| Objectives1. assessment of the fatigue-alleviating effect of exercise prescription on Gastriccancer2. investigation of the factors influencing the Gastric Cancer-related Patients’Compliance to Exercise PrescriptionMethodsWe first selected from Fujian Medical University Union Hospital theup-to-requirement gastric cancer-related patients, hospitalized during the period fromJune2013to February2014. We assessed their fatigue level by virtue of The RevisedPiper Fatigue Scale and general questionnaire1to3days after their enrollment. Afterthat, the subjects were required to exercise for4weeks according to the exerciseprescription formulated in our research. On the14thand28thday, we reassessed theirfatigue level, exercise compliance and the compliance factors by virtue of RevisedPiper Fatigue Scale, Gastric Cancer-related Patients’ Compliance to ExercisePrescription Scale, The Champion Heath Belief Model Scale and Social SupportRating Scale. Finally, we did the statistical description, single factor analysis,hypothesis testing and multiple linear regression analysis by virtue of SPSS11.5.ResultsWe sent out131questionnaires, with129returned (collecting rate:98.47%).Among the129pieces,9subjects quit,3didn’t show up, and the final number ofvalid questionnaires is117(effective response rate:90.7%). All the117gastriccancer-related fatigue patients had gone through physical examination after4weeksof interventional exercises.14days after the intervention, the patients’ fatigue condition were generallyalleviated, with significant statistical differences (p<0.05).28days after the intervention, the patients’ fatigue condition were generally alleviated, withsignificant statistical differences (p<0.05). Both cognitive and emotional dimensionshad significant differences, especially the latter one (p<0.01). By contrast, thebehavior and severity extent (p>0.05) and feeling dimension (p>0.05) had nosignificant differences.Compared with patients’ condition during the first14days of intervention, thepatients’ compliance to the exercise prescription and other dimensions all declinedslightly, with t testing analysis showing no significant differences; in both cases, thepatients’ compliance to exercise prescription and other dimensions were all at amedium-high level: in the former case,78.64%patients had a good compliance and inthe latter case,80.43%. The high-degree-compliance patients’ fatigue level declinedfrom4.38±2.13(before intervention) to3.23±1.85(28days after intervention), witha significant alleviation effect (p<0.05); the social demographic characteristics had nosignificant statistical effects on the patients’ compliance. Compliance had a closerelation to health belief, with the relation value of0.4752and a significant statisticaldifference （p<0.01).More specifically, the close relation is represented in the threedimensions of the benefits of exercise description, and health motivation of exercisedescription and the confidence of exercise description. Patients with different degreesof compliance had different degrees of social support but no significant.The analysis of validity and reliability of the compliance shows: the generalCronbach’s a is0.924(14days) and0.923(28days). And the Cronbach’s a of everyindividual dimension is0.800-0.915, which indicates a good reliability. The testingitems are of good homology. The two tests were at a2-week interval. Correlationcoefficient of the two tests was0.976, up to the required standard of0.70. And thisindicates that the two tests were of relatively high consistence and that thequestionnaire had a good retesting reliability. The analysis of validity suggested thatthe value of KMO was0.8869and Bartlett’s spherical test reached a significant level(P＜0.01), showing that the scale was quite suitable for factor analysis. Conclusions1. The Gastric cancer patients had well complied to the exercise prescriptionstipulated in the research.14days after the intervention and28days after theintervention both witnessed alleviation of fatigue. The lasting effects of theprescription remains to be further investigated.2. The patients reached a medium and upper level in terms of general compliance rateand dimensional compliance rate against the exercise prescription stipulated in theresearch, with78.64%after14days of intervention and80.43%after28days ofintervention respectively. The social demographic characteristics had no significantstatistical effects on the patients’ compliance degree. Patients with differentcompliance degrees varied significantly in the health belief(p<0.01). Patients withstronger health belief had a better compliance, as is represented in following threedimensions: the benefits of exercise description, and health motivation of exercisedescription and the confidence of exercise description. The social support of differentpatients mainly came from the support of people closely related to the patients.3. The validity and reliability analysis of this research suggests that the exercisecompliance scale is of high validity and reliability. |
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