Status and influencing factors of exercise behavior in patients with colorectal cancer comorbid diabetes during chemotherapy based on structural equation model
10.3760/cma.j.cn211501-20240111-00096
- VernacularTitle:基于结构方程模型的结直肠癌共病糖尿病患者化疗期运动行为现状及影响因素分析
- Author:
Huan LIU
1
;
Huihua ZHAO
Author Information
1. 复旦大学附属中山医院肿瘤防治中心，上海 200032
- Keywords:
Colorectal neoplasms;
Comorbidity;
Diabetes mellitus;
Exercise;
Influencing factors;
Structural equation model
- From:
Chinese Journal of Practical Nursing
2024;40(26):2028-2033
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the current status of exercise behavior in patients with colorectal cancer comorbid diabetes during chemotherapy, and to explore the pathways and effects of influencing factors using structural equation model, so as to provide reference for improving exercise behavior in patients with colorectal cancer comorbid diabetes during chemotherapy.Methods:From December 2022 to April 2023, 127 patients with colorectal cancer comorbid diabetes who received chemotherapy in Zhongshan Hospital Affiliated to Fudan University were selected by convenience sampling method as the research object. Self-designed general data questionnaire and exercise management ability questionnaire were used for cross-sectional investigation, and structural equation model was used to analyze the influencing factors of exercise behavior.Results:A total of 124 patients were included, including 95 males and 29 females, aged 39-90 (65.22 ± 8.87) years. The exercise level of patients with colorectal cancer comorbid diabetes during chemotherapy was lower, and the total weekly exercise was (3.70 ± 3.50) METs. Exercise ability, self-efficacy and social support were independent influencing factors of exercise behavior ( β = 1.796, 2.070, -0.944, all P<0.05). Conclusions:The exercise behavior of patients with colorectal cancer comorbid diabetes during chemotherapy is affected by multiple factors, self-efficacy, social support and exercise ability are independent influencing factors of exercise behavior. Improving exercise ability and enhancing self-efficacy is an effective way to improve exercise management of patients with colorectal cancer comorbid diabetes.
