改善癌症病人睡眠障礙之居家運動訓練：遵從性及預測因子之探討

Home-Base Exercise Training to Improve Sleep Disturbance of Cancer Patients: Adherence and Predictors Exploration

湯梅芬(Mei-Fen Tang) ； 林佳靜(Chia-Chin Lin)

《新臺北護理期刊》 23卷1期 (2021/03) Pp. 8-19

https://doi.org/10.6540/NTJN.202103_23(1).0002

摘要

睡眠障礙已普遍成為癌症病人最明顯的症狀困擾之一，居家運動訓練亦已被證實能改善其睡眠障礙程度，然而探討癌症病人居家運動訓練遵從性預測因子的相關研究仍相當缺乏。本研究目的為探討癌症病人居家運動訓練遵從性及預測因子。本研究採類實驗法研究設計，以立意選樣方式納入36位研究個案，進行為期八週的居家運動訓練。研究結果顯示，個案於接受居家運動訓練後第四週（t = -8.99, p = .00）及第八週（t = -10.19, p = .00），其睡眠時數均與居家運動訓練前之睡眠時數，具統計上之顯著差異，此外，72.2%之納入個案平日無規律運動之習慣，在經由八週的居家運動訓練指導介入後，約有83.5%之個案能實際遵行居家運動訓練。人口學變項中以「先前有無規律的運動習慣」及「經歷睡眠障礙的時間長短」二項，與運動次數之間達統計上顯著差異。進一步於多元線性迴歸模式中，以運動次數為依變項，將「先前有無規律的運動習慣」及「經歷睡眠障礙的時間長短」列為自變項，整體解釋力為37.2%。本研究結果建議將「先前有無規律的運動習慣」及「經歷睡眠障礙的時間長短」二項列入癌症病人運動遵從性之預測因子，並提供未來擬定癌症病人運動介入計劃或執行衛生教育時之參考，以有效提昇癌症病人居家運動訓練的持續性與生活品質。

關鍵字

癌症病人 ； 居家運動訓練 ； 睡眠障礙 ； 遵從性

並列摘要

Sleep disturbance has generally become one of the most obvious symptoms of cancer patients, and home-base exercise training has also been proven to improve their sleep disturbance. However, research on the predictors of adherence with home-base exercise training for cancer patients is still lacking. The purpose of this study is to investigate adherence and predictors of home-base exercise training for cancer patients. This study adopted experimental methods to study and design, which included 36 research cases in the sample selection method doing home-base exercise training conducted for 8 weeks. The results showed that after receiving the home-base exercise training in the 4th week (t = -8.99, p = .00) and the 8th week (t = -10.19, p = .00), there were statistically significant differences in sleep hours. In addition, 72.2% of the cases included the habit of irregular exercise on weekdays; after eight weeks of home-base exercise training instruction and intervention, about 83.5% of the cases could actually follow home-base exercise training. Among the demographic variables, ＂previously irregular exercise habits＂ and ＂length of sleep disturbance＂ were statistically significant different from the number of exercise sessions. Further in the multiple linear regression model, the number of exercises was used as a dependent term, while ＂previously irregular exercise habits＂ and ＂the length of time spent experiencing sleep disturbance＂ were listed as independent variables. In this way, the overall explanation was 37.2%. This study suggests that ＂previously irregular exercise habits＂ and ＂time spent experiencing sleep disturbance＂ be included as predictors of exercise adherence for cancer patients and provide information on unplanned exercise intervention plans or health education to effectively improve the continuity of home-base exercise training for cancer patients.

並列關鍵字

cancer patient ； home-base exercise training ； sleep disturbance ； adherence

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