Hennessy Elizabeth M, Stevinson Clare, Fox Kenneth R
Department of Exercise and Health Sciences, University of Bristol, Centre for Sport, Exercise and Health, Tyndall Avenue, Bristol BS8 1TP, UK.
Eur J Oncol Nurs. 2005 Jun;9(2):155-66. doi: 10.1016/j.ejon.2004.08.003.
There is a growing body of evidence indicating the physical and psychosocial health benefits of exercising during cancer rehabilitation. However, physical activity levels of cancer survivors are generally low. This study adopted a qualitative approach to increase understanding of the lived experience of exercise for cancer survivors. Semi-structured interviews were carried out with six female cancer survivors who had taken part in the 2003 Race for Life fundraising event for Cancer Research UK. Following verbatim transcription of interviews, data reduction was carried out using Van Manen's method of thematic content analysis. Assimilation of central themes forms the basis of the final report. The essence of cancer survivors' experience of exercise was determined as 'going forward'-to move on, physically and mentally following treatment, to rebuild social networks, and to restore a positive, confident outlook towards the future. The central theme of 'going forward' was identified in aspects of participants' physical and mental recovery, and their future intentions for exercise. Race for Life represented a positive focus for participants after cancer treatment, and proved to be an appropriate starting point for initiating, or returning to exercise following cancer. The results of the study support the suggestion that advice regarding exercise should be included in rehabilitation care for some cancer patients.
越来越多的证据表明,在癌症康复期间进行锻炼对身体和心理社会健康有益。然而,癌症幸存者的身体活动水平普遍较低。本研究采用定性方法,以增进对癌症幸存者锻炼体验的理解。对六名参加了2003年英国癌症研究慈善机构“为生命而跑”筹款活动的女性癌症幸存者进行了半结构化访谈。访谈逐字转录后,采用范曼恩的主题内容分析方法进行数据简化。核心主题的归纳构成了最终报告的基础。癌症幸存者锻炼体验的本质被确定为“向前迈进”——在治疗后在身体和精神上继续前行,重建社交网络,并恢复对未来积极、自信的展望。“向前迈进”这一核心主题在参与者的身心恢复以及他们未来的锻炼意图方面都有体现。“为生命而跑”对参与者来说是癌症治疗后的一个积极关注点,并且被证明是在癌症后开始锻炼或恢复锻炼的一个合适起点。该研究结果支持了这样的建议,即对于一些癌症患者,康复护理中应包含有关锻炼的建议。