A correlation analysis on sedentary behaviour and exercise compliance in ileostomy patients
10.3760/cma.j.cn113855-20240422-00292
- VernacularTitle:回肠造口患者久坐行为与运动依从性的相关性分析
- Author:
Ruizhe LI
1
;
Ping XUE
;
Long YANG
;
Honggang WANG
;
Lijun LI
Author Information
1. 南京医科大学附属泰州人民医院康复科，泰州 225300
- Publication Type:Journal Article
- Keywords:
Ileostomy;
Patient compliance;
Rehabilitation research
- From:
Chinese Journal of General Surgery
2024;39(12):947-952
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the correlation between sedentary behavior and exercise compliance in ileostomy patients for developing targeted exercise intervention.Methods:Patients undergoing laparoscopic low anterior rectal resection combined with prophylactic ileostomy from Aug 2018 to Aug 2023 were enrolled in this study by convenience sampling method. A survey was conducted at 3 months after surgery to investigate their sedentary behavior and exercise compliance.Results:The daily sedentary time of 144 patients was (7.94±1.76) h, and 63.8% (92/144) of patients had sedentary time ≥8 h/d. The exercise compliance score was 32.24±8.32 and the total adherence rate was 54.29%±13.85%. Sedentary behavior was inversely correlated with exercise rehabilitation compliance ( r=-0.222, P<0.05). Univariate analysis revealed that age, tumor stage, chronic medical history, NRS 2002 score, main caregiver, ostomy adaptability, frailty, previous exercise habits were important influencing factors of sedentary behavior (all P<0.05). Multivariate Logistic regression analysis indicated that stoma adaptability and exercise compliance, age, primary caregiver, and previous exercise habits were independent factors affecting postoperative sedentary behavior (all P<0.05). Combining the above factors to construct the receiver operating characteristic curve yielded an area under the curve of 0.806 (95% CI: 0.729-0.883), with an sensitivity and specificity of 72.8%, 80.8%, respectively. Conclusion:Exercise intervention in survivorship management is essential for enhancing the health-related quality of life in patients with ileostomy.
