基于计划行为理论的运动助推方案在结直肠癌术后辅助化疗病人中的应用

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AbstractObjective：Toexploretheapplicationefectofanexercisenudgeprogrambasedonthetheoryofplannedbehaviorinpatints undergoingadjuvantchemotherapyaftercolorectalcancersurgeryMethods：Atotalof 56colorectalcancer patientsundergoing postoperativeadjuvantchemotherapyinatertiarygradeAhospitalinShanghaiwereselectedasthestudysubjects.Theywererandomly dividedintoaninterventiongroupandacontrolgroup，with28casesineachgroup.Thecontrol groupreceivedroutinefollow-upand guidancefromahealth educationboklet.The intervention groupreceivedanexercisenudgeprogrambasedonthetheoryof planned behavior.Theinterventionlastedfor12weeks.Exerciseadherence，exerciseself-ficacy，6-minutewalktest，andgriptrengthwere evaluatedinbothgroups.Theincidenceof adverseeventsduring exercisewasalsocomparedbetwenthetwogroups.Results：The interactionefectsetwntimeandgrouponoverallexerciseadherenceadadherenceinariousdimensioswerestatisticallysignificant 0 P<0.05 ）.Thetime effct，group effect，and interactioneffecton exercise self-efficacyscores were statistically significant P<0.001 ） The time efect and interaction effect on the 6-minute walk test and grip strength were statistically significant（ P<0.001 ）.The incidence of muscle soreness and cardiac discomfort in the intervention group was lower than that in the control group（ P<0.05 ）. Conclusions：The exerciseinterventioncombining nudgestrategyandthetheoryofplannedbhaviorissafeandfeasible.Ithelpsimproveexerciseselfefcacyand exercise adherence incolorectalcancerchemotherapypatients and enhances their physical function.

Keywordscolorectalcancer;adjuvantchemotherapy;nudge program;theoryof plannedbehavior;exerciseadherence;self-eficacy; adverse events

2022年全球癌症数据统计显示，结直肠癌的发病率和死亡率居高不下。（剩余15157字）