摘要
目的 调查肺癌患者久坐时间状况及影响因素,为减少晚期肺癌患者久坐行为提供干预方向。方法 于2023年3月至2024年2月采用便利抽样法抽取河南省某三级甲等综合医院呼吸内科符合纳入标准的晚期肺癌患者为研究对象,使用一般资料问卷、国际体力活动短问卷、卡氏评分(KPS)、抑郁自评量表、社会支持评定量表进行调查,对不同特征的晚期肺癌患者的久坐时间进行单因素分析,采用二元logistic回归分析晚期肺癌患者久坐行为的影响因素。结果 共发放调查问卷187份,回收有效问卷169份。晚期肺癌患者每日总久坐时间为(7.8±2.9)h,久坐时间每日≥6 h的患者有92例,久坐发生率为54.4%。不同年龄、居住状态、受教育程度、治疗情况、转移情况、KPS评分及抑郁情况的晚期肺癌患者,其久坐行为差异均有统计学意义(P<0.05)。二元logistic回归分析结果显示,年龄、治疗情况、KPS评分及抑郁情况是晚期肺癌患者久坐的影响因素(P<0.05)。年龄≥60岁、已接受3种及以上抗肿瘤治疗、KPS评分不足80分、中重度抑郁的晚期肺癌患者久坐发生率更高。结论 晚期肺癌患者的久坐行为不容忽视,其发生与年龄、居住状态、治疗情况、KPS评分、抑郁情况等因素有关。减少久坐时间的有针对性的干预措施可能有利于改善这类患者久坐行为。
Objective To investigate the status and influencing factors of sedentary time in patients with lung cancer,and to provide directions for interventions aimed at reducing sedentary behavior in patients with advanced lung cancer.Methods From March 2023 to February 2024,patients with advanced lung cancer who met the inclusion criteria were selected by convenience sampling from the Department of Respiratory Medicine of a tertiary comprehensive hospital in Henan Province.A general information questionnaire,the international physical activity questionnaire short form,Karnofsky performance status(KPS),self-rating depression scale,and social support rating scale were used for the survey.Univariate analysis was performed on sedentary time among advanced lung cancer patients with different characteristics,and binary logistic regression was used to analyze the influencing factors of sedentary behavior in these patients.Results A total of 187 questionnaires were distributed,and 169 valid questionnaires were collected.The average daily total sedentary time of advanced lung cancer patients was(7.8±2.9)h,and 92 patients had sedentary time≥6 h per day,with a sedentary behavior incidence of 54.4%.There were statistically significant differences in sedentary behavior among patients with different ages,living arrangements,education levels,treatment status,metastasis status,KPS scores,and depression levels(P<0.05).Binary logistic regression analysis showed that age,treatment status,KPS score,and depression level were influencing factors for sedentary behavior in advanced lung cancer patients(P<0.05).Patients aged≥60 years,those who had received three or more types of antitumor therapy,those with KPS scores<80,and those with moderate to severe depression had a higher incidence of sedentary behavior.Conclusion Sedentary behavior in advanced lung cancer patients should not be ignored,and its occurrence is associated with factors such as age,living arrangement,treatment status,KPS score,and depression level.Targeted interventions to reduce sedentary time may help improve sedentary behavior in these patients.
作者
李晓静
李昂
宋宁
LI Xiaojing;LI Ang;SONG Ning(Department of Respiratory Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)
出处
《河南医学研究》
2025年第24期4425-4429,共5页
Henan Medical Research
基金
河南省医学科技攻关计划联合共建项目(LHGJ20240240)。
关键词
晚期肺癌
久坐行为
影响因素
advanced lung cancer
sedentary behavior
influencing factors
