Faculty of Health Sciences, School of Human Kinetics, University of Ottawa, 125 University Private, MNT 339, Ottawa, ON, K1N 6N5, Canada.
Institut du savoir Montfort, Hôpital Montfort, Ottawa, Canada.
Support Care Cancer. 2019 Apr;27(4):1481-1489. doi: 10.1007/s00520-018-4516-3. Epub 2018 Oct 28.
Many adults must cope with the adverse effects of cancer and adjuvant therapies, which may limit their engagement in health-enhancing behaviors such as physical activity (PA). Furthermore, the placement of a stoma during surgery for rectal cancer may cause additional challenges to being physically active. The aim of this study was to explore the experiences of rectal cancer survivors who were living with a stoma and the impact on their engagement in PA.
Interpretive phenomenological analysis was used as the approach for this qualitative study. Fifteen rectal cancer survivors took part in a semi-structured interview post-chemotherapy, and thematic analysis was used to identify themes within their accounts.
Three themes captured participants' personal lived experience: (1) reasons for engaging in PA, (2) deterrents to engaging in PA, and (3) practical implications.
Participants' accounts offered insight into both their cancer and stoma-related experiences, highlighting both reasons for and deterrents to engaging in PA. Further, findings helped to identify tangible strategies that those learning to be physically active with a stoma may find useful.
许多成年人必须应对癌症和辅助治疗的不良影响，这可能限制他们参与促进健康的行为，如体育锻炼（PA）。此外，直肠癌手术中造口的放置可能会给身体活动带来额外的挑战。本研究旨在探讨患有造口的直肠癌幸存者的经历及其对他们参与 PA 的影响。
本定性研究采用解释现象学分析作为方法。15 名直肠癌幸存者在化疗后参加了半结构化访谈，主题分析用于识别他们描述中的主题。
三个主题捕捉到了参与者的个人生活体验：（1）参与 PA 的原因，（2）参与 PA 的障碍，（3）实际影响。
参与者的描述提供了对他们的癌症和造口相关经历的深入了解，强调了参与 PA 的原因和障碍。此外，研究结果有助于确定那些正在学习如何通过造口进行身体活动的人可能会发现有用的切实可行的策略。
