請用此 Handle URI 來引用此文件:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/90408
標題: | 非肌肉侵襲性膀胱癌病人身體活動與相關因素之探討 Physical Activity and Its Related Factors in Non-muscle Invasive Bladder Cancer Patients |
作者: | 侯佳秀 Jia-Siou Hou |
指導教授: | 賴裕和 Yeur-Hur Lai |
關鍵字: | 身體活動,下肢肌力,身體功能,憂鬱,非肌肉侵襲性膀胱癌, Physical activity,lower limb strength,Physical function,Depression,Non-muscle invasive bladder cancer, |
出版年 : | 2023 |
學位: | 碩士 |
摘要: | 背景:非肌肉侵襲性膀胱癌 (Non-muscle Invasive Bladder Cancer, NMIBC) 佔所有新診斷膀胱癌的75%,且以高齡病人為主。高齡、癌症及伴隨的症狀與治療,可能影響這群病人的身體活動。本研究旨在(1)探討非肌肉侵襲性膀胱癌病人身體活動、生理及功能因素與憂鬱現況;(2)探討病人是否達到世界衛生組織(World Health Organization, WHO) 建議的身體活動量 (Godin-Shephard Leisure-Time Physical Activity Questionnaire, GSLTPAQ ≥ 24分)之相關因素。
方法:採橫斷式相關性研究設計,於台北某醫學中心進行連續取樣資料收集,評估病人之身體功能、病人症狀、身體活動、下肢肌力、平衡程度以及憂鬱程度。 結果:共收案163位病人,發現(1)身體活動量平均分數為23.1 (SD=22.6),65.6%的人未達WHO建議的身體活動量標準 (GSLTPAQ < 24分);(2)曼惠特尼U檢定與卡方檢定的結果顯示,與未達WHO建議活動量的病人相比,身體活動量足夠的病人,教育程度較高、跌倒頻率較少、身體功能較佳、具有更好的下肢肌力與平衡能力,並且憂鬱程度較低,達統計上顯著;(3)進一步羅吉斯迴歸分析上述顯著變項,結果顯示下肢肌力較佳、身體功能較佳與憂鬱程度較低,是病人執行足夠身體活動量最有利的相關因素。 結論:本研究發現三分之二的非肌肉侵襲性膀胱癌病人身體活動量不足,未來需進一步研究發展合適的活動計畫,促進並改善該群病人身體活動量及相關憂鬱狀況。 Introduction: Non-muscle invasive bladder cancer (NMIBC) comprises about 75% of all newly diagnosed bladder cancer, and is predominantly found in elderly patients. Aging, cancer, and associated symptoms and treatments may affect the physical activity (PA) of this patient group. The purposes of the study were to (1) investigate the current status of physical activity, physiological function and depression; (2) to examine the factors related to the World Health Organization (WHO) recommended levels of physical activity (GSLTPAQ score ≥ 24). Methods: A cross-sectional and correlational study with consecutive sampling was used to recruit NMIBC patients from a medical center in Northern Taiwan. NMIBC patients were assessed of their functional status, symptom, amount of PA, lower limb strength, balance and levels of depression. Results: A total of 163 patients were recruited. The results were (1) The mean GSLTPAQ score was 23.1 units (SD=22.6), 65.6% did not reach the WHO recommended criteria for PA levels (GSLTPAQ score < 24) ; (2) Mann-Whitney U test and Chi-square test showed that compared to patients who did not reach the WHO recommended PA levels, patients with sufficient PA had higher educational levels, lower fall rates, better physical function, better lower limb strength, and better balance ability, as well as lower depression levels, these differences were statistically significant; (3) further analysis of the above significant variables by logistic regression revealed better lower limb strength, better physical function and less depression were the robust factors related to take sufficient PA. Conclusion: The study found that two-thirds of patients in NMIBC had insufficient PA. Further research to develop appropriate PA programs is necessary to improve PA and depression status in this patient group. |
URI: | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/90408 |
DOI: | 10.6342/NTU202301471 |
全文授權: | 未授權 |
顯示於系所單位: | 護理學系所 |
文件中的檔案:
檔案 | 大小 | 格式 | |
---|---|---|---|
ntu-111-2.pdf 目前未授權公開取用 | 1.08 MB | Adobe PDF |
系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。