Association between Quality of Life and Physical Functioning in a Gardening Intervention for Cancer Survivors.

Association between Quality of Life and Physical Functioning in a Gardening Intervention for Cancer Survivors.
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DOI:
10.3390/healthcare10081421
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发表时间:
2022-07-29
期刊:
影响因子:
2.8
通讯作者:
Blair, Cindy K.
Blair, Cindy K.
中科院分区:
医学4区
文献类型:
--
作者:
Sharma, Harsh;Pankratz, Vernon S.;Demark-Wahnefried, Wendy;Pestak, Claire R.;Blair, Cindy K.

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目的:研究参与受2019冠状病毒(COVID-19)大流行影响的园艺干预的老年癌症幸存者中与维持或改善自我报告的身体功能(PF)相关的潜在因素。方法:30名癌症幸存者完成了以家庭为基础的园艺干预,以鼓励更健康的饮食和更积极的生活方式。在基线、干预中期(6个月)和干预后(9个月)进行基于器械的体力活动(PA)测量和生活质量评价调查(QOL; PROMIS-57问卷)。结果如下:基线时的抑郁、疲劳和失眠与随访期间平均PF评分下降显著相关(QOL评分每下降5分,平均PF评分下降2.3至4.9分; p值< 0.02)。干预期间这些QOL领域的恶化也与随访期间PF额外下降2.1至2.9分相关(p值< 0.01)。基线时更好的社会参与和PA与干预期间更好的平均PF评分显著相关(社会参与每增加5分或PA增加30分钟,平均PF评分增加2.8至5.2分; p值< 0.05)。基线时疼痛每增加5分,或干预期间疼痛增加,分别与PF下降4.9和3.0分相关。结论:干预前和干预期间的QOL评分下降与随访期间PF下降显著相关。通过家庭园艺等干预措施鼓励社会参与和PA可能会改善老年癌症幸存者的长期健康状况。
Purpose: To examine potential factors associated with maintaining or improving self-reported physical function (PF) among older cancer survivors participating in a gardening intervention impacted by the Coronavirus 2019 (COVID-19) pandemic. Methods: Thirty cancer survivors completed a home-based gardening intervention to encourage a healthier diet and a more active lifestyle. Device-based measures of physical activity (PA) and surveys to evaluate quality of life (QOL; PROMIS-57 questionnaire) were administered at baseline, mid-intervention (6 months), and post-intervention (9 months). Results: Depression, fatigue, and sleeplessness at baseline were significantly associated with worse average PF scores across follow-up (2.3 to 4.9 points lower for every decrease of 5 points in the QOL score; p-values < 0.02). Worsening of these QOL domains during the intervention was also associated with an additional decrease of 2.1 to 2.9 points in PF over follow-up (p values < 0.01). Better social participation and PA at baseline were significantly associated with better average PF scores during the intervention (2.8 to 5.2 points higher for every 5-point increase in social participation or 30 min more of PA; p values < 0.05). Every 5-point increase in pain at baseline, or increases in pain during the intervention, was associated with decreases of 4.9 and 3.0 points, respectively, in PF. Conclusions: Worse QOL scores before and during the intervention were significantly associated with worse PF over follow-up. Encouraging social participation and PA through interventions such as home-based gardening may improve long-term health among older cancer survivors.
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发表时间: 2021-07-06
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