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癌症幸存者运动坚持和维持的决定因素:一项基于社区的团体运动计划的实施。一项定性可行性研究。

Determinants of exercise adherence and maintenance for cancer survivors: Implementation of a community-based group exercise program. A qualitative feasibility study.

作者信息

Ranes Maria, Wiestad Tor Helge, Thormodsen Inger, Arving Cecilia

机构信息

Department of Oncology and Medical Physics, Haukeland University Hospital, Bergen, Norway.

Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.

出版信息

PEC Innov. 2022 Sep 29;1:100088. doi: 10.1016/j.pecinn.2022.100088. eCollection 2022 Dec.

Abstract

OBJECTIVE

Despite verified knowledge that physical exercise plays an important part in recovery after cancer treatment, multiple studies have shown that maintaining a physically active lifestyle after cancer is challenging. There is a need for qualitative studies to increase understanding into patient experiences and perspectives, and facilitate the design of more sustainable exercise program. This qualitative descriptive feasibility study explores experiences from the implementation of a novel four-month community-based group exercise program for cancer survivors within municipality health service after completion of rehabilitation in the specialist health care service.

METHODS

Fourteen cancer survivors participated in focus group interviews after completing . Data were analyzed using the systematic text condensation method.

RESULTS

We identified a main category, and four subcategories: peer-support, environment, structure and knowledge.

CONCLUSION

A social and supportive exercise environment promotes exercise adherence and maintenance among cancer survivors. This knowledge can be useful for further efforts to implement high quality community-based group exercise programs for cancer survivors.

INNOVATION

This study adds knowledge of survivors' experience of a novel community-based group exercise program in clinical practice and can promote the implementation of sustainable community-based exercise programs for cancer survivors.

摘要

目的

尽管已有确凿证据表明体育锻炼在癌症治疗后的康复过程中起着重要作用,但多项研究表明,癌症患者在治疗后维持积极的生活方式具有挑战性。需要进行定性研究,以增进对患者经历和观点的理解,并促进设计更具可持续性的锻炼计划。这项定性描述性可行性研究探讨了在专科医疗服务机构完成康复后,在市政卫生服务机构为癌症幸存者实施一项为期四个月的新型社区团体锻炼计划的经验。

方法

14名癌症幸存者在完成……后参加了焦点小组访谈。数据采用系统文本浓缩法进行分析。

结果

我们确定了一个主要类别以及四个子类别:同伴支持、环境、结构和知识。

结论

一个社交性且支持性的锻炼环境可促进癌症幸存者坚持锻炼并维持锻炼习惯。这一认识对于进一步努力为癌症幸存者实施高质量的社区团体锻炼计划可能会有所帮助。

创新点

本研究增加了对临床实践中新型社区团体锻炼计划幸存者体验的认识,并可促进为癌症幸存者实施可持续的社区锻炼计划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33c1/10194213/dc10c132ad25/gr1.jpg

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