医护人员对癌症患者身体活动的知识和态度：系统评价。

Health Care Professionals' Knowledge and Attitudes Toward Physical Activity in Cancer Patients: A Systematic Review.

机构信息

Discipline of Sport and Exercise Science, Faculty of Health, University of Canberra, Bruce, Canberra, Australian Capital Territory, Australia; Research Institute for Sport and Exercise, University of Canberra, Bruce, Canberra, Australian Capital Territory, Australia; Prehabilitation, Activity, Cancer, Exercise and Survivorship (PACES) Research Group, University of Canberra, Bruce, Canberra, Australian Capital Territory, Australia.

出版信息

Semin Oncol Nurs. 2020 Oct;36(5):151070. doi: 10.1016/j.soncn.2020.151070. Epub 2020 Sep 30.

DOI:10.1016/j.soncn.2020.151070

PMID:33010981

Abstract

OBJECTIVES

The purpose of this study was to, combine current available literature across health professionals to determine commonalities and differences between knowledge and attitudes of physical activity (PA) and its importance within the cancer population. It aimed to identify any gaps in the literature to inform future study directions to enhance PA participation and improve health outcomes and quality of life.

DATA SOURCES

Design: systematic review.

DATA SOURCES

Google Scholar, EBSCO, PubMed, Scopus, Web of Science.

INCLUSION CRITERIA

survey-based studies specifically reporting PA levels for both cancer patients and survivors from the perspective of oncology health care professionals. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) was used to guide this review. The initial search highlighted 15,342 articles and returned 190 articles with relevant titles, of which 20 met the eligibility criteria; 15.8% of cancer patients reported to meeting PA guidelines during treatment and 36.5% after treatment. On average 58.1% of health care professionals self-reported discussing PA with their cancer patients, with the average referral rate to an exercise specialist or rehabilitation program being 18.3%.

CONCLUSION

Only a limited number of health care professionals are initiating a discussion about PA with their cancer patients. Some health care professionals reported limited knowledge of PA guidelines for cancer patients. Their own personal PA levels do not seem to be associated with whether they discuss PA with their patients. Common barriers to providing PA advice were experienced across all health care professions such as time, limited referral pathways, and patient interest. Future research should be carried out to substantiate these barriers and discover which strategies could be implemented to improve the levels of PA discussions and referrals within clinical practice.

IMPLICATIONS FOR NURSING PRACTICE

Given the position nurses hold within the health care system, it would be beneficial to upskill and improve their understanding of PA and exercise as medicine for the cancer population. This has enormous potential that could enhance PA advice and boost referrals to exercise professionals improving the health and quality of life of the cancer population.

摘要

目的

本研究旨在结合当前各健康专业人员的现有文献，确定癌症人群中体力活动（PA）的知识和态度的异同，并确定文献中的空白点，为未来的研究方向提供信息，以促进 PA 的参与，改善健康结果和生活质量。

数据来源

设计：系统评价。

数据来源

Google Scholar、EBSCO、PubMed、Scopus、Web of Science。

纳入标准

基于调查的研究，专门从肿瘤保健专业人员的角度报告癌症患者和幸存者的 PA 水平。本研究采用系统评价和荟萃分析的首选报告项目（PRISMA）进行指导。最初的搜索突出显示了 15342 篇文章，并返回了 190 篇具有相关标题的文章，其中 20 篇符合入选标准；15.8%的癌症患者在治疗期间和 36.5%在治疗后报告符合 PA 指南。平均而言，58.1%的保健专业人员自我报告与他们的癌症患者讨论 PA，平均向运动专家或康复计划转介率为 18.3%。

结论

只有有限数量的保健专业人员开始与他们的癌症患者讨论 PA。一些保健专业人员报告说，他们对癌症患者的 PA 指南知之甚少。他们自己的个人 PA 水平似乎与他们是否与患者讨论 PA 无关。提供 PA 建议的常见障碍在所有保健专业人员中都存在，如时间、有限的转介途径和患者兴趣。未来的研究应证实这些障碍，并发现可以实施哪些策略来提高临床实践中 PA 讨论和转介的水平。