The current status of exercise self-efficacy in patients with colorectal cancer

doi:10.3877/cma.j.issn.2095-3224.2019.03.020

Abstract

Abstract:

Objective

To understand the status quo of exercise self-efficacy in patients with colorectal cancer.

Methods

134 colorectal patients were recruited by convenience sampling from April to September in 2017. They were investigated with the Exercise Self-Efficacy Scale and demographics and health status questionnaire.

Results

The score of the exercise self-efficacy was (51.86 ±14.71). The highest scoring item was ″during the vacation″, and the lowest scoring item was ″when I exercise, I feel ill″. Colorectal cancer patients with better economic condition have higher exercise self-efficacy.

Conclusion

The level of exercise self-efficacy in colorectal cancer patients was in the middle and remains to be further improved. Ample leisure time can be improved the exercise self-efficacy in patients with colorectal cancer. Medical personnel should strengthen the education about exercise and focus on the colorectal patients in the status of poor health and poor economy.

Key words: Colorectal neoplasms, Nursing services, Self-efficacy, Exercise self-efficacy

Dongqin Kang, Shujin Yue, Qi Liu, Yufen Liu. The current status of exercise self-efficacy in patients with colorectal cancer[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2019, 08(03): 304-307.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhjzcjbdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-3224.2019.03.020

https://zhjzcjbdzzz.cma-cmc.com.cn/EN/Y2019/V08/I03/304

Figures/Tables 2

References 27

[1]	Bandura A.Self-efficacy toward a unifying theory of behavior change [J]. Psychol Rev, 1977, 84(2): 191-215.
[2]	尚刘文心, 沈美芳, 陈文瑶, 等.慢性心力衰竭患者症状管理自我效能及其影响因素的调查研究[J].中华护理杂志, 2014, 49(6): 674-679.
[3]	林蓓蕾, 张振香, 康佳迅, 等.社区脑卒中患者自我效能水平影响因素及对策[J].中国老年学杂志, 2015, 35(2): 451-454.
[4]	张小丽, 张盼, 邢凤梅, 等.农村中老年糖尿病患者自我效能现状及影响因素[J].中国老年学杂志, 2017, 37(2): 474-475.
[5]	Silva AN, Moratelli L, Tavares PL, et al. Self-efficacy beliefs, locus of control, religiosity and non-adherence to immunosuppressive medications in kidney transplant patients [J]. Nephrology (Carlton), 2016, 21(11): 938-943.
[6]	Mcauley E, Lox C, Duncan TE. Long-term maintenance of exercise, self-efficacy, and physiological change in older adults [J]. J Gerontol B Psychoi Sci Soc, 1993, 48(4): 218-224.
[7]	Annesi JJ, Johnson PH, McEwen KL. Changes in self-efficacy for exercise and improved nutrition fostered by increased self-regulation among adults with obesity [J]. J Prim Prev, 2015, 36(5): 311-321.
[8]	Lee H, Boo S, Yu J, et al. Physical Functioning, Physical Activity, Exercise Self-Efficacy, and Quality of Life Among Individuals With Chronic Heart Failure in Korea: A Cross-Sectional Descriptive Study [J]. J Nurs Res, 2017, 25(2): 131-139.
[9]	杨尚剑. 社会支持、自我效能与青少年体育锻炼满意度的关系[J].武汉体育学院学报, 2016, 50(2): 90-94.
[10]	马潇然, 孙国珍, 林红, 等.舒张性心力衰竭患者运动自我效能与家庭运动行为相关性研究[J]. 护理学杂志, 2016, 31(23): 9-11.
[11]	李信欣, 马香, 张利峰, 等.慢性下腰痛患者自我管理行为与自我效能的相关性分析[J]. 中国实用护理杂志, 2016, 32(31): 2423-2428.
[12]	Grimmett C, Bridgewater J, Steptoe A, et al. Lifestyle and quality of life in colorectal cancer survivors [J]. Qual Life Res, 2011, 20(8): 1237-1245.
[13]	Peddle CJ, Au HJ, Courneya KS. Associations between exercise, quality of life, and fatigue in colorectal cancer survivors [J]. Dis Colon Rectum, 2008, 51(8): 1242-1248.
[14]	Devin JL, Sax AT, Hughes GI, et al. The influence of high-intensity compared with moderate-intensity exercise training on cardiorespiratory fitness and body composition in colorectal cancer survivors: a randomised controlled trial [J]. J Cancer Surviv, 2016, 10(3): 467-479.
[15]	Wijndaele K, Matton L, Duvigneaud N, et al. Association between leisure time and physical activity and stress, social support and coping: A cluster-analytic approach [J]. Psychol Sport Exerc, 2007, 8(4): 425-440.
[16]	Bandura A. Guide for constructing self-efficacy scales [M]. Stanford, CA: Stanford University, 2001.
[17]	Shin Y, Jang H, Pender NJ. Psychometric evaluation of the exercise self-efficacy scale among Korean adults with chronic diseases [J]. Research in Nursing and Health, 2001, 24(1): 68-76.
[18]	Tung WC, Gillett PA, Pattillo RE. Applying the Transtheoretical Model to physical activity in family caregivers in Taiwan [J]. Public Health Nursing, 2005, 22(4): 299-310.
[19]	陈烨, 陈琪尔, 万丽红, 等. 2型糖尿病患者锻炼自我效能与体育锻炼的相关性研究[J].中华现代护理杂志, 2010, 16(2): 129-132.
[20]	刘茜. 维持性血液透析患者体力活动现状及影响因素的研究[D]. 北京: 北京协和医学院, 2012.
[21]	陈赟, 孙柳, 王艳玲, 等.维持性血液透析患者居家运动情况的调查[J].中国护理管理, 2017, 17(5): 707-711.
[22]	Courneya KS, Friedenreich CM, Quinney HA, et al. A longitudinal study of exercise barriers in colorectal cancer survivors participating in a randomized controlled trial [J]. Ann Behav Med, 2005, 29(2): 147-153.
[23]	Huffman KM, Pieper CF, Hall KS, et al. Self-Efficacy for Exercise, more than Disease-Related Factors, Associates with Objectively-Assessed Exercise Time and Sedentary Behavior in Rheumatoid Arthritis [J]. Scand J Rheumatol, 2015, 44(2): 106-110.
[24]	van Putten M, Husson O, Mols F, et al. Correlates of physical activity among colorectal cancer survivors: results from the longitudinal population-based profiles registry [J]. Support Care Cancer, 2016, 24(2): 573-583.
[25]	Lynch BM, Owen N, Hawkes AL, et al. Perceived barriers to physical activity for colorectal cancer survivors [J]. Support Care Cancer, 2010, 18(6): 729-734.
[26]	Kang DW, Chung JY, Lee MK, et al. Exercise barriers in Korean colorectal cancer patients [J]. Asian Pac J Cancer Prev, 2014, 15(18): 7539-7545.
[27]	胡蕴绮, 周兰姝. 社区老年人健康行为自我效能及其影响因素[J]. 中国老年学杂志, 2013, 33(4): 897-899.

项目	得分（±s）
总分	51.86±14.71
1.当我觉得疲劳时	12.91±26.64
2.当我觉得处于工作压力时	58.81±43.89
3.天气不好时	25.75±36.09
4.因受伤而使我停止锻炼复原时	92.24±22.40
5.当经历个人问题时	44.18±46.00
6.当我觉得沮丧时	59.03±45.12
7.当我觉得焦虑	65.37±44.61
8.因疾病而使我停止锻炼复原后	94.55±17.15
9.当我锻炼觉得身体不舒服时	7.76±21.26
10.在假期后	90.15±27.86
11.当我在家有太多工作去做时	22.99±38.21
12.当有访客来访时	7.76±23.61
13.当有其他有趣的事去做时	38.96±45.87
14.假如我没有达到我的锻炼目标	81.79±35.15
15.没有我的家人或朋友的支持	87.39±30.48
16.在假期中	95.07±16.80
17.当我有其他的约定时	18.32±35.98
18.在经历家庭问题后	30.37±42.56

项目	得分（±s）
总分	51.86±14.71
1.当我觉得疲劳时	12.91±26.64
2.当我觉得处于工作压力时	58.81±43.89
3.天气不好时	25.75±36.09
4.因受伤而使我停止锻炼复原时	92.24±22.40
5.当经历个人问题时	44.18±46.00
6.当我觉得沮丧时	59.03±45.12
7.当我觉得焦虑	65.37±44.61
8.因疾病而使我停止锻炼复原后	94.55±17.15
9.当我锻炼觉得身体不舒服时	7.76±21.26
10.在假期后	90.15±27.86
11.当我在家有太多工作去做时	22.99±38.21
12.当有访客来访时	7.76±23.61
13.当有其他有趣的事去做时	38.96±45.87
14.假如我没有达到我的锻炼目标	81.79±35.15
15.没有我的家人或朋友的支持	87.39±30.48
16.在假期中	95.07±16.80
17.当我有其他的约定时	18.32±35.98
18.在经历家庭问题后	30.37±42.56

一般资料		例数	得分	检验值	P值
性别		?	?	Z=-0.640	0.522
?	男	90	52.31±14.76	?	?
?	女	44	50.93±13.04	?	?
年龄（岁）		?	?	χ²=4.771	0.092
?	<45	10	47.06±10.78	?	?
?	45~60	49	50.20±14.95	?	?
?	>60	75	53.58±14.89	?	?
工作状况		?	?	t=0.190	0.849
?	在职	32	49.65±14.43	?	?
?	不在职	102	48.78±12.50	?	?
有无配偶		?	?	t=-0.060	0.951
?	有	123	51.88±15.08	?	?
?	无	11	51.59±10.11	?	?
文化程度		?	?	χ²=4.757	0.191
?	小学及以下	18	49.17±15.93	?	?
?	初中	40	50.71±15.15	?	?
?	高中	38	50.20±15.15	?	?
?	大学及以上	38	55.99±12.82	?	?
经济状况（元）		?	?	F=2.930	0.036^*
?	<1600	12	47.97±14.01	?	?
?	1600-3500	39	49.40±15.11	?	?
?	3500-5000	46	52.14±16.40	?	?
?	5000及以上	37	57.18±12.23	?	?
肿瘤类型		?	?	t=-0.370	0.713
?	结肠癌	49	51.24±13.63	?	?
?	直肠癌	85	52.21±15.37	?	?
手术时间		?	?	t=-1.800	0.074
?	1年内	120	48.36±15.04	?	?
?	1~3年	14	53.02±9.47	?	?
造口		?	?	t=1.850	0.066
?	有	65	54.12±14.51	?	?
?	无	69	49.45±14.64	?	?
合并症		?	?	Z=-1.094	0.274
?	有	65	51.27±14.89	?	?
?	无	69	52.43±14.62	?	?

一般资料		例数	得分	检验值	P值
性别		?	?	Z=-0.640	0.522
?	男	90	52.31±14.76	?	?
?	女	44	50.93±13.04	?	?
年龄（岁）		?	?	χ²=4.771	0.092
?	<45	10	47.06±10.78	?	?
?	45~60	49	50.20±14.95	?	?
?	>60	75	53.58±14.89	?	?
工作状况		?	?	t=0.190	0.849
?	在职	32	49.65±14.43	?	?
?	不在职	102	48.78±12.50	?	?
有无配偶		?	?	t=-0.060	0.951
?	有	123	51.88±15.08	?	?
?	无	11	51.59±10.11	?	?
文化程度		?	?	χ²=4.757	0.191
?	小学及以下	18	49.17±15.93	?	?
?	初中	40	50.71±15.15	?	?
?	高中	38	50.20±15.15	?	?
?	大学及以上	38	55.99±12.82	?	?
经济状况（元）		?	?	F=2.930	0.036^*
?	<1600	12	47.97±14.01	?	?
?	1600-3500	39	49.40±15.11	?	?
?	3500-5000	46	52.14±16.40	?	?
?	5000及以上	37	57.18±12.23	?	?
肿瘤类型		?	?	t=-0.370	0.713
?	结肠癌	49	51.24±13.63	?	?
?	直肠癌	85	52.21±15.37	?	?
手术时间		?	?	t=-1.800	0.074
?	1年内	120	48.36±15.04	?	?
?	1~3年	14	53.02±9.47	?	?
造口		?	?	t=1.850	0.066
?	有	65	54.12±14.51	?	?
?	无	69	49.45±14.64	?	?
合并症		?	?	Z=-1.094	0.274
?	有	65	51.27±14.89	?	?
?	无	69	52.43±14.62	?	?

Please choose a citation manager

Content to export