Husebø Anne Marie Lunde, Karlsen Bjørg, Allan Helen, Søreide Jon Arne, Bru Edvin
University of Stavanger, Stavanger, Norway.
J Clin Nurs. 2015 Feb;24(3-4):500-10. doi: 10.1111/jocn.12633. Epub 2014 Jun 3.
To explore factors influencing exercise adherence among women with breast cancer while following an exercise programme.
Earlier research shows that women with breast cancer decrease physical activity following the cancer diagnosis and that adhering to exercise interventions can be a challenge. Research is needed to identify motivational factors and barriers for exercise adherence among women during treatment for breast cancer.
This was a qualitative study to explore patient's perceptions of the challenges to exercise adherence during a randomised, controlled trial.
Twenty-seven women with early-stage breast cancer were purposively sampled for focus group interviews during 2011-2012 from their participation in the exercise intervention group during 2010-2012. Five focus groups were performed, and data analysis was completed using the systematic text condensation method.
During the focus group study, five main themes were identified, which described factors participants perceived to influence their adherence to exercise during chemotherapy: 'side effects of breast cancer treatment as a barrier to exercise', 'restoring and maintaining normality in daily life motivates exercise', 'other valued activities compete with exercise', 'constructive support enhances exercise' and 'positive beliefs about efficacy and outcomes motivate exercise'.
Adherence to exercise in women with breast cancer is challenged by internal and external conditions and may be improved by attention to the impact of treatment side effects and by supporting patient self-efficacy towards changing health behaviour.
Nurses should be aware that exercise adherence could be a challenge among women with breast cancer. They should help identify obstacles to exercise for women and ways to overcome them, as well as support them in their beliefs that they are capable of changing their health behaviour.
在遵循一项运动计划的同时，探究影响乳腺癌女性运动依从性的因素。
早期研究表明，乳腺癌女性在癌症诊断后会减少身体活动，且坚持运动干预可能是一项挑战。需要开展研究以确定乳腺癌女性在治疗期间运动依从性的动机因素和障碍。
这是一项定性研究，旨在探讨患者在随机对照试验中对运动依从性挑战的看法。
2011年至2012年期间，从2010年至2012年参与运动干预组的早期乳腺癌女性中，有目的地抽取27名进行焦点小组访谈。进行了5次焦点小组访谈，并使用系统文本浓缩法完成数据分析。
在焦点小组研究中，确定了五个主要主题，描述了参与者认为在化疗期间影响其运动依从性的因素：“乳腺癌治疗的副作用成为运动障碍”、“恢复和维持日常生活的正常状态激发运动”、“其他有价值的活动与运动竞争”、“建设性支持增强运动”以及“对功效和结果的积极信念激发运动”。
乳腺癌女性的运动依从性受到内部和外部条件的挑战，关注治疗副作用的影响并支持患者改变健康行为的自我效能感，可能会提高运动依从性。
护士应意识到运动依从性对乳腺癌女性来说可能是一项挑战。他们应帮助识别女性运动的障碍以及克服这些障碍的方法，并支持她们相信自己有能力改变健康行为。
