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“可能比我们给你的任何药物都好”:全科医生对癌症患者运动和营养的看法。

'Probably better than any medication we can give you': General practitioners' views on exercise and nutrition in cancer.

机构信息

BPTY (Hons), Physiotherapist, Allied Health Department, Peter MacCallum Cancer Centre, Vic.

BAppSc (Physio), GDEB, PhD, Lecturer, Department of Physiotherapy, The University of Melbourne, Vic; Senior Researcher, Allied Health Research, Department of Allied Health, Peter MacCallum Cancer Centre, Vic.

出版信息

Aust J Gen Pract. 2020 Aug;49(8):513-518. doi: 10.31128/AJGP-12-19-5176.

DOI:10.31128/AJGP-12-19-5176
PMID:32738865
Abstract

BACKGROUND AND OBJECTIVES

Exercise and healthy eating patterns are effective in improving health-related quality of life for patients with cancer. However, little is known about general practitioners' (GPs') views and experiences regarding providing exercise and nutrition recommendations to their patients with cancer. The aim of this study was to 1) report GPs' experiences of providing nutrition and exercise advice to their patients and 2) identify perceived barriers and enablers to implementation of exercise and nutrition advice throughout the cancer journey from the GP perspective.

METHOD

Twenty-three semi-structured interviews were conducted, and transcripts coded by two independent researchers. A thematic analysis was performed to derive main themes.

RESULTS

Four main themes were identified: the importance of exercise and nutrition recommendations for patients with cancer, the influence of the patient agenda, the influence of additional training or personal interest of the GP, and limitations of the primary care setting.

DISCUSSION

Increased communication between primary and tertiary care, availability of resources, professional development opportunities and access to allied health services is needed to further support GPs to deliver exercise and nutrition information to their patients with cancer. This study provides evidence of GPs' desire to be involved in supporting the healthy exercise and nutrition habits of their patients with cancer and presents avenues for future research and resource development.

摘要

背景与目的

运动和健康的饮食模式对改善癌症患者的健康相关生活质量非常有效。然而,关于全科医生(GP)在为癌症患者提供运动和营养建议方面的看法和经验,我们知之甚少。本研究的目的是:1)报告全科医生为患者提供营养和运动建议的经验;2)从全科医生的角度确定在癌症治疗过程中实施运动和营养建议的障碍和促进因素。

方法

对 23 名患者进行了半结构化访谈,并由两名独立研究人员对转录本进行了编码。采用主题分析法得出主要主题。

结果

确定了四个主要主题:运动和营养建议对癌症患者的重要性、患者议程的影响、GP 的额外培训或个人兴趣的影响以及初级保健环境的限制。

讨论

需要加强初级保健和三级保健之间的沟通、提供资源、职业发展机会以及获得联合健康服务,以进一步支持全科医生向癌症患者提供运动和营养信息。本研究提供了全科医生愿意参与支持癌症患者健康运动和营养习惯的证据,并为未来的研究和资源开发提供了途径。

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