肺癌病患身體活動對症狀及生活品質之影響

Effects of physical activity on the symptoms and quality of life in lung cancer patients

林宜昀(Yi-Yun Lin)

指導教授 ： 林佳靜

臺北醫學大學/護理學院/護理學研究所/博士(2013年)

摘要

本研究為探討肺癌病患身體活動對症狀及生活品質之關係的系列研究。肺癌是全世界癌症死因的第一位，亦是台灣十大死因的第一位，研究背景：身體活動可能有助於癌症病患促進及維持身體健康，本篇研究目的為了解肺癌病患身體活動的偏好及其相關影響因素，以幫助設計符合肺癌病患需求的介入措施，並增加病患規律活動的參與率和遵從性。

研究方法：本研究使用描述性相關性研究設計，採方便取樣（Convenience sampling）方式收集資料。測量工具包括身體活動偏好問卷、身體活動社會支持量表和自我效能量表。
研究結果：共收集81位肺癌病患之身體活動偏好，其研究結果顯示，約有85.2%願意在癌症歷程中接受身體活動的諮商，且偏好從醫師處獲得相關資訊（28.4%）和使用面對面方式（48.1%）進行；另外，關於運動計畫方案，大部分的肺癌病患表示有興趣（70.4%）和能夠(69.1%)參與，約有88.9%病患偏好走路運動，且喜歡中度的身體活動（54.3%）。
研究結論：社會支持和自我效能能有效的預測中度的身體活動偏好，此結果可以提供未來設計肺癌病患患身體活動相關介入措施之參考，以提升肺癌病患生活品質。

關鍵字

肺癌 ； 生活品質 ； 身體活動

並列摘要

Background: Lung cancer is the leading cause of cancer deaths in the world.
Physical activity could help lung cancer patients improve their health.
The purpose of our study was to investigate lung cancer patients’ physical activity preferences and relevant contributing factors, so that we could develop individualized intervention strategies to fit their needs.

Methods: This study used a descriptive and correlational design. Instruments included a physical activity preference survey form, the Physical Activity Social Support Scale, and Physical Activity Self-efficacy Scale.

Results: From 81 lung cancer patients’ physical activity preferences, our results showed that during the course of their illness, 85.2% of patients wanted to have a physical activity consultation and preferred to obtain advice from their physicians (28.4%) through face-to-face counseling (48.1%). Moreover, patients (70.4%) showed an interest in physical activity programs, and many (69.1%) revealed that they were able to participate. About 88.9% of patients showed a preference for walking, and 54.3% patients preferred moderate physical activity.

Conclusions: This study also revealed that social support and self-efficacy for physical activity effectively predicted moderate physical activity preferences. The adherence to regular physical activity is improved by understanding the lung cancer patients’ unique preferences for physical activity.

並列關鍵字

lung cancer ； quality of life ； physical activity

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