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Hälsofrämjande fysisk aktivitet hos personer under adjuvant cancerbehandling relaterad till fatigue, livskvalitet samt self-efficacy
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2016 (Swedish)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [sv]

Bakgrund

Cancerdrabbade lider ofta av cancerrelaterad fatigue (CRF) och försämrad livskvalitet under och efter behandling. Hälsofrämjande fysisk aktivitet (HFA) kan minska risken för dessa negativa konsekvenser. HFA påverkas bl.a. av träningsrelaterad self-efficacy, dvs tilltron till egen förmåga att vara fysisk aktiv.

Syfte

Att undersöka HFA hos personer under adjuvant cancerbehandling vid diagnos och efter sex månader samt att undersöka om de med en stabil HFA hade lägre CRF, högre livskvalitet samt högre träningsrelaterad self-efficacy jämfört med dem utan stabil HFA.

Metod

Kohortstudie med jämförande, prospektiv design. Data insamlades vid baslinje- och sexmånadersmätningar (n = 45) från en historisk kontrollgrupp inom ramen för en större longitudinell studie, med accelerometer (SenseWear Armband mini) samt tre enkäter (FACIT-F, EORTC QLQ C30 och EBSS). Data analyserades med deskriptiv statistik och oberoende t-test (P<0,10).

Resultat

Av 45 deltagare hade 26 (48%) stabil HFA. Denna grupp skilde sig vid sex månader signifikant från gruppen som inte hade stabil HFA i CRF: (M=41, SD=10.3) mot (M=33, SD=10.6), t(43)=7.3, p=0.027, generell livskvalitet: (M=72, SD=19.7) mot (M=60, SD=19.4), t(43)=11.4, p=0.010, upplevd funktion: (M=87, SD=13.3) mot (M=76, SD=16.5), t(43)=11.0, p=0.014 och upplevda symtom: (M=14, SD=10.0) mot (M=23, SD=18.1), t(43)=-9.4, p=0.031. Ingen statistiskt signifikant skillnad fanns gällande träningsrelaterad self-efficacy mellan grupperna vid diagnos.

Slutsats

Resultaten tyder på att en stor andel av cancerdrabbade har stabil HFA under adjuvant behandling och dessa rapporterar bättre hälsa med avseende på CRF och livskvalitet jämfört med cancerdrabbade som inte har stabil HFA. Större studier behöver göras för att kunna dra säkra slutsatser.

Abstract [en]

Background

Cancer-related fatigue (CRF) and low quality of life are prevalent among people undergoing adjuvant cancer treatment. Health-enhancing physical activity (HEPA) protects from these negative consequences. HEPA in turn, is influenced by exercise-related self-efficacy.

Aim

To describe levels of HEPA among people undergoing adjuvant cancer treatment at diagnosis and after six months, and to determine if those with a stable a HEPA had lower CRF, higher quality of life and exercise-related self-efficacy compared to those without a stable HEPA.

Method

Cohort study with a comparative, prospective design. Baseline and six-months data (n=45) were collected from a larger longitudinal study, by accelerometer (SWA) and three questionnaires (FACIT-F, EORTC QLQ C30, EBSS). Data were analysed using descriptive statistics and independent t-test (P <0.10).

Result

Among the 45 included, 26 (48%) had a stable HEPA. This group was significantly different at six months compared to the group without a stable HEPA in CRF: (M=41, SD=10.3) to (M=33, SD=10.6), t(43)=7.3, p=0.027, general quality of life (M=72, SD=19.7) to (M=60, SD=19.4), t(43)=11.4, p=0.010, perceived function: (M=87, SD=13.3) to (M=76, SD=16.5), t (43)=11.0, p=0.014 and perceived symptoms: (M=14, SD=10.0) to (M=23, SD=18.1), t(43)= - 9.4, p=0.031. No difference was found between the groups regarding exercise-related self-efficacy.

Conclusion

The results indicated that a large proportion of people undergoing adjuvant cancer treatment have a stable HEPA and these people report better health such as lower CRF and higher quality of life compared to those without a stable HEPA. Larger studies are needed to allow firm conclusions.

Place, publisher, year, edition, pages
2016. , 31 p.
Keyword [en]
Cancer, fatigue, physical activity, self-efficacy, quality of life
Keyword [sv]
Cancer, fatigue, fysisk aktivitet, livskvalitet, self-efficacy
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:uu:diva-302543OAI: oai:DiVA.org:uu-302543DiVA: diva2:958030
Subject / course
Public Health
Educational program
Master Programme in Public Health
Supervisors
Examiners
Available from: 2016-09-06 Created: 2016-09-05 Last updated: 2016-09-06Bibliographically approved

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