Objectively Assessed Exercise Behavior in Chinese Patients with Early-Stage Cancer: A Predictor of Perceived Benefits, Communication with Doctors, Medical Coping Modes, Depression and Quality of Life

Abstract

This study sought to identify factors associated with objectively assessed exercise behavior in Chinese patients with early-stage cancer. Three hundred and fifty one cancer patients were recruited from the Affiliated Jiangyin Hospital of Southeast University Medical College and the Nantong Tumor Hospital. One-way ANOVA, Pearson Chi-square tests and regression analysis were employed to identify the correlations between physical exercise and the measured factors. The results showed that occupation type (χ2 = 14.065; p = 0.029), monthly individual monthly income level (χ2 = 24.795; p = 0.003), BMI (χ2 = 15.709; p = 0.015) and diagnosis (χ2 = 42.442; p < 0.000) were significantly correlated with the subjects self-reported exercise with different frequency per week. Differences in the frequency of exercise were associated with different degrees of reported Benefit Finding (BF) (F = 24.651; p < 0.000), communication with doctors (F = 15.285; p < 0.000), medical coping modes (F = 45.912; p < 0.000), social support (F = 2.938; p = 0.030), depression (F = 6.017; p < 0.000), and quality of life (F = 12.288; p < 0.000). Multiple regression analysis showed that 1.6%-6.4% of the variance in five variables, excluding social support and optimism could be explained by exercise. Our results indicated that benefit finding, medical coping modes, communication with doctors, social support, depression and quality of life were significantly correlated with exercise. The variance in several psychosocial factors (benefit finding, medical coping modes, the communication with doctors, depression and quality of life) could be explained by exercise. Psychosocial factors should be addressed and examined over time when evaluating the effect of physical exercise that is prescribed as a clinically relevant treatment.

The role of social support in physical activity for cancer survivors: A systematic review

“…Perceptions of being supported included general perceptions of feeling supported or aggregate scores of multiple support concepts, addressing availability of or satisfaction with support. Perceptions of being supported in general by other people in one's life were positively associated with PA in nine studies, although in two cases, the associations became nonsignificant in multivariate models, and it was not associated in three studies . When assessed in terms of source of support, findings were mixed.…”

Application of traditional Chinese medicine acupoint needle embedding combined with emotional nursing in patients with gynecological malignant tumors

“…The higher the score, the smaller the impact of CINV on functional living; (4) CRF: The Chinese version of the Revised Piper Fatigue Scale (PFS-R)[ 10 ] was employed to examine the level of fatigue in the two groups before and following the intervention. It consists of 22 questions and is categorized as follows: Behavior, emotion, perception, and cognition; (5) Mental state: The medical coping style scale[ 11 ] was applied to determine the coping style of both groups before and after the intervention, which was divided into three dimensions: Avoidance, yield and facing, with 20 items. The higher the score of each dimension, the more likely the patient was to adopt the coping style; and (6) Sleep quality: The Pittsburgh Sleep Quality Index (PSQI)[ 12 ] was utilized to examine 18 items, including seven aspects of sleep latency, sleep duration, sleep efficiency, sleep disorders, hypnotic drugs, and daily dysfunction.…”