老年结直肠肿瘤病人运动预康复依从性现状及影响因素分析

doi:10.3969/j.issn.1003-9198.2023.12.022

摘要/Abstract

摘要： 目的调查老年结直肠肿瘤病人运动预康复依从性的现状并分析其影响因素。方法选取2021年6月至2022年3月于上海市第十人民医院胃肠外科行择期手术的123例老年结直肠肿瘤病人为研究对象,按照实际预康复时间与计划预康复时间的占比计算病人预康复依从性,依从性≥75%定义为高依从性,依从性＜75%为低依从性,比较2组病人的临床结局指标,采用Logistic回归分析预康复依从性的影响因素。结果老年结直肠肿瘤病人运动预康复平均依从性为81.34%,其中高依从性组82例,低依从性组41例。高依从性组病人术后住院天数显著少于低依从性组,差异有统计学意义(P=0.009)。多因素Logistic回归分析结果显示,年龄、术前衰弱、术前焦虑及预康复天数是老年结直肠肿瘤病人运动预康复依从性的独立影响因素。结论老年结直肠肿瘤病人运动预康复依从性处于中等水平,临床医护人员应重视年龄较高、术前合并衰弱或焦虑、预康复天数较长病人的依从性评估,采取针对性的干预措施,促进病人高质量地完成运动预康复。

关键词: 老年人, 结直肠肿瘤, 预康复, 依从性, 影响因素

Abstract: Objective To investigate the compliance and influencing factors of pre-rehabilitation in the elderly patients with colorectal cancer (CRC). Methods From June 2021 to March 2022, 123 elderly patients with colorectal cancer who underwent selective surgery in Department of Gastrointestinal Surgery of Shanghai Tenth People's Hospital were enrolled in this study, and the pre-rehabilitation compliance of the patients was calculated according to the actual pre-rehabilitation time to the planned pre-rehabilitation time ratio.Compliance rate ≥75% was defined as high compliance and compliance rate <75% was defined as low compliance. Indicators of clinical outcome were compared between the two groups. Logistic regression analysis was used to analyze influencing factors for pre-rehabilitation. Results The mean compliance rate of pre-rehabilitation in the elderly patients with CRC was 81.34%, and 82 patients presented with high compliance and 41 patients with low compliance. The time of postoperative hospital day in the high compliance group was significant shorter than that in the low compliance group (P=0.009). Binary Logistic regression analysis showed that age, frailty, anxiety and pre-rehabilitation days were the independent influencing factors for pre-rehabilitation compliance in the elderly patients with CRC. Conclusions The pre-rehabilitation compliance of elderly CRC patients was at an intermediate level. Medical staff should pay attention to the assessment of compliance in the patients with advanced age, frailty, anxiety, and longer pre-rehabilitation days, then adopt targeted interventions to improve the patients'compliance for pre-rehabilitation.

Key words: aged, colorectal cancer, pre-rehabilitation, compliance, influencing factor

中图分类号:

R 473.73

汪夏云, 李垚, 吴茜. 老年结直肠肿瘤病人运动预康复依从性现状及影响因素分析[J]. 实用老年医学, 2023, 37(12): 1283-1288.

WANG Xia-yun, LI Yao, WU Qian. Study on compliance and influencing factors of pre-rehabilitation program in elderly patients with colorectal cancer[J]. Practical Geriatrics, 2023, 37(12): 1283-1288.

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