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Application of an exercise nudge program based on the theory of planned behavior in patients undergoing adjuvant chemotherapy after colorectal cancer surgery
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Xiaomin CHEN1, 2, Yao LI3, Min XIA2, Yimei WU2, Panpan YAN3, Lili GE4, Qian WU4
Chinese Nursing Research | 2026, 40(9) : 1448 - 1457
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Chinese Nursing Research | 2026, 40(9): 1448-1457
• Original Articles •
Application of an exercise nudge program based on the theory of planned behavior in patients undergoing adjuvant chemotherapy after colorectal cancer surgery
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Xiaomin CHEN1, 2, Yao LI3, Min XIA2, Yimei WU2, Panpan YAN3, Lili GE4, Qian WU4
Affiliations
  • 1Nantong First People's Hospital, Jiangsu 226006 China
  • 2Tongji University School of Medicine
  • 3Henan University School of Nursing and Health
  • 4Tenth People's Hospital Affiliated to Tongji University
Published: 2026-05-10 doi: 10.12102/j.issn.1009-6493.2026.09.004
Outline
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Objective

To explore the application effect of an exercise nudge program based on the theory of planned behavior in patients undergoing adjuvant chemotherapy after colorectal cancer surgery.

Methods

A total of 56 colorectal cancer patients undergoing postoperative adjuvant chemotherapy in a tertiary grade A hospital in Shanghai were selected as the study subjects.They were randomly divided into an intervention group and a control group,with 28 cases in each group.The control group received routine follow-up and guidance from a health education booklet.The intervention group received an exercise nudge program based on the theory of planned behavior.The intervention lasted for 12 weeks.Exercise adherence,exercise self-efficacy,6-minute walk test,and grip strength were evaluated in both groups.The incidence of adverse events during exercise was also compared between the two groups.

Results

The interaction effects between time and group on overall exercise adherence and adherence in various dimensions were statistically significant(P<0.05).The time effect, group effect, and interaction effect on exercise self-efficacy scores were statistically significant(P<0.001).The time effect 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 exercise intervention combining nudge strategy and the theory of planned behavior is safe and feasible.It helps improve exercise self-efficacy and exercise adherence in colorectal cancer chemotherapy patients and enhances their physical function.

colorectal cancer  /  adjuvant chemotherapy  /  nudge program  /  theory of planned behavior  /  exercise adherence  /  self-efficacy  /  adverse events
陈小敏, 李垚, 夏敏, 吴逸梅, 闫盼盼, 葛莉丽, 吴茜. 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. 护理研究, 2026 , 40 (9) : 1448 -1457 . DOI: 10.12102/j.issn.1009-6493.2026.09.004
Xiaomin CHEN, Yao LI, Min XIA, Yimei WU, Panpan YAN, Lili GE, Qian WU. Application of an exercise nudge program based on the theory of planned behavior in patients undergoing adjuvant chemotherapy after colorectal cancer surgery[J]. Chinese Nursing Research, 2026 , 40 (9) : 1448 -1457 . DOI: 10.12102/j.issn.1009-6493.2026.09.004
Year 2026 volume 40 Issue 9
62
26
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Article Info
doi: 10.12102/j.issn.1009-6493.2026.09.004
  • Receive Date:2025-08-19
  • Online Date:2026-10-28
  • Published:2026-05-10
Article Data
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History
  • Received:2025-08-19
  • Revised:2026-03-18
Affiliations
    1Nantong First People's Hospital, Jiangsu 226006 China
    2Tongji University School of Medicine
    3Henan University School of Nursing and Health
    4Tenth People's Hospital Affiliated to Tongji University
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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