Department of Medicine, Clinic III - Hematology, Oncology, Palliative Medicine, Rostock University Medical Center, Rostock, Germany.
Institute of Sport Science, University of Rostock, Rostock, Germany.
Eur J Cancer Care (Engl). 2020 Jul;29(4):e13246. doi: 10.1111/ecc.13246. Epub 2020 May 31.
The aims of this cross-sectional study were to investigate the knowledge about and experience with exercise as well as the motivation and preferences (e.g. availability) of cancer patients to participate in training groups.
From 11/2017-06/2018, 181 cancer patients undergoing or completing treatment responded to a compiled questionnaire. The stage of motivation (transtheoretical model of behavioural change), exercise-related knowledge, experience and preferences were evaluated.
Knowledge about the positive effects of exercise was not associated with higher motivation stages. Higher motivation stages showed significant correlations with age (p = 0.044), exercise experience before cancer disease onset (p = 0.022) and exercise experience during cancer therapy (p = 0.013). For 59% of patients, group offers were an attractive option. Physically inactive patients preferred specialised cancer exercise groups (p = 0.002), whereas physically active patients preferred cross-disease rehabilitation exercise groups (p = 0.034) and exercise groups with healthy people (p = 0.018).
Results indicate that motivation of cancer patients for exercise depends on their experiences with physical training before and during disease treatment. Motivation could be increased by integrating exercise programmes during cancer therapy. These programmes should focus on patients inexperienced in physical training.
本横断面研究旨在调查癌症患者对运动的了解和经验,以及他们参与训练小组的动机和偏好(如可及性)。
2017 年 11 月至 2018 年 6 月,181 名正在接受或已完成治疗的癌症患者对一份综合问卷做出了回应。评估了运动相关的知识、经验和偏好,以及动机阶段(行为改变的跨理论模型)。
对运动积极影响的了解与较高的动机阶段无关。较高的动机阶段与年龄(p=0.044)、癌症发病前的运动经验(p=0.022)和癌症治疗期间的运动经验(p=0.013)显著相关。对于 59%的患者来说,小组提供的方案是有吸引力的选择。身体不活跃的患者更喜欢专门的癌症运动小组(p=0.002),而身体活跃的患者更喜欢跨疾病康复运动小组(p=0.034)和有健康人士的运动小组(p=0.018)。
结果表明,癌症患者对运动的动机取决于他们在疾病治疗前后的身体训练经验。通过在癌症治疗期间整合运动计划,可以提高动机。这些计划应侧重于缺乏身体训练经验的患者。