Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University of Applied Sciences, Petrus Driessenstraat 3, 9714 CA Groningen, The Netherlands.
Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9700 RB Groningen, The Netherlands.
Int J Environ Res Public Health. 2021 Dec 28;19(1):287. doi: 10.3390/ijerph19010287.
Maintaining or increasing physical activity (PA) may prevent loss of muscle mass and strength after completion of head and neck cancer (HNC) treatment. However, the exercise level of HNC patients may not meet PA guidelines. We aimed to explore HNC survivors' views on PA, their report of PA, and to compare these with objectively measured PA. Combined qualitative and quantitative data of HNC survivors were explored post-treatment. Data from semi-structured interviews, questionnaires, and objective measurements of PA were collected, analyzed, and integrated. This resulted in the identification of five themes related to prioritizing, day-to-day life, intention, positive feelings, and social support, respectively, in nine HNC survivors (male: n = 5; age: 52-67 years). Objectively measured PA levels were sedentary to low. The lack of intention to increase PA may be related to HNC survivors' perception that their current activity level is sufficient, despite low levels of measured PA. While some participants feel they need no help with PA, others are insecure about possible harms. Healthcare professionals may be able to help improve PA in HNC survivors with a tailored approach that reduces fear of harm and helps to incorporate higher intensity PA in daily activities.
保持或增加身体活动（PA）可能有助于预防头颈部癌症（HNC）治疗完成后肌肉质量和力量的丧失。然而，HNC 患者的运动水平可能不符合 PA 指南。我们旨在探讨 HNC 幸存者对 PA 的看法、他们对 PA 的报告，并将这些与客观测量的 PA 进行比较。在治疗后，对 HNC 幸存者的综合定性和定量数据进行了探索。收集、分析和整合了来自半结构化访谈、问卷和 PA 客观测量的数据。这导致在 9 名 HNC 幸存者（男性：n = 5；年龄：52-67 岁）中确定了五个与优先级、日常生活、意图、积极感觉和社会支持分别相关的主题。客观测量的 PA 水平为久坐不动到低强度。缺乏增加 PA 的意愿可能与 HNC 幸存者认为他们目前的活动水平已经足够有关，尽管测量的 PA 水平较低。虽然一些参与者认为他们不需要 PA 方面的帮助，但另一些人对可能的伤害感到不安。医疗保健专业人员可以通过量身定制的方法帮助提高 HNC 幸存者的 PA 水平，这种方法可以减少对伤害的恐惧，并帮助将更高强度的 PA 融入日常生活中。
