癌症专科护士对促进身体活动的看法以及身体活动应用程序在癌症护理中的潜在作用。
Cancer specialist nurses' perspectives of physical activity promotion and the potential role of physical activity apps in cancer care.
机构信息
Department of Behavioural Science & Health, University College London, Gower Street, London, WC1E 6BT, UK.
Institute of Health Informatics, University College London, London, UK.
出版信息
J Cancer Surviv. 2019 Oct;13(5):815-828. doi: 10.1007/s11764-019-00801-w. Epub 2019 Sep 2.
PURPOSE
The purpose of this study was to understand breast, prostate and colorectal cancer clinical nurse specialists' (CNSs) perspectives on physical activity (PA) promotion and the role of smartphone apps to support PA promotion in cancer care.
METHODS
CNSs working in breast, prostate or colorectal cancer were recruited via advertisements distributed by professional organizations. In-depth semi-structured telephone interviews were conducted and analysed using thematic analysis.
RESULTS
Nineteen CNSs participated. The analysis resulted in 4 themes regarding CNSs' perspectives of PA promotion within cancer care: (i) policy changes in survivorship care have influenced CNSs' promotion of PA; (ii) CNSs recognize their role in supporting PA but sit within a wider system necessary for effective PA promotion; (iii) CNSs use several techniques to promote PA within their consultations; (iv) remaining challenges in PA promotion. The analysis resulted in 3 themes regarding CNSs' perspectives on the use of apps to promote PA within cancer care: (i) the influence of apps on access to PA support; (ii) the role of apps in self-directed PA; (iii) implementing apps in cancer care.
CONCLUSIONS
The results of this study provide valuable insight into the CNS role and provide a number of important considerations for the development and implementation of PA interventions within cancer care, with a specific focus on smartphone-based interventions.
IMPLICATIONS FOR CANCER SURVIVORS
CNSs play an important role in PA promotion in cancer care and this research can inform the development of PA interventions delivered via smartphone app for people affected by cancer.
目的
本研究旨在了解乳腺癌、前列腺癌和结直肠癌临床护理专家（CNS）对促进体力活动（PA）的看法，以及智能手机应用程序在癌症护理中支持 PA 促进的作用。
方法
通过专业组织发布的广告招募从事乳腺癌、前列腺癌或结直肠癌工作的 CNS。通过深入的半结构化电话访谈进行，并使用主题分析进行分析。
结果
19 名 CNS 参与了研究。分析产生了 4 个主题，涉及 CNS 在癌症护理中促进 PA 的观点：（i）生存护理政策的变化影响了 CNS 对 PA 的促进；（ii）CNS 认识到他们在支持 PA 方面的作用，但处于有效 PA 促进所需的更广泛系统中；（iii）CNS 在咨询中使用多种技术来促进 PA；（iv）PA 促进方面的剩余挑战。分析产生了 3 个主题，涉及 CNS 对应用程序促进癌症护理中 PA 的看法：（i）应用程序对获得 PA 支持的影响；（ii）应用程序在自我指导 PA 中的作用；（iii）在癌症护理中实施应用程序。
结论
本研究的结果为 CNS 角色提供了有价值的见解，并为在癌症护理中制定和实施 PA 干预措施提供了一些重要考虑因素，特别关注基于智能手机的干预措施。
对癌症幸存者的影响
CNS 在癌症护理中的 PA 促进中发挥着重要作用，本研究可以为通过智能手机应用程序为癌症患者提供的 PA 干预措施的开发提供信息。
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