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体力活动在癌症康复中的作用:运动从业者的视角。

The Role of Physical Activity in Cancer Recovery: An Exercise Practitioner's Perspective.

机构信息

Human Sciences Research Centre, University of Derby, Derby DE22 1GB, UK.

出版信息

Int J Environ Res Public Health. 2022 Mar 18;19(6):3600. doi: 10.3390/ijerph19063600.

Abstract

Less than 20% of cancer patients meet the recommended physical activity (PA) guidelines, partially due to poor knowledge and enforcement/encouragement amongst health-care professionals (HCPs). The primary aim of this study was to explore the perceptions of exercise practitioners on the role of PA and the physiological and psychological benefits to recovering cancer patients; the secondary aim was to understand the barriers and facilitators of promoting PA to cancer survivors. The third aim was to, seek the perspectives on the effectiveness of referral systems between the hospitals and PA structures. A purposive sample of five exercise practitioners' (four male and one female) with experience with cancer patients participated in a semi-structured interview (45-60 min). Interviews addressed five key topics: intervention procedures, patient well-being, patient education on PA, effectiveness of referrals from hospitals, and post-intervention PA. Interviews were transcribed verbatim and analysed via thematic analysis. The participants believed that recovering cancer patients possess a knowledge of the physiological benefits of PA, yet psychological understanding remains unknown. Social environments are key to participation in PA and most HCPs lacked knowledge/awareness of the benefits of engaging in PA. There is a need to improve HCPs knowledge of the benefits of PA, whilst providing standardised training on how PA can improve cancer patients' outcomes.

摘要

不到 20%的癌症患者符合推荐的身体活动 (PA) 指南,部分原因是医疗保健专业人员 (HCPs) 对 PA 的知识了解不足,也没有执行/鼓励 PA。本研究的主要目的是探讨运动从业者对 PA 的作用以及对康复期癌症患者的生理和心理益处的看法;次要目的是了解促进癌症幸存者进行 PA 的障碍和促进因素。第三个目的是寻求对医院和 PA 结构之间转诊系统有效性的看法。我们对有癌症患者经验的五名运动从业者(四名男性和一名女性)进行了目的抽样,让他们参与半结构化访谈(45-60 分钟)。访谈涉及五个关键主题:干预程序、患者的健康状况、患者对 PA 的教育、从医院转介的效果以及干预后的 PA。访谈逐字记录并通过主题分析进行分析。参与者认为康复期癌症患者对 PA 的生理益处有一定的了解,但对 PA 的心理益处仍不清楚。社会环境是参与 PA 的关键,大多数 HCPs 缺乏对 PA 益处的了解/意识。有必要提高 HCPs 对 PA 益处的认识,同时提供关于 PA 如何改善癌症患者预后的标准化培训。

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