基于远程指导运动干预对乳腺癌术后患者生活质量、体适能及体力活动参与度变化的影响

doi:10.15942/j.jcsu.2021.03.020

成都体育学院学报 ›› 2021, Vol. 47 ›› Issue (3): 126-131.doi: 10.15942/j.jcsu.2021.03.020

基于远程指导运动干预对乳腺癌术后患者生活质量、体适能及体力活动参与度变化的影响

董晓升¹, 丁萌², 伊向仁¹, 余之刚³

1.山东大学体育学院,山东济南 250061;
2.山东师范大学体育学院,山东济南 250358;
3.山东大学第二医院乳腺外科,山东济南 250033

收稿日期:2020-03-20 修回日期:2021-02-05 出版日期:2021-05-15 发布日期:2021-06-18
通讯作者: 伊向仁,教授,博士,博士研究生导师,研究方向:健康管理。E-mail:xrenyi@sdu.edu.cn。
作者简介:董晓升,博士研究生,研究方向:体力活动与健康管理。E-mail:dxiaosheng@hotmail.com。

The Effects of the Exercise Intervention with Remote Guidance on Quality of Life, Physical Fitness and Physical Activity Participation in Postoperative Breast Cancer Patients

DONG Xiaosheng¹, DING Meng², YI Xiangren¹, YU Zhigang³

1. School of Physical Education, Shandong University,Jinan Shandong 250061;
2. School of Physical Education, Shandong Normal University,Jinan Shandong 250358;
3. Department of Breast Surgery, the Second Hospital of Shandong University, Jinan Shandong 250033

Received:2020-03-20 Revised:2021-02-05 Online:2021-05-15 Published:2021-06-18

摘要/Abstract

摘要： 目的:探究12周的基于远程指导运动干预对乳腺癌术后患者生活质量、体适能和体力活动参与度的影响。方法:本研究为干预12周的随机对照试验。60名(42~60岁,女性)符合纳入标准的乳腺癌术后患者被随机分配到试验组(30人)和对照组(30人)。试验组干预的内容:每周3次力量、耐力和功能性训练,使用远程运动康复视频指导,每周4次心肺耐力训练,要求在规定运动时间内完成目标步数;通过社交媒体每天推送乳腺癌运动康复知识。对照组仅接受康复知识推送。测试指标包括生活质量、体适能及体力活动参与度。结果:12周干预后,与对照组比较,试验组乳腺癌术后患者的疲劳感、体脂百分比、体力活动的阻碍、肌肉力量和体力活动的社会支持均明显改善。此外试验组腰臀比显著降低(P<0.01)和体力活动的享受度有显著提高(P<0.01)。结论:基于远程指导运动干预对乳腺癌术后患者的生活质量、体适能及体力活动参与度均有一定的改善作用。

关键词: 远程指导, 运动干预, 乳腺癌, 生活质量, 体适能, 体力活动参与度

Abstract: Objective: To investigate the effects of the exercise intervention with remote guidance on quality of life, physical fitness and physical activity participation in postoperative breast cancer patients. Methods: This study was a randomized control trial with an intervention period of 12 weeks. 60 participants (42-60 years, Female) were randomly assigned to intervention group (N=30) and control group (N=30). Procedure of exercise in the intervention group included training of strength, endurance, and function with remote video guidance of rehabilitation, three times per week, cardiorespiratory capacity training in which the subjects were asked to complete the required number of steps in given time, 4 time per week; Knowledge on postoperative rehabilitation of breast cancer was sent to the patients via social media apps on a daily basis. The control group received only rehabilitation knowledge during the same period of time. The indicators of test include quality of life, physical fitness and physical activity participation. Results: After 12 weeks of intervention, compared with the control group, the fatigue, body fat percentage, physical activity obstacle, muscle strength and social support of physical activity in the intervention group were significantly improved. In addition, the waist hip ratio (P<0.01) and enjoyment of physical activity in the intervention group were significantly improved (P<0.01). Conclusion: The exercise intervention with remote guidance can improve the rehabilitative effects on postoperative patients with breast cancer in quality of life, physical fitness and physical activity participation.

Key words: remote guidance, exercise intervention, breast cancer, quality of life, physical fitness, physical activity participation

中图分类号:

G804.5

董晓升, 丁萌, 伊向仁, 余之刚. 基于远程指导运动干预对乳腺癌术后患者生活质量、体适能及体力活动参与度变化的影响[J]. 成都体育学院学报, 2021, 47(3): 126-131.

DONG Xiaosheng, DING Meng, YI Xiangren, YU Zhigang. The Effects of the Exercise Intervention with Remote Guidance on Quality of Life, Physical Fitness and Physical Activity Participation in Postoperative Breast Cancer Patients[J]. Journal of Chengdu Sport University, 2021, 47(3): 126-131.

导出引用管理器 EndNote|Reference Manager|ProCite|BibTeX|RefWorks

链接本文: https://cdtyxb.cdsu.edu.cn/CN/10.15942/j.jcsu.2021.03.020

https://cdtyxb.cdsu.edu.cn/CN/Y2021/V47/I3/126

参考文献

[1] YANG Y, GU D, QIAN Y, et al. Effectiveness of aerobic exercise on upper limb function following breast cancer treatment: a systematic review and meta-analysis[J]. Annals of Palliative Medicine, 2021, 10(3):53-53.
[2] NG A V, CYBULSKI A N, ENGEL A A, et al. Triathlon training for women breast. cancer survivors: feasibility and initial efficacy[J]. Support Care Cancer, 2017, 25(5): 1465-1473.
[3] KARLSEN T, AAMOT I L, HAYKOWSKY M, et al. High intensity interval training. for maximizing health outcomes[J]. Prog Cardiovasc Dis, 2017, 60(1): 67-77.
[4] JONES J M, OLSON K, CATTON P, et al. Cancer-related fatigue and associated disability in post-treatment cancer survivors[J]. J Cancer Surviv, 2016, 10(1): 51-61.
[5] LEACH H J, DANYLUK J M, NISHIMURA K C, et al. Evaluation of acommunity-based exercise program for breast cancer patients undergoing treatment[J]. Cancer Nurs, 2015, 38(6): 417-425.
[6] AMMITZBOLL G, LANNG C, KROMAN N, et al. Progressive strength training to. prevent lymphoedema in the first year after breast cancer - the lyca feasibility study[J]. Acta Oncol, 2017, 56(2): 360-366.
[7] THOMAS S, READING J, SHEPHARD R J. Revision of the physical activity readiness. questionnaire (PAR-Q)[J]. Can J Sport Sci, 1992, 17(4): 338-345.
[8] THOMPSON P D, ARENA R, RIEBE D, et al. ACSM's new preparticipation health screening recommendations from ACSM's guidelines for exercise testing and prescription, ninth edition[J]. Current Sports Medicine Reports, 2013, 12(4):215.
[9] BREWIS A. Biocultural aspects of obesity in young mexican schoolchildren[J]. Am J Hum Biol, 2003, 15(3): 446-460.
[10] SHOBEIRI F, MASOUMI S Z, NIKRAVESH A, et al. Theimpact of aerobic exercise on quality of life in women with breast cancer: a randomized controlled trial[J]. J Res Health Sci, 2016, 16(3): 127-132.
[11] POPE Z, LEE J E, ZENG N, et al. Feasibility of smartphone application and social media intervention on breast cancer survivors' health outcomes[J]. Transl Behav Med, 2019,9(1): 11-22.
[12] REINERTSEN K V, ENGEBRAATEN O, LOGE J H, et al. Fatigueduring and after. breast cancer therapy-aprospective study[J]. J Pain Symptom Manage, 2017, 53(3): 551-560.
[13] BERGER A M, ABERNETHY A P, ATKINSON A, et al. Cancer-related fatigue[J]. The American journal of nursing, 2012, 112(4):57.
[14] WINTERS-STONE K M, MOE E L, PERRY C K, et al. Enhancing an oncologist's. recommendation to exercise to manage fatigue levels in breast cancer patients: a randomized controlled trial[J]. Support Care Cancer, 2018, 26(3): 905-912.
[15] FALLOWFIELD L, JENKINS V. Psychosocial/survivorship issues in breast cancer: are we doing better?[J]. J Natl Cancer Inst, 2015, 107(1): 335.
[16] ROGERS L Q, COURNEYA K S, OSTER R A, et al. Physicalactivity and sleep quality in breast cancer survivors: arandomized trial[J]. Med Sci Sports Exerc, 2017, 49(10): 2009-2015.
[17] ROVEDA E, VITALE J A, BRUNO E, et al. Protectiveeffect of aerobic physical activity on sleep behavior in breast cancer survivors[J]. Integr Cancer Ther, 2017, 16(1): 21-31.
[18] COURNEYA K S, SEGAL R J, MACKEY J R, et al. Effects of exercise dose and type on sleep quality in breast cancer patients receiving chemotherapy: a multicenter randomized trial[J]. Breast Cancer Res Treat, 2014, 144(2): 361-369.
[19] STEINDORF K, WISKEMANN J, ULRICH C M, et al. Effects of exercise on sleep problems in breast cancer patients receiving radiotherapy: a randomized clinical trial[J]. Breast Cancer Res Treat, 2017, 162(3): 489-499.
[20] FEENEY L R, TORMEY S M, HARMON DC. Breast cancer and chronic pain: a mixed methods review[J]. Ir J Med Sci, 2018, 187(4): 877-885.
[21] BOQUIREN V M, HACK T F, THOMAS R L, et al. A longitudinal analysis of chronic arm morbidity following breast cancer surgery[J]. Breast Cancer Res Treat,2016, 157(3): 413-425.
[22] LETELLIER M E, TOWERS A, SHIMONY A, et al. Breast cancer-related lymphedema: a randomized controlled pilot and feasibility study[J]. Am J Phys Med Rehabil, 2014, 93(9): 751-759; quiz 60-61.
[23] VAN TULDER M, KOES B, BOMBARDIER C. Low back pain[J]. Best Pract Res Clin. Rheumatol, 2002, 16(5): 761-775.
[24] BICEGO D, BROWN K, RUDDICK M, ET AL. Exercise for women with or at risk for breast cancer-related lymphedema[J]. Physical Therapy, 2006, 86(10):1398-1405.
[25] ORR R. Contribution of muscle weakness to postural instability in the elderly. A systematic review[J]. Eur J Phys Rehabil Med. 2010 Jun;46(2):183-220.
[26] BENNETT J A, WINTERS-STONE K, NAIL L. Conceptualizing and measuring physical. Functioning in Cancer Survivorship Studies[J]. Oncology Nursing Forum, 2006, 33(1):41-49.
[27] ECKER B L, LEE J Y, STERNER C J, et al. Impact of obesity on breast cancer recurrence and minimal residual disease[J]. Breast Cancer Res. 2019 Mar 13;21(1):41.
[28] SCHMITZ K H. Balancing lymphedema risk: exercise versus deconditioning for breast cancer survivors[J]. Exerc Sport Sci Rev, 2010, 38(1): 17-24.

基于远程指导运动干预对乳腺癌术后患者生活质量、体适能及体力活动参与度变化的影响

The Effects of the Exercise Intervention with Remote Guidance on Quality of Life, Physical Fitness and Physical Activity Participation in Postoperative Breast Cancer Patients

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 5

编辑推荐

Metrics

本文评价

[1]	陈思, 朱寒笑. 运动健身行为对我国空巢老人健康相关生活质量的影响[J]. 成都体育学院学报, 2020, 46(3): 105-111.
[2]	潘同斌, 焦建建, 姬梦晶. 神经退行性疾病的前额叶皮层机制及运动干预的研究进展[J]. 成都体育学院学报, 2019, 45(3): 75-80.
[3]	张春雷,张守伟,肖坤鹏. 运动干预对大学生心理压力的影响:健康信念的中介效应[J]. 成都体育学院学报, 2016, 42(4): 103-108.
[4]	李雪，苏全生，胡毓诗，伍文娟，张树玲. 户外体力劳动者亚健康风险分析及运动干预[J]. 成都体育学院学报, 2015, 41(2): 110-114.
[5]	裘鹏，张志成. 6周瑞士球运动干预对青年颈肩痛疗效研究[J]. 成都体育学院学报, 2014, 40(9): 83-87.