心身症状在乳腺癌患者体育锻炼和认知功能之间的中介效应:路径分析

IF 2.7 3区 医学 Q1 NURSING European Journal of Oncology Nursing Pub Date : 2024-12-07 DOI:10.1016/j.ejon.2024.102761
Yu Liu, Yali Su, Lixiao Bai, Ailing Yang, Shaohua Chen
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引用次数: 0

摘要

目的:心身症状是乳腺癌(BC)患者常见的副作用,并显著影响认知功能。然而,有限的研究已经解决了心身症状在身体活动和认知功能之间的关系中的作用。本研究旨在探讨心身症状在BC患者体力活动与认知功能之间的中介作用。方法:于2022年4月至2023年2月在中国10家医院进行横断面研究。认知功能采用癌症治疗功能评估-认知功能量表进行评估。采用匹兹堡睡眠质量指数问卷、癌症疲劳量表、广泛性焦虑障碍问卷-7和患者健康问卷-9分别对741例BC患者的运动频率、睡眠质量、疲劳、焦虑和抑郁进行了测量。通过相关分析和通径分析来探讨变量之间的关联。结果:BC患者认知功能障碍患病率为9.58%。当将年龄作为调节变量时,路径模型显示出最佳拟合,并且年龄与睡眠障碍之间的关联得到控制。体力活动与心身症状和认知功能障碍均呈负相关(p结论:体力活动在改善BC患者认知功能方面具有关键作用,既可以通过直接机制,也可以通过减少焦虑和抑郁间接发挥作用。虽然观察到睡眠质量和疲劳程度的改善,但它们对认知功能的影响没有达到统计学意义,表明需要进一步研究。这些发现强调了将心理症状管理纳入支持性护理计划以帮助认知恢复的重要性。体育活动和心理干预相结合可以提供协同效益,潜在地促进认知改善并提高BC患者的整体生活质量。
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The mediating effect of psychosomatic symptoms between physical activity and cognitive function among breast cancer patients: A path analysis.

Purpose: Psychosomatic symptoms are frequently observed side effects in breast cancer (BC) patients and significantly influence cognitive function. However, limited research has addressed the role of psychosomatic symptoms in the relationship between physical activity and cognitive function. This study aimed to examine the mediating effect of psychosomatic symptoms on the relationship between physical activity and cognitive function in BC patients.

Methods: A cross-sectional study was conducted across 10 hospitals in China from April 2022 to February 2023. Cognitive function was assessed using the Functional Assessment of Cancer Therapy-Cognitive Function scale. Exercise frequency, sleep quality, fatigue, anxiety, and depression were measured using the Pittsburgh Sleep Quality Index questionnaire, Cancer Fatigue Scale, Generalized Anxiety Disorder Questionnaire-7, and Patient Health Questionnaire-9, respectively, among 741 BC patients. Correlation analysis and path analysis were performed to explore associations between variables.

Results: The prevalence of cognitive impairment in BC patients was found to be 9.58%. The path model demonstrated the best fit when age was included as a moderating variable, and the association between age and sleep disorders was controlled. Physical activity showed a negative correlation with both psychosomatic symptoms and cognitive impairment (p < 0.05). It exerted a direct impact on cognitive impairment (20.3%, p < 0.001) and an indirect impact mediated through anxiety and depression (6.3%, p < 0.001). The total effect in the model was 38.6% (p < 0.001).

Conclusion: Physical activity has a pivotal role in improving cognitive function in BC patients, both through direct mechanisms and indirectly by reducing anxiety and depression. While enhancements in sleep quality and fatigue levels were observed, their influence on cognitive function did not reach statistical significance, indicating the need for further research. These findings underscore the importance of incorporating psychological symptom management into supportive care plans to aid cognitive recovery. A combination of physical activity and psychological interventions could provide synergistic benefits, potentially boosting cognitive improvement and enhancing the overall quality of life in BC patients.

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来源期刊
CiteScore
4.40
自引率
3.60%
发文量
109
审稿时长
57 days
期刊介绍: The European Journal of Oncology Nursing is an international journal which publishes research of direct relevance to patient care, nurse education, management and policy development. EJON is proud to be the official journal of the European Oncology Nursing Society. The journal publishes the following types of papers: • Original research articles • Review articles
期刊最新文献
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