Factors Related to Physical Activity in Colorectal Cancer Survivors - Personality Trait as the Mediator
Date Issued
2015
Date
2015
Author(s)
Wu, Chia-Ching
Abstract
The mortality rate and incidence of colorectal cancer [CRC] recently are increased quickly in Taiwan and its care has become the important issue. Physical activity [PA] could decrease the symptom distress and may reduce the early death, incidence and the risk of recurrence in CRC. In spite of the benefit of physical activity was found, but about 46% CRCS stay in completely sedentary. Based on literature review, there are many barrier of PA in CRCS including the personality that discussed in recently. How-ever, the role of personality between PA and symptom distress in CRCS has not be con-firmed. Therefore, the purpose of this study were to (1) investigate the symptom distress and PA of CRCS, (2) explore the important affecting factors of PA status in CRCS, and (3) identify the role of personality. A cross-sectional study design was conducted to recruit the CRCS from one medical center outpatient clinics in Taipei from 8 October in 2012 to 31 October in 2013. Eligible Participants were those have completed cancer related treatment over 3 months. A set of structured questionnaire was used to collect data including the basic infor-mation, the disease status, the Symptom Distress Scale (SDS), the Type D Scale-14 (DS-14), and the International Physical Activity Questionnaire (IPAQ). The collected data were analyzed with descriptive statistics and inferential statistics including t-test and Spearman’s rank correlation coefficient. Besides, multiple hierarchical regression analysis was used to analyze if the type D personality trait as the mediator. A total of 199 CRCS were completed the survey. The result showed that (1) The rank of the symptom distress were painful, fatigue, insomnia, constipation and diarrhea. They were all mild intensity The mean level of the physical activity amount in one week was 2506.87 ± 2675.17 MET. Even though the patients had done excise, there were over half participant not meeting the moderate level based on public heath PA guidelines; (2) The important factors affecting PA included the behavior of exercise (p < 0.01), in-somnia (p < 0.05), and negative affective of personality trait (p < 0.05). There were no significant relationship between PA and demographic information and the disease status; (3) About 12% participant were diagnosed with type D personality. Those patients with type D personality were tend to with female and higher level if education. The patients with type D personality perceived higher level of symptom distress, especially in pain, fatigue and insomnia. The type D personality trait has been confirmed as not the role of mediator in this study. In the study, the factors affecting PA included (1) the exercise behavior, (2) in-somnia, and (3) negative affective. Thus, the health provider should not only to assess the insomnia, but also understand their negative affective and provide mental support. It is also suggested to encourage the patient to exercise regularly to decrease the risk of recurrence of CRC.
Subjects
Colorectal Cancer
Physical Activity
Type D Personality
Mediator
SDGs
Type
thesis
File(s)![Thumbnail Image]()
Loading...
Name
ntu-104-R00426029-1.pdf
Size
23.32 KB
Format
Adobe PDF
Checksum
(MD5):4db219363ae44594264c11cc88260824