Karvinen Kristina H, DuBose Katrina D, Carney Bryan, Allison Ron R
Department of Exercise and Sport Science, East Carolina University, Greenville, NC 27858, USA.
J Support Oncol. 2010 Jan-Feb;8(1):35-41.
Promotion of physical activity by health care providers has been found to positively influence the levels of physical activity in patients. The primary purpose of this study was to examine physical activity promotion practices of oncologists in the United States. Secondary purposes were to examine oncologists' perceptions of the benefits of physical activity for cancer survivors and barriers for promotion of physical activity. Of 702 medical and radiation oncologists in the United States invited to participate in the mailed survey, 199 oncologists responded to the survey (response rate, 30%). Approximately 64% of oncologists inquired about their patients' physical activity on some or most visits. Logistic regression indicated that oncologists who had been practicing > or =10 years (OR [odds ratio] = 2.52), were themselves physically active (OR = 1.99), or were medical oncologists (OR = 2.25) were the most likely to recommend physical activity to their patients. "Reducing the risk of recurrence" was rated lowest of all the potential benefits of physical activity for cancer patients. "Insufficient time" was rated the highest as a barrier to promotion of physical activity. Some oncologists are still not discussing physical activity with their patients. A number of barriers and perceptions of the benefits of physical activity may influence such discussions.
医疗保健人员对身体活动的推广已被发现能对患者的身体活动水平产生积极影响。本研究的主要目的是调查美国肿瘤学家对身体活动的推广做法。次要目的是调查肿瘤学家对身体活动对癌症幸存者的益处以及身体活动推广障碍的看法。在美国受邀参加邮寄调查的702名医学肿瘤学家和放射肿瘤学家中,199名肿瘤学家回复了调查(回复率为30%)。约64%的肿瘤学家在部分或大多数就诊时询问过患者的身体活动情况。逻辑回归分析表明,执业时间≥10年(比值比[OR]=2.52)、自身有身体活动习惯(OR=1.99)或为医学肿瘤学家(OR=2.25)的肿瘤学家最有可能向患者推荐身体活动。在身体活动对癌症患者所有潜在益处中,“降低复发风险”的评分最低。“时间不足”被评为身体活动推广的最大障碍。一些肿瘤学家仍未与患者讨论身体活动问题。身体活动的诸多障碍及对其益处的看法可能会影响此类讨论。