Physical Activities in Oral Cavity and Oropharyngeal Cancer Patients after Major Treatments
|Keywords:||口腔癌;身體活動;疲憊;睡眠困擾;症狀嚴重度;Oral cancer;Physical Activity;Fatigue;Sleep Disturbance;Symptom Severity||Issue Date:||2010||Abstract:||
癌症的治療，常導致患者在治療完成後存有諸多症狀，如疲憊、睡眠與症狀嚴重度，而規律身體活動對改善疲憊、睡眠與症狀嚴重度有幫助。因此本研究目的為：(1) 口腔與口咽癌患者於治療後的身體活動現況；(2) 患者於治療完成後之身體活動和人口學特性、其他、及疾病治療相關特質相關性；(3) 疲憊、睡眠困擾或症狀嚴重度與身體活動間之關聯。
The cancer treatment caused damage to the patients. Even after completing the treatment, patient still suffer from the side effects of treatment, especially is fatigue, sleep disturbance, and symptom severity. The regular physical activity is benefit to relieve fatigue, sleep disturbance, and symptom distress. For this reason, the aims of this study were (1) to examine the status of physical activity after cancer treatment; (2) to examine the relationship between physical activity, sleep disturbance, and symptom distress in oral cavity and oropharyngeal cancer patients in Taiwan.
Using cross-sectional study design and purposeful sampling, then 79 patients were recruited from one medical center in Northern Taiwan and its Southern branch hospital in this study. We collected data by the structured questionnaires which included basic information, physical activity status, fatigue, sleep disturbance, and symptom distress situations. In addition to the questionnaires, the data was coordinated with the actual measurement of physical fitness including muscle power (gripping power and hip flexor muscle power), body composition (body mass index and waist-hip ratio), and flexibility (cervical range of motion and standing forward bending test). The collected data were using descriptive statistics, one way ANOVA, and multiple comparison procedures to analyze.
The results showed that patients usually engaged in light exercise after completed the treatment. Comparing the measured values of physical fitness in patients with norm group in Taiwan, the physical fitness in patients was in the poor grades. Even though the patients had done exercise, the physical fitness wasn’t enhancement because of the activity intensity was not enough. This situation is most common in younger patients.
The movement was meted the proposed standards in patients who had lower degree of fatigue interference (p <0.01) and shorter duration of fatigue (p <0.05), and less symptom distress (p =0.05). Although physical activity was not significantly associated with sleep problems, the patient who meted the recommended standards had lower mean score in sleep problem and sleep disturbance than sedentary participants.
This study showed increasing physical activity is helpful to reduce fatigue and symptom distress. If the goal is to improve the patients’ sleep quality, it will be required to strengthen the intensity and duration of physical activity. The result in this study might be a reference for health education in physical activity in clinical care, and may be the basis for further study to design related interventions.
|Appears in Collections:||護理學系所|
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.