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辅助化疗期间乳腺癌女性坚持体育活动的动机。

Motivation to uphold physical activity in women with breast cancer during adjuvant chemotherapy treatment.

作者信息

Wilhelmsson Anna, Roos Maria, Hagberg Lars, Wengström Yvonne, Blomberg Karin

机构信息

Department of Oncology, Örebro University Hospital, Örebro, Sweden.

University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

出版信息

Eur J Oncol Nurs. 2017 Aug;29:17-22. doi: 10.1016/j.ejon.2017.03.008. Epub 2017 May 3.

Abstract

PURPOSE

Physical activity (PA) is important for recovery after a breast cancer diagnosis; however, women's motivation to engage in PA can be impacted by disease and/or treatment, and can therefore be a challenge. This study explored factors associated with PA levels during chemotherapy among women with breast cancer.

METHOD

The study had a cross-sectional descriptive and comparative design using a study-specific questionnaire. One hundred women with breast cancer receiving adjuvant chemotherapy were included. Data were analysed by Pearson's correlation coefficient and linear regression. The open question was subjected to manifest content analysis.

RESULTS

Identified factors associated with engaging in PA during chemotherapy treatment were: being physically active before diagnosis, and the information given by the oncology nurse before the treatment start. The physically active women experienced higher psychological wellbeing, less fatigue, and faster recovery after treatment. They also experienced an overall feeling of fitness.

CONCLUSION

It seems that PA is associated with less fatigue, better recovery between chemotherapy treatments, and a better mental condition leading to wellbeing. Information given by the oncology nurse may be an important factor for being physically active. Women with breast cancer need to get specific advice about and support in engaging in PA to feel better during chemotherapy treatment. Further research is required to develop guidelines for advice about and support regarding PA during chemotherapy treatment.

摘要

目的

身体活动(PA)对乳腺癌诊断后的康复很重要;然而,女性参与PA的动机可能会受到疾病和/或治疗的影响,因此可能是一项挑战。本研究探讨了乳腺癌女性化疗期间与PA水平相关的因素。

方法

本研究采用特定研究问卷进行横断面描述性和比较性设计。纳入了100名接受辅助化疗的乳腺癌女性。数据通过Pearson相关系数和线性回归进行分析。对开放式问题进行了显性内容分析。

结果

确定的与化疗期间参与PA相关的因素为:诊断前身体活跃,以及治疗开始前肿瘤护士提供的信息。身体活跃的女性心理健康状况更好,疲劳感更少,治疗后恢复更快。她们还体验到了整体的健康感。

结论

似乎PA与较少的疲劳、化疗疗程间更好的恢复以及导致健康的更好精神状态相关。肿瘤护士提供的信息可能是身体活跃的一个重要因素。乳腺癌女性在化疗期间需要获得关于参与PA的具体建议和支持,以感觉更好。需要进一步研究来制定化疗期间关于PA的建议和支持的指南。

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