晚期乳腺癌患者静态行为现状及其影响因素 [中文引用][英文引用]

目的  探讨晚期乳腺癌患者静态行为现状及其影响因素，为制订科学、有效的静态行为护理管理方案提供参考依据。方法  采用便利抽样法，选取 2023 年 11 月— 2024 年 6 月在郑州市某三级甲等肿瘤专科医院乳腺内科住院的 206 例患者，使用一般资料调查表、中国成人静态行为问卷、癌因性疲乏量表（cancer fatigue scale，CFS）、视觉模拟评分法（visual analoguescale，VAS）、医院焦虑抑郁量表（hospital anxiety and depression scale，HADS）进行调查。应用单因素分析及 Logistic 回归分析静态行为的影响因素。结果  198 例患者完成研究。晚期乳腺癌患者静态行为时间为（10.4±3.3）h/d，静态行为时间≥ 6h/d 的176 例（88.9%）。合并慢性病、转移部位数越多、疼痛越严重、癌因性疲乏的晚期乳腺癌患者越易出现静态行为（均 P<0.05）。结论  晚期乳腺癌患者的静态行为时间相对较长，发生率高，医护工作者应依据影响因素制订有针对性的护理管理干预策略，以缩短其静态行为时间，增加体力活动。

Objective To explore sedentary behaviour and the associated factors in the patients with advanced breast cancer， thereby offering a reference for developing management strategies to target the sedentary behaviour. Methods Convenience sampling was used to recruit 206 patients who were hospitalised in the Department of Breast Medicine of a Tier-IIIA cancer hospital in Zhengzhou between November 2023 and June 2024. Data were collected using a general demographic questionnaire，static behaviour questionnaire for Chinese adults，cancer fatigue scale（CFS），and visual analogue scale（VAS）and hospital anxiety and depression scale（HADS）. Univariate analysis and logistic regression were applied to identify factors associated with sedentary behaviour. Results A total of 198 patients completed the study. The mean sedentary behaviour time was（10.4±3.3）hours/day with 176（88.9%）of patients kept a sedentary for≥6 hours per day. Comorbid chronic diseases，number of metastatic sites，pain and cancer-related fatigue were found as the independent predictors of sedentary behaviour（all P<0.05）. Conclusion Patients with advanced breast cancer spend a considerable amount of time in sedentary with high incidence rate. Clinicians should develop targeted nursing management interventions to reduce sedentary time and increase physical activity of the patients.