| Objectives To establish the mean norm,percentile norm,and demarcation norm of the exercise self-efficacy scale for lung cancer patients in Anhui province,and to provide a reference standard for evaluating the exercise self-efficacy level of lung cancer patients.To understand the status quo of exercise self-efficacy in the perioperative lung cancer patients and its correlation with exercise compliance,exercise behavior,and lung function indicators,to provide a reference for clinical medical staff to formulate effective exercise intervention programs.MethodsThe first stage : To establish Anhui province norm of lung cancer patients exercise self-efficacy scale,the former team members xiao-min Zhang exercise self-efficacy scale of lung cancer patients as a research tool,the Anhui region according to the geographical location,Anhui middle part and southern Anhui,northern Anhui are divided into three areas,using the method of stratified random sampling,extraction of14 hospitals in three areas of 1600 patients with lung cancer as the research object.The standard of norm establishment was strictly followed,the mean norm was constructed with mean ± standard deviation,the percentile norm was constructed with 5% spacing,and the delimit norm was constructed with [0,（?）-1s),[（?）-1s,（?）-0.5s),[（?）-0.5s,（?）+0.5s),[（?）+0.5s,（?）+1s),[（?）+1s,100)as the boundary.The second stage: Research on the present situation of exercise self-efficacy and its correlation with exercise compliance,exercise behavior,and lung function indexes of perioperative lung cancer patients.Choosed 200 lung cancer patients in the First Affiliated Hospital of Anhui Medical University and the First Affiliated Hospital of University of Science and Technology of China as the research objects by convenience sampling method.Lung cancer patients’ exercise self-efficacy scale,exercise compliance scale,Godin leisure activity questionnaire,and lung function test indicators forced expiratory volume in one second（FEV1）,forced voluntary ventilation（FVC）,maximum voluntary ventilation（MVV）were used for investigation.SPSS24.0 software was used for statistical analysis of data,measurement data were expressed as mean ±standard deviation.Counting data were expressed by frequency and composition ratio.Independent sample T-test and one-way ANOVA were used to compare the differences of exercise self-efficacy scores in lung cancer patients with different characteristics.Pearson correlation analysis was used to explore the correlation between exercise self-efficacy and exercise compliance,exercise behavior,and lung function indicators.Multiple linear regression was used to investigate the influencing factors of exercise self-efficacy scores in perioperative lung cancer patients.Results1.A total of 1459 lung cancer patients were included in this study,which met the requirements of regional norm construction.The sampling method was reasonable and guaranteed the principle that the sample represented the whole population.The total score of the exercise self-efficacy scale for lung cancer patients in Anhui province was（67.66±14.90）.The score of efficacy expectation dimension was（63.09±18.13）.The score of expectation dimension was（73.48±14.10）.The mean norm of total score and sub dimension score of exercise self-efficacy scale for patients with lung cancer was developed.The percentile norm of the scale was established with 5% spacing.According to the normal distribution method,the demarcation norm of the scale was established,including five states: [0,52.76)were classified as "very low level",[52.76,60.21)were classified as " low level",[60.21,75.11)were classified as "middle level",[75.11,82.56)were classified as "high level",and [82.56,100)were classified as "extremely high level",and 10 sets of classification norms of gender,age,education level,occupation,irregular exercise habit,accompanying diseases,hospital grade,region,department category,and BMI were constructed according to multiple linear regression analysis.2.A total of 198 perioperative lung cancer patients were included,the patients exercise self-efficacy scores（73.22±13.28）,efficacy expectation dimensions（70.43±14.81）,expectation dimensions（76.78±13.42）,exercise compliance（42.18±9.88）,exercise behavior（20.23±13.26）METs,FEV1（2.46±0.65）L,FVC（2.79±0.80）L,MVV（76.20±23.88）L/min.Pearson correlation analysis showed that total exercise self-efficacy was positively correlated with exercise compliance in perioperative lung cancer patients（r=0.580,P<0.01）,the dimension of efficacy expectation was positively correlated with exercise compliance（r=0.588,P<0.01）,there was a positive correlation between expectation dimension and exercise compliance（r=0.477,P<0.01）;the total score of exercise self-efficacy was positively correlated with exercise behavior（r=0.326,P<0.01）,the dimension of efficacy expectation was positively correlated with sports behavior（r=0.388,P<0.01）,there was a positive correlation between expectation dimension and movement behavior（r=0.259,P<0.01）;there was a positive correlation between total exercise self-efficacy and MVV（r=0.152,P<0.05）,there was a positive correlation between expectation dimension and MVV（r=0.198,P<0.01）,there was a positive correlation between expectation dimension and FEV1（r=0.191,P<0.01）.Multiple linear regression analysis showed that the influencing factors of exercise self-efficacy in perioperative lung cancer patients included age,education level,exercise compliance,which accounted for 41.9% of the total variables.Conclusion1.The established norm of an exercise self-efficacy scale for lung cancer patients in Anhui province has good representative,which can provide reference standard for Anhui province and other provinces with a similar level of economic and social development,therefore,the scale deserves further popularization and application.2.The exercise self-efficacy of lung cancer patients in the perioperative period was at a medium level,and the exercise self-efficacy of lung cancer patients with different ages,education levels,and exercise compliance was different.Patients with high exercise self-efficacy had better exercise compliance,exercise behavior,and lung function indicators.Clinical medical staff can formulate effective exercise intervention strategies with the help of the above influencing factors,to further improve the perioperative lung cancer patients’ exercise compliance and exercise level. |
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