化学疗法期间与乳腺癌患者的久坐行为相关的因素:基于COM-B模型的横截面研究
Ye Yang1,2, Wei Jia1,2, Kaiping Wu1
1Department of Breast Surgery, The Second People's Hospital of Changzhou, the Third Affiliated Hospital of Nanjing Medical University, Changzhou, Jiangsu Province, China.
Medicine
|August 19, 2025
概括
久坐不动的行为在接受化疗的乳腺癌患者中很常见. 影响这种行为的关键因素包括自我效能,抑郁,疲劳和社会支持,为干预提供了目标.
科学领域:
- 在瘤学瘤学.
- 行为科学 行为科学
- 公共卫生 公共卫生
背景情况:
- 静坐行为 (SB) 在化疗期间在乳腺癌 (BC) 患者中很普遍,与不良健康结果有关.
- 确定SB决定因素对于开发有效的干预措施至关重要.
研究的目的:
- 探索正在接受化疗的乳腺癌患者的久坐行为决定因素.
- 应用能力,机会,动机 - 行为 (COM-B) 模型来理解SB.
主要方法:
- 在化疗期间对234名乳腺癌患者进行横截面调查.
- 收集的数据包括SB,肩部功能,症状,疲劳,自我效能,抑郁,社会支持,建筑环境和人口统计.
- 多重线性回归分析用于识别决定因素.
主要成果:
- 运动自我效能,抑郁,疲劳,肩部功能,社会支持 (工具和信息),年龄,居住状态,工作状态,BMI和癌症阶段显著影响了SB.
- 这些因素解释了SB的差异的33.46%.
结论:
- 该COM-B模型有效地解释了乳腺癌患者的久坐行为.
- 识别的决定因素为旨在减少该人口中的SB的干预提供了目标.
相关概念视频
Cancer Prevention
6.3K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
6.3K
Chemotherapy-Induced Nausea and Vomiting: 5-HT3 Receptor Antagonists
321
5-HT3 receptor antagonists, such as dolasetron, granisetron (Kytril), ondansetron (Zofran), and palonosetron (Axoli), are crucial in managing chemotherapy-induced nausea and vomiting (CINV) and postoperative nausea. These drugs selectively block 5-HT3 receptors in the visceral vagal and spinal afferent nerves, chemoreceptor trigger zone, and the vomiting center. They have a rapid onset of action and can be given as a single dose before chemotherapy. Ondansetron and granisetron, in particular,...
321
Cancer Survival Analysis
453
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
453
Chemotherapy-Induced Nausea and Vomiting: Cannabinoids
366
Tetrahydrocannabinol (THC) is a phytocannabinoid that primarily interacts with the CB1 receptor, a type of G protein-coupled receptor (GPCR) predominantly in and around the chemoreceptor trigger zone (CTZ) and emetic center. THC also blocks the serotonin receptor activity in the dorsal vagal complex (DVC) by inhibiting serotonin release. THC exerts its anti-emetic effects through these interactions, which are beneficial for patients undergoing chemotherapy.
Two synthetic agonists of THC,...
Two synthetic agonists of THC,...
366
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists
259
Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy. SP binds and activates...
259
Chemotherapy-Induced Nausea and Vomiting: Dopamine Receptor Antagonists
440
Dopamine receptor antagonists, also known as antipsychotic agents, are critical in managing chemotherapy-induced vomiting. These antiemetic agents block dopamine receptors in the chemoreceptor trigger zone (CTZ), inhibiting signal transmission to the vomiting center. Antipsychotic agents encompass phenothiazines (PTZ), butyrophenones, benzamides, and thienobenzodiazepines (Zyprexa), which are utilized for their antiemetic and sedative properties.
Phenothiazines, such as prochlorperazine...
Phenothiazines, such as prochlorperazine...
440


