Hu Yachen, Chen Xinxin, Fan Jiaxin, Huang Ying, Ye Junyan, Gu Fen, Li Yumei
School of Medicine, Tongji University, Shanghai, People's Republic of China.
Department of Nursing, Shanghai Pulmonary Hospital, Tongji University, Shanghai, People's Republic of China.
J Multidiscip Healthc. 2023 Mar 9;16:663-674. doi: 10.2147/JMDH.S403185. eCollection 2023.
This qualitative study explores the subjective will and psychological experience of home exercise in patients with lung cancer during the interval of chemotherapy.
Semi-structured interviews were conducted with 15 lung cancer patients undergoing chemotherapy. Following the Colaizzi 7-step analysis method, the interview data were read carefully, meaningful statements related to the research questions were extracted, coded, collected and described in detail, and the authenticity of the theme was verified.
The analysis revealed the home-based exercise experience of patients' in the interval period of chemotherapy, and identified three themes: 1) the perception experience of home-based exercise (beneficial home-based exercise experience, negative home-based exercise experience); 2) the influencing factors of home-based exercise (exercise rehabilitation knowledge, disease symptoms and adverse effects of chemotherapy, exercise history, exercise self-efficacy, social support, restrictions on objective conditions); 3) Patients with lung cancer expected to get professional guidance about home-based exercise rehabilitation knowledge from medical care providers.
Patients' perception and attitude towards home-based exercise behavior is affected by many factors during the interval of chemotherapy, and they expect professional guidance from medical care providers. Medical care providers should know the problems and the influencing factors in the process of home-based exercise of patients, and formulate personalized exercise measures for patients based on their own characteristics and needs, so as to relieve the symptoms of discomfort and improve the quality of life of patients with lung cancer.
本定性研究旨在探索肺癌患者化疗间歇期居家锻炼的主观意愿和心理体验。
对15例正在接受化疗的肺癌患者进行半结构式访谈。按照Colaizzi 7步分析法,仔细阅读访谈资料,提取与研究问题相关的有意义陈述,进行编码、汇总并详细描述,对主题的真实性进行验证。
分析揭示了患者化疗间歇期的居家锻炼体验,并确定了三个主题:1)居家锻炼的感知体验(有益的居家锻炼体验、负面的居家锻炼体验);2)居家锻炼的影响因素(运动康复知识、疾病症状及化疗不良反应、运动史、运动自我效能感、社会支持、客观条件限制);3)肺癌患者期望从医护人员处获得有关居家锻炼康复知识的专业指导。
化疗间歇期患者对居家锻炼行为的感知和态度受多种因素影响,且期望得到医护人员的专业指导。医护人员应了解患者居家锻炼过程中的问题及影响因素,根据患者自身特点和需求为其制定个性化锻炼措施,以缓解不适症状,提高肺癌患者的生活质量。