Karvinen Kristina H, Raedeke Thomas D, Arastu Hyder, Allison Ron R
Department of Exercise and Sport Science, College of Health and Human Performance, East Carolina University, Greenville, NC, USA.
Oncol Nurs Forum. 2011 Sep;38(5):E326-34. doi: 10.1188/11.ONF.E326-E334.
PURPOSE/OBJECTIVES: To explore exercise programming and counseling preferences and exercise-related beliefs in breast cancer survivors during and after radiation therapy, and to compare differences based on treatment and insurance status.
Cross-sectional survey.
Ambulatory cancer center in a rural community in eastern North Carolina.
91 breast cancer survivors during or after radiation therapy.
The researchers administered the questionnaire to participants.
Exercise programming and counseling preferences and exercise beliefs moderated by treatment status (on-treatment, early, and late survivors) and insurance status (Medicaid, non-Medicaid).
Chi-square analyses indicated that fewer Medicaid users were physically active and reported health benefits as an advantage of exercise compared to non-Medicaid users (p < 0.05). In addition, more Medicaid users preferred exercise programming at their cancer center compared to non-Medicaid users (p < 0.05). More on-treatment and early survivors listed health benefits as advantages to exercise, but fewer indicated weight control as an advantage compared to late survivors (p < 0.05). Early survivors were more likely than on-treatment survivors to indicate that accessible facilities would make exercising easier for them (p < 0.05).
Medicaid users are less active, less likely to identify health benefits as an advantage for exercising, and more likely to prefer cancer center-based exercise programming compared to non-Medicaid users. In addition, on-treatment and early survivors are more likely to list health benefits and less likely to indicate weight control as advantages of exercising compared to late survivors.
The low activity levels of Medicaid users may be best targeted by providing cancer center-based exercise programming. Exercise interventions may be most effective if tailored to the unique needs of treatment status.
目的/目标：探讨乳腺癌幸存者在放疗期间及放疗后对运动规划和咨询的偏好以及与运动相关的信念，并比较基于治疗和保险状况的差异。
横断面调查。
北卡罗来纳州东部一个农村社区的门诊癌症中心。
91名处于放疗期间或放疗后的乳腺癌幸存者。
研究人员向参与者发放问卷。
运动规划和咨询偏好以及由治疗状况（正在接受治疗的患者、早期幸存者和晚期幸存者）和保险状况（医疗补助、非医疗补助）调节的运动信念。
卡方分析表明，与非医疗补助使用者相比，使用医疗补助的人身体活动较少，且将健康益处视为运动优势的比例较低（p<0.05）。此外，与非医疗补助使用者相比，更多使用医疗补助的人更喜欢在其癌症中心进行运动规划（p<0.05）。与晚期幸存者相比，更多正在接受治疗的患者和早期幸存者将健康益处列为运动的优势，但将体重控制列为优势的比例较低（p<0.05）。早期幸存者比正在接受治疗的幸存者更有可能表示，便利的设施会使他们更容易进行锻炼（p<0.05）。
与非医疗补助使用者相比，医疗补助使用者活动较少，不太可能将健康益处视为运动的优势，且更有可能更喜欢基于癌症中心的运动规划。此外，与晚期幸存者相比，正在接受治疗的患者和早期幸存者更有可能将健康益处列为运动的优势，而将体重控制列为优势的可能性较小。
通过提供基于癌症中心的运动规划，可能最适合针对医疗补助使用者的低活动水平。如果根据治疗状况的独特需求进行调整，可以使运动干预最有效。
