Associations Between Physical Activity and Quality of Life in Cancer Patients Receiving Palliative Care: A Pilot Survey
Associations Between Physical Activity and Quality of Life in Cancer Patients Receiving Palliative Care: A Pilot Survey
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DOI：
10.1016/j.jpainsymman.2009.03.006
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发表时间：
2009-11-01
影响因子：
4.7
通讯作者：
Courneya, Kerry S.
中科院分区：
文献类型：
--
作者：
Lowe, Sonya S.;Watanabe, Sharon M.;Courneya, Kerry S.
本研究的主要目的是研究接受姑息治疗的癌症患者的身体、活动和生活质量（QoL）之间的关系。研究招募了50名年龄在18岁或以上、临床估计预期寿命为3-12个月、姑息治疗表现状态量表评分大于30%的晚期癌症患者，分别在门诊姑息治疗诊所和姑息治疗家庭护理中进行。参与者通过面对面访谈的方式完成了一项横断面调查，评估自我报告的生活质量（麦吉尔生活质量问卷[MQOL]）、自我报告的身体功能（晚年功能和残疾工具）、症状（埃德蒙顿症状评估系统）和身体活动行为。在数据分析时，76%（50人中有38人）的参与者在活着的时候已经死亡，从调查时间到死亡时间的中位生存时间为104天。散步是报告中最常见的身体活动。方差分析表明，报告每天步行超过30分钟的参与者在MQOL上也报告了更高的存在性、子得分（+/- 0.8 [95% CI, 0.0-1.5]; P = 0.045）、支持度、子得分（+/- 0.7 [95% Cl, 0.1-1.4]; P = 0.027）和总分（+/- 0.5 [95% Cl, 0.0-0.9]; P = 0.046）。自我报告的身体功能或症状没有显著差异。我们的研究结果显示，在这个晚期患者样本中，身体活动和生活质量评分之间存在显著的正相关。癌症。在接受姑息治疗的癌症患者中，一项测试身体活动对生活质量的因果影响的试点干预试验是有必要的。[J]中华口腔医学杂志，2009;38(3):785-796。2009年美国癌症疼痛缓解委员会。出版，爱思唯尔公司版权所有。
The primary aim of this shady was to examine the association between physical, activity and duality of life (QoL) in cancer patients receiving palliative care. Fifty advanced, cancer patients aged 18 years or older with clinician-estimated life expectancy of 3-12 months and Palliative Performance Status Scale scores greater than 30% were recruited front, an outpatient palliative care clinic and palliative home care. Participants completed a, cross-sectional survey by means of face-to face interview assessing self-reported QoL (McGill Quality of Life Questionnaire [MQOL]), self reported physical function (Late-Life Function and Disability Instrument), symptoms (Edmonton Symptom Assessment System), and physical, activity behavior Seventy-six percent (38 of 50) of the participants were deceased at lire time of data analysis, with a median, survival of 104 clays from, time of survey to time of death. Walking was the most common reported physical, activity. Analyses of variance indicated that participants who reported walking more than 30,minutes per day also reported higher existential, subscores (+/- 0.8 [95 % CI, 0.0-1.5]; P = 0.045), support, subscores (+/- 0.7 [95 % Cl, 0.1-1.4]; P = 0.027), and total scores (+/- 0.5 [95 % Cl, 0.0-0.9]; P = 0.046) on the MQOL. There were no significant differences for self-reported physical function or symptoms. Our findings show a significant positive association between, physical activity and QoL scores in this sample of patients with advanced. cancer. A pilot intervention trial testing the causal, effects of physical activity on QoL in cancer patients receiving palliative rare is warranted. J Pain Symptom Manage (C) 2009;38:785-796. 2009 U.S. Cancer Pain Relief Committee. Published, by Elsevier Inc. All rights reserved.