05).Total physical activity level was also negatively correlated with the respiratory,sleep-related,psychological,and cachexia symptom clusters(r=-0.252,-0.218,-0.304,-0.132;all P＜0.05).Conclusion:The level of physical activity in lung cancer chemotherapy patients was negatively correlated with symptom clusters,with higher activity levels corresponding to lower symptom burden.It is recommended to design personalized exercise prescriptions,health education,and exercise guidance based on patients'activity levels and symptom load,aiming to increase physical activity and alleviate symptom burden.关键词
肺肿瘤/物理治疗技术/运动/康复护理Key words
Lung neoplasms/Physical therapy modalities/Exercise/Rehabilitation nursing分类
医药卫生引用本文复制引用
谌欣欣,刘国凤,杨英姿,胡亚晨,金瑛,李玉梅..肺癌化疗患者住院期间体力活动水平和症状群的相关性分析[J].结核与肺部疾病杂志,2024,5(3):197-206,10.基金项目
Shanghai Pulmonary Hospital Nursing Department's Research Project(HL202403) （HL202403）
Teaching Reform and Construction Project of Tongji University(JS20221212) 上海市肺科医院护理院级课题(HL202403) （JS20221212）
同济大学教学改革研究与建设项目(JS20221212) （JS20221212）
