目的：对乳腺癌患者术后锻炼知识、态度和行为及其影响因素进行调查。方法采用自行设计的问卷对110例乳腺癌术后患者进行调查。问卷分为4个部分，即一般情况、对术后锻炼知识的知晓程度、对术后锻炼的态度及其相关行为。结果收回有效问卷108份。调查结果显示，知识知晓率为87%，其中术后锻炼的注意事项得分最高，术后锻炼的方式及强度得分最低；术后乳腺癌患者对锻炼具有积极的态度，但有部分患者表示不能坚持锻炼；41%患者只采用1种锻炼方式，78%以低强度锻炼为主，41%每周锻炼小于3 d，74%每次锻炼时间都大于30 min，7%采用中医养生运动。术后时间与知识总得分(r=0.40, P<0.01)、运动种类(r=0.41, P<0.05)和锻炼强度(r=0.43, P<0.05)呈正相关。癌症分期与知识总得分(r=-0.37, P<0.05)和运动时间(r=-0.38, P<0.05)呈负相关。结论术后乳腺癌患者对锻炼方式及强度方面的知识相对薄弱。大部分患者锻炼形式单一，锻炼强度较低，部分患者锻炼频率较低。%Objective To investigate knowledge, attitude, and practice of exercise for post-operative breast cancer. Methods 110 post-operative breast cancers were investigated using a self-designed questionnaire which included general condition of patients, knowledge, atti-tude and practice of exercise after breast surgery. Results The rate of effective response was 98%. The average rate of awareness about post-operative exercise for breast cancers was 87%, and the score of knowledge of intensity and forms of exercise was the lowest, while the an-nouncements of post-operative exercise was the highest. All of the patients presented positive attitude toward exercise, however, some of them indicated that they couldn't insist on it. 41%exercised only in one form, 78%at a low intensity, 41%less than 3 times per week, and 74%at least 30 minutes per session. Only 7%did traditional Chinese medical exercise. Time after surgery correlated positively to general scores (r=0.40, P<0.01), kinds of exercise (r=0.41, P<0.05) and intensity of exercise (r=0.43, P<0.05). Phase of cancer correlated negatively to general scores (r=-0.37, P<0.05) and exercise time (r=-0.38, P<0.05). Conclusion The knowledge on intensity and form of exercise af-ter operation is not popular in post-operative breast cancers.
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