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利用行为预测综合模型理解女性乳腺癌幸存者坚持社区团体运动项目的障碍和促进因素。

Using the Integrative Model of Behavioral Prediction to Understand Female Breast Cancer Survivors' Barriers and Facilitators for Adherence to a Community-Based Group-Exercise Program.

机构信息

School of Physical Education, Sport and Exercise Sciences, University of Otago, School of Physical Education, Sport & Exercise Sciences, Dunedin, New Zealand.

Athena Institute, Faculty of Science, VU University Amsterdam, Amsterdam, The Netherlands.

出版信息

Semin Oncol Nurs. 2020 Oct;36(5):151071. doi: 10.1016/j.soncn.2020.151071. Epub 2020 Sep 29.

DOI:10.1016/j.soncn.2020.151071
PMID:33008683
Abstract

OBJECTIVES

To identify facilitators and barriers associated with adherence to the EXPINKT exercise program for breast cancer survivors in a convenience sample of women.

DATA SOURCES

Focus groups discussions; The Integrative Model of Behavioral Prediction.

CONCLUSION

Findings suggest that program adherence could be achieved by the establishment, via staff and processes, of a positive and safe exercise environment, which instills a sense of accountability while developing exercise self-efficacy. Further, multiple referral pathways and promotion of exercise benefit during and following treatment by oncology nurses may assist in enrolment in the program.

IMPLICATIONS FOR NURSING PRACTICE

Oncology nurses may play a unique role in informing and stimulating female breast cancer survivors to partake in breast cancer-specific exercise programs. Results of this study show that most women are unaware of the benefits related to exercising in relation to cancer recovery, as well as the existence of breast cancer-specific exercise programs. Therefore, oncology nurses may play an important role in creating this awareness. Furthermore, shaping a route to adherence to such exercise programs is essential for breast cancer survivors to become and stay sufficiently active.

摘要

目的

在乳腺癌幸存者的便利样本中,确定与 EXPINKT 锻炼计划依从性相关的促进因素和障碍。

资料来源

焦点小组讨论;行为预测综合模型。

结论

研究结果表明,通过工作人员和流程建立积极和安全的锻炼环境,可以实现计划的依从性,同时培养锻炼自我效能感,从而增强责任感。此外,通过肿瘤护士在治疗期间和治疗后多次推荐并宣传锻炼益处,可能有助于招募参加该计划。

对护理实践的意义

肿瘤护士在告知和激励女性乳腺癌幸存者参与乳腺癌特定的锻炼计划方面可能发挥独特作用。本研究的结果表明,大多数女性不知道与癌症康复相关的锻炼益处,也不知道有乳腺癌特定的锻炼计划。因此,肿瘤护士可以在提高认识方面发挥重要作用。此外,为乳腺癌幸存者制定一种坚持此类锻炼计划的途径对于使她们保持足够的积极性至关重要。

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