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澳大利亚肿瘤护理人员的体育活动推广、信念及障碍

Physical Activity Promotion, Beliefs, and Barriers Among Australasian Oncology Nurses.

作者信息

Keogh Justin W L, Pühringer Petra, Olsen Alicia, Sargeant Sally, Jones Lynnette M, Climstein Mike

机构信息

Bond University.

General Hospital of the Merciful Brothers.

出版信息

Oncol Nurs Forum. 2017 Mar 1;44(2):235-245. doi: 10.1188/17.ONF.235-245.

Abstract

PURPOSE/OBJECTIVES: To describe the physical activity (PA) promotion practices, beliefs, and barriers of Australasian oncology nurses and gain preliminary insight into how PA promotion practices may be affected by the demographics of the nurses.
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DESIGN: Cross-sectional survey.
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SETTING: Australia and New Zealand.
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SAMPLE: 119 registered oncology nurses.
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METHODS: Self-reported online survey completed once per participant.
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MAIN RESEARCH VARIABLES: Questions assessed the PA promotion beliefs (e.g., primary healthcare professionals responsible for PA promotion, treatment stage), PA benefits (e.g., primary benefits, evidence base), and PA promotion barriers of oncology nurses.
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FINDINGS: Oncology nurses believed they were the major providers of PA advice to their patients. They promoted PA prior to, during, and post-treatment. The three most commonly cited benefits of PA for their patients were improved quality of life, mental health, and activities of daily living. Lack of time, lack of adequate support structures, and risk to patient were the most common barriers to PA promotion. Relatively few significant differences in the oncology nurses' PA promotion practices, beliefs, and barriers were observed based on hospital location or years of experience.
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CONCLUSIONS: Despite numerous barriers, Australasian oncology nurses wish to promote PA to their patients with cancer across multiple treatment stages because they believe PA is beneficial for their patients.
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IMPLICATIONS FOR NURSING

Hospitals may need to better support oncology nurses in promoting PA to their patients and provide better referral pathways to exercise physiologists and physiotherapists.

摘要

目的/目标:描述澳大利亚和新西兰肿瘤护理人员的身体活动(PA)促进实践、信念及障碍,并初步了解PA促进实践可能如何受到护理人员人口统计学特征的影响。

设计

横断面调查。

地点

澳大利亚和新西兰。

样本

119名注册肿瘤护理人员。

方法

每位参与者完成一次自我报告的在线调查。

主要研究变量

问题评估了PA促进信念(例如,负责PA促进的初级医疗保健专业人员、治疗阶段)、PA益处(例如,主要益处、证据基础)以及肿瘤护理人员的PA促进障碍。

研究结果

肿瘤护理人员认为他们是向患者提供PA建议的主要人员。他们在治疗前、治疗期间和治疗后都促进PA。PA对患者最常被提及的三个益处是生活质量提高、心理健康改善和日常生活活动能力增强。时间不足、缺乏足够的支持结构以及对患者的风险是PA促进最常见的障碍。基于医院位置或工作年限,在肿瘤护理人员的PA促进实践、信念和障碍方面观察到相对较少的显著差异。

结论

尽管存在诸多障碍,但澳大利亚和新西兰的肿瘤护理人员希望在多个治疗阶段向癌症患者推广PA,因为他们认为PA对患者有益。

对护理工作的启示

医院可能需要更好地支持肿瘤护理人员向患者推广PA,并提供更好的转介途径,以便患者能联系运动生理学家和物理治疗师。

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