Harrington Joanne M, Schwenke Dawn C, Epstein Dana R
Division of Hematology/Oncology, Phoenix Veterans Affairs Health Care System, Phoenix, AZ.
Oncol Nurs Forum. 2013 Sep;40(5):E358-67. doi: 10.1188/13.ONF.E358-E367.
PURPOSE/OBJECTIVES: To investigate acceptability of and preferences for physical activity participation in men receiving androgen-deprivation therapy (ADT) for prostate cancer, to identify influencing clinical and demographic factors, and to determine the percentage meeting national exercise guidelines.
Cross-sectional, descriptive.
Ambulatory care clinic of a large medical center.
135 men receiving ADT.
A structured interview with a systematic procedure was used to elicit preferences for physical activity.
Exercise preferences and acceptability; evidence-based exercise intervention.
Participants expressed high levels of acceptability of and willingness to participate in aerobic (64% and 79%) and muscle-strengthening (79% and 81%) programs. Preferences were expressed for muscle-strengthening activities performed at home, either alone or in the company of a family member. Flexible, spontaneous, and self-paced programs were preferred. Significant associations were identified for distance, age, obesity, duration of ADT, and meeting American College of Sports Medicine (ACSM) and American Heart Association (AHA) guidelines. Nineteen percent of the study population met the guidelines for weekly physical activity.
High levels of expressed acceptance of and willingness to participate in physical activity programs as well as the small number of participants meeting ACSM and AHA guidelines suggest feasibility of and support the need for the development of exercise programs in this population.
Incorporating patient preferences and evidence-based practice is integral to providing high-quality patient-centered care and is the foundation for appropriate intervention programs. Insight from this study will facilitate the design of programs that better reflect actual preferences of prostate cancer survivors.
ADT-induced changes in body composition are believed to contribute to a reduction in insulin sensitivity and dyslipidemia that contribute to increased cardiovascular risk profile. Exercise has the potential to mitigate the harmful effects of ADT.
目的/目标：调查接受雄激素剥夺疗法（ADT）治疗前列腺癌的男性参与体育活动的可接受性和偏好，确定影响的临床和人口统计学因素，并确定达到国家运动指南的百分比。
横断面描述性研究。
大型医疗中心的门诊护理诊所。
135名接受ADT治疗的男性。
采用结构化访谈和系统程序来引出体育活动偏好。
运动偏好和可接受性；循证运动干预。
参与者对有氧运动（分别为64%和79%）和肌肉强化运动（分别为79%和81%）表现出高度的可接受性和参与意愿。他们倾向于在家中独自或与家人一起进行肌肉强化活动。更喜欢灵活、自发和自主安排节奏的运动项目。确定了距离、年龄、肥胖、ADT持续时间与达到美国运动医学学院（ACSM）和美国心脏协会（AHA）指南之间存在显著关联。19%的研究人群达到了每周体育活动指南的要求。
对体育活动项目的高度接受和参与意愿，以及达到ACSM和AHA指南要求的参与者人数较少，表明在这一人群中开展运动项目具有可行性，并支持开展此类项目的必要性。
将患者偏好与循证实践相结合是提供高质量以患者为中心护理的核心，也是制定适当干预项目的基础。本研究的见解将有助于设计出更能反映前列腺癌幸存者实际偏好的项目。
ADT引起的身体成分变化被认为会导致胰岛素敏感性降低和血脂异常，从而增加心血管疾病风险。运动有可能减轻ADT的有害影响。
