Division of Physical Activity, Prevention and Cancer, National Center for Tumor Diseases (NCT) Heidelberg and German Cancer Research Center (DKFZ), Im Neuenheimer Feld 581, 69120, Heidelberg, Germany.
Medical Faculty, University of Heidelberg, Im Neuenheimer Feld 672, 69120, Heidelberg, Germany.
Support Care Cancer. 2018 Dec;26(12):4087-4096. doi: 10.1007/s00520-018-4279-x. Epub 2018 Jun 23.
Although many cancer patients benefit from physical activity (PA), healthcare professionals (HCP) still do not promote it routinely. Including different groups of HCP, this study aimed to examine how structural barriers are perceived as impeding by HCP for promoting PA to cancer patients, how the perceptions of structural barriers are associated with promoting PA, and how HCP react to information resources.
A total of 287 physicians in outpatient care, 242 physicians in inpatient care, and 388 oncology nurses completed our questionnaire (paper-pencil or online). Participants assessed nine different structural barriers (on a 4-point Likert Scale) and reported their PA promotion frequency. Further, they could request three different kinds of information resources about PA in oncological settings.
Across professional groups, more than 70% of HCP indicated that they promoted PA to their cancer patients often or routinely. Oncology nurses indicated that they were more impeded in promoting PA by six structural barriers than physicians (all p < .01). "Not enough time per patient" and "lack of an expert contact person" were associated with a reduced PA promotion in two professional groups (all p < .05). Information resources were requested by 69.5% of the participants: mostly physicians working in outpatient care and especially by those perceiving structural barriers.
Although a big proportion of HCP reported that they frequently promoted PA, our findings suggest that HCP still perceive structural barriers. The perception and influence of structural barriers differed between professional groups, pointing to the importance of profession specific guidance.
尽管许多癌症患者从身体活动（PA）中受益，但医疗保健专业人员（HCP）仍未常规进行推广。本研究纳入了不同群体的 HCP，旨在调查 HCP 认为哪些结构性障碍会阻碍他们向癌症患者推广 PA，这些结构性障碍的认知与推广 PA 之间有何关联，以及 HCP 如何应对信息资源。
共有 287 名门诊医生、242 名住院医生和 388 名肿瘤护士参与了我们的问卷调查（纸质或在线）。参与者评估了 9 种不同的结构性障碍（采用 4 分制 Likert 量表），并报告了他们促进 PA 的频率。此外，他们还可以请求三种不同类型的关于肿瘤学环境中 PA 的信息资源。
在各个专业群体中，超过 70%的 HCP 表示他们经常或常规向癌症患者推广 PA。肿瘤护士表示，与医生相比，他们在促进 PA 方面受到六种结构性障碍的阻碍更大（均 p <.01）。“每位患者的时间不足”和“缺乏专家联络人”与两个专业群体中 PA 促进减少相关（均 p <.05）。69.5%的参与者请求了信息资源：主要是门诊工作的医生，尤其是那些感知到结构性障碍的医生。
尽管很大一部分 HCP 报告称他们经常促进 PA，但我们的研究结果表明，HCP 仍认为存在结构性障碍。专业群体之间对结构性障碍的认知和影响存在差异，这突显了针对特定专业的指导的重要性。
