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多发性骨髓瘤患者的身体活动偏好:一项定性研究。

Physical Activity Preferences for People Living With Multiple Myeloma: A Qualitative Study.

作者信息

Craike Melinda, Hose Kaye, Courneya Kerry S, Harrison Simon J, Livingston Patricia M

机构信息

Author Affiliations: Institute of Sport, Exercise and Active Living (ISEAL), Victoria University, Melbourne, Australia (Dr Craike); Austin Health, Heidelberg, Australia (Ms Hose); Faculty of Physical Education and Recreation, University of Alberta, Edmonton, Canada (Dr Courneya); Division of Cancer Medicine, Peter MacCallum Cancer Centre, Melbourne, and Sir Peter MacCallum Department of Oncology, University of Melbourne, Parkville, Australia (Dr Harrison); and Deakin University, Geelong, Australia, Faculty of Health (Dr Livingston).

出版信息

Cancer Nurs. 2017 Sep/Oct;40(5):E1-E8. doi: 10.1097/NCC.0000000000000425.

Abstract

BACKGROUND

Although physical activity (PA) has significant benefits for people living with multiple myeloma (MM), participation rates are low. Examination of PA preferences will provide important information to clinicians and assist in the development of interventions to increase participation in PA for people living with MM.

OBJECTIVE

The aim of this study is to gain an in-depth understanding of the PA preferences for people living with MM, including the preferred role of clinicians.

METHODS

Semistructured interviews were conducted with patients treated for MM within the preceding 2 to 12 months. Interviews were analyzed using content analysis, where coding categories were derived directly from the text data.

RESULTS

Twenty-four interviews were conducted (women, 54%; age: mean [SD], 62 [8.8] years); 16 (67%) participants had an autologous stem cell transplant. Light- to moderate-intensity PA during and after treatment was feasible, with the strongest preference for a program 2 to 8 months after treatment. The timing of information delivery was important, as was input from clinicians and organizations with knowledge of MM. Preferences for location, structure, and timing of programs varied.

CONCLUSIONS

Low- to moderate-intensity PA after treatment is likely to interest people with MM. Programs need to be flexible and consider individual differences in PA preferences, functional status, and treatment schedules.

IMPLICATIONS

An individually tailored PA program should form part of clinical care, involving clinicians and organizations with expertise in MM. Options for home-based PA are also important. Further research, including a population-based study of people living with MM, is necessary to further quantify PA preferences.

摘要

背景

尽管体育活动(PA)对多发性骨髓瘤(MM)患者有显著益处,但参与率较低。对体育活动偏好的研究将为临床医生提供重要信息,并有助于制定干预措施,以提高MM患者对体育活动的参与度。

目的

本研究旨在深入了解MM患者对体育活动的偏好,包括临床医生的首选作用。

方法

对在过去2至12个月内接受MM治疗的患者进行半结构式访谈。采用内容分析法对访谈进行分析,编码类别直接从文本数据中得出。

结果

共进行了24次访谈(女性占54%;年龄:平均[标准差]为62[8.8]岁);16名(67%)参与者进行了自体干细胞移植。治疗期间和治疗后的轻度至中度体育活动是可行的,最倾向于治疗后2至8个月的项目。信息传递的时机很重要,临床医生以及了解MM的组织提供的信息也很重要。对项目地点、结构和时间安排的偏好各不相同。

结论

治疗后的低强度至中等强度体育活动可能会引起MM患者的兴趣。项目需要灵活,并考虑到体育活动偏好、功能状态和治疗计划方面的个体差异。

启示

个性化定制的体育活动项目应成为临床护理的一部分,涉及具有MM专业知识的临床医生和组织。居家体育活动的选择也很重要。有必要进行进一步研究,包括对MM患者进行基于人群的研究,以进一步量化体育活动偏好。

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