基于理论的定制移动医疗体育活动干预对乳腺癌化疗妇女的效果：准实验研究

IF 2.9 3区医学 Q1 NURSING

International Journal of Nursing Sciences Pub Date : 2024-09-01 DOI:10.1016/j.ijnss.2024.08.006

Zhaohui Geng , Jingting Wang , Weibo Lyu , Xinyu Li , Wenjia Ye , Wei Zheng , Juan Yang , Li Ning , Lingzhi Cai , Ying Liu , Yingting Zhang , Fulei Wu , Changrong Yuan

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引用次数: 0

摘要

目的本研究旨在探讨基于理论的定制化移动医疗体力活动（PA）干预在乳腺癌化疗患者中的有效性。方法采用准实验研究设计。从2019年9月至2021年8月，在上海市和杭州市的两家三级甲等医院共选取了60名乳腺癌患者。根据入院顺序，先将30名患者纳入对照组，再将30名患者纳入干预组。根据社会认知理论、自我效能理论和计划行为理论开发了一款名为 "乳房护理 "的智能手机应用程序（App）。该应用程序集成了多种功能，包括信息浏览、PA 监测和反馈、症状报告和社交互动。干预组患者除了接受常规护理外，还接受了为期三个月的个性化在线 PA 指导。对照组则接受常规护理。结果与对照组相比，干预组的乳腺癌患者在三个月的干预后，步行、中度PA和总体PA均有显著改善（P < 0.05）。与基线数据相比，干预组的乳腺癌患者在三个月后的步行和总体 PA 有明显改善（P <0.05），而对照组在三个月后的步行、中度 PA 和总体 PA 有明显下降（P <0.05）。两组在焦虑、整体生活质量及其维度（如身体健康、情绪健康和额外的乳腺癌健康）方面的得分存在统计学差异（P <0.05）。结论基于理论的定制化移动健康运动干预对促进乳腺癌患者的运动行为改变和情绪管理具有积极影响。乳房护理 "应用程序整合了各种实用的行为改变策略，为癌症患者的个性化远程康复支持提供了有价值的指导。

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Effectiveness of a theory-based tailored mHealth physical activity intervention for women undergoing chemotherapy for breast cancer: A quasi-experimental study

Objectives

This study aimed to explore the effectiveness of the theory-based tailored mHealth physical activity (PA) intervention among patients with breast cancer undergoing chemotherapy.

Methods

A quasi-experimental study design was adopted. A total of 60 breast cancer patients were selected from two tertiary hospitals in Shanghai and Hangzhou City from September 2019 to August 2021. According to the admission order, 30 patients were first included in the control group, followed by 30 patients in the intervention group. A smartphone application (app) named “Breast Care” was developed based on social cognitive theory, self-efficacy theory, and the theory of planned behavior. The app integrated various functions, including information browsing, PA monitoring and feedback, symptom reporting, and social interaction. Patients in the intervention group received three months of personalized online PA guidance in addition to routine care. The control group received routine care. Baseline and post-intervention investigations after three months were conducted in two groups using the Short Form of International Physical Activity Questionnaire, the Hospital Anxiety and Depression Scale, and the Functional Assessment of Cancer Therapy—Breast cancer.

Results

After three months of intervention, compared to the control group, breast cancer patients in the intervention group showed significant improvements in walking, moderate PA, and overall PA (P < 0.05). Compared to the baseline data, breast cancer patients in the intervention group had significant improvements in walking and overall PA after three months (P < 0.05), whereas the control group experienced significant declines in walking, moderate PA, and overall PA after three months (P < 0.05). There were statistically differences between the two groups in scores for anxiety, overall quality of life, and its dimensions, such as physical well-being, emotional well-being, and additional breast cancer well-being (P < 0.05).

Conclusions

The theory-based tailored mHealth PA intervention has demonstrated a positive impact on promoting PA behavior change and emotional management among breast cancer patients. The ‘Breast Care’ app integrated various practical behavior change strategies, offering valuable guidance for personalized remote rehabilitation support for cancer patients.

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来源期刊

International Journal of Nursing Sciences Nursing-Nursing (all)

CiteScore

6.10

自引率

2.60%

发文量

408

审稿时长

25 days

期刊介绍： This journal aims to promote excellence in nursing and health care through the dissemination of the latest, evidence-based, peer-reviewed clinical information and original research, providing an international platform for exchanging knowledge, research findings and nursing practice experience. This journal covers a wide range of nursing topics such as advanced nursing practice, bio-psychosocial issues related to health, cultural perspectives, lifestyle change as a component of health promotion, chronic disease, including end-of-life care, family care giving. IJNSS publishes four issues per year in Jan/Apr/Jul/Oct. IJNSS intended readership includes practicing nurses in all spheres and at all levels who are committed to advancing practice and professional development on the basis of new knowledge and evidence; managers and senior members of the nursing; nurse educators and nursing students etc. IJNSS seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Contributions are welcomed from other health professions on issues that have a direct impact on nursing practice.