The impact of disease perception on postoperative exercise adherence in patients with non-small cell lung cancer: the mediating role of exercise self-efficacy and coping style
10.3760/cma.j.cn115682-20240130-00581
- VernacularTitle:非小细胞肺癌患者疾病感知对术后运动依从性的影响：运动自我效能和应对方式的中介作用
- Author:
Yawen ZHANG
1
;
Wanjun ZHOU
;
Zhiwei WANG
;
Liang ZHANG
;
Xinqiong ZHANG
Author Information
1. 安徽医科大学护理学院，合肥 230000
- Keywords:
Lung neoplasms;
Exercise adherence;
Disease perception;
Exercise self-efficacy;
Coping style
- From:
Chinese Journal of Modern Nursing
2024;30(18):2410-2416
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the status quo of postoperative exercise adherence in patients with non-small cell lung cancer (NSCLC) and analyze the pathways through which disease perception, exercise self-efficacy, and coping style influence postoperative exercise adherence based on the Revised Common Sense Model (CSM) .Methods:NSCLC patients who underwent surgery in the Department of Thoracic Surgery of the First Affiliated Hospital of Anhui Medical University from March to September 2023 were selected by convenience sampling. Data were collected using a general information questionnaire, the Postoperative Exercise Adherence Questionnaire for Lung Cancer Patients, the Brief Illness Perception Questionnaire (BIPQ), and the Exercise Self-Efficacy Scale for Lung Cancer Patients.Results:A total of 245 questionnaires were distributed, with 241 valid responses collected. The postoperative exercise adherence score among the 241 NSCLC patients was (39.70±9.55). Exercise self-efficacy and coping style partially mediated the relationship between disease perception and exercise adherence, accounting for 81.31% and 13.64% of the total indirect effects, respectively. Exercise self-efficacy and coping style also had a chain mediating effect between disease perception and exercise adherence, accounting for 5.05% of the total indirect effects.Conclusions:The level of exercise adherence in NSCLC patients needs improvement. Negative disease perception not only directly negatively affects exercise adherence but also indirectly affects it through the mediating roles of exercise self-efficacy and coping style. Clinical healthcare providers should focus on guiding patients to develop healthy disease perceptions, increase their confidence in participating in exercise, and encourage the adoption of positive coping styles to enhance exercise adherence levels.
