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乳腺癌幸存者的身体活动体验:一项定性研究。

Experience of Physical Activity in Breast Cancer Survivors: A Qualitative Study.

机构信息

Author Affiliations: Department of Nursing, Harbin Medical University (Drs J-Y Zhang and Zhou), Daqing; and Department of Oncology, Daqing Oilfield General Hospital (Dr Y-B Zhang), China.

出版信息

Cancer Nurs. 2023;46(5):E336-E342. doi: 10.1097/NCC.0000000000001183. Epub 2022 Dec 11.

Abstract

BACKGROUND

Physical activity plays an important role in the recovery of breast cancer survivors. However, previous studies have shown that most breast cancer survivors have inadequate levels of physical activity.

OBJECTIVE

This study aimed to explore the influencing factors of physical activity in breast cancer survivors.

METHODS

Twelve participants aged 38 to 65 years who had completed surgery and related treatment for breast cancer were recruited from the outpatient service of a hospital in Daqing, China. The phenomenological method was used in this qualitative research. Semistructured interviews were conducted to explore the influencing factors of physical activity in breast cancer survivors. Colaizzi's 7-step analysis method was used to code the data and identify descriptive themes.

RESULTS

Four themes affecting the daily physical activity of breast cancer patients were extracted: perception and motivation (knowledge about benefits, goals, and motivation for physical activity), symptom burden (psychological and physical symptoms), social support (support from oncology staff, family, and peers) and environmental resources (seasonal impact, community resources).

CONCLUSION

The physical activity of breast cancer survivors is affected by many factors. Oncology providers need to strengthen assessment, identify barriers, and provide interventions to promote the patients' participation in physical activity and to improve their quality of life.

IMPLICATION FOR PRACTICE

It is necessary for providers to integrate medical and social support resources, use strategies to enhance motivation, and effectively solve barriers to increase physical activity in breast cancer survivors.

摘要

背景

身体活动在乳腺癌幸存者的康复中起着重要作用。然而,先前的研究表明,大多数乳腺癌幸存者的身体活动水平不足。

目的

本研究旨在探讨乳腺癌幸存者身体活动的影响因素。

方法

本研究采用定性研究中的现象学方法,从中国大庆某医院的门诊招募了 12 名年龄在 38 岁至 65 岁之间、已完成乳腺癌手术及相关治疗的参与者。对参与者进行半结构式访谈,以探讨乳腺癌幸存者身体活动的影响因素。采用科莱兹 7 步分析法对数据进行编码和识别描述性主题。

结果

共提取出影响乳腺癌患者日常身体活动的 4 个主题:感知和动机(对身体活动益处、目标和动机的认识)、症状负担(心理和身体症状)、社会支持(肿瘤学工作人员、家庭和同伴的支持)和环境资源(季节影响、社区资源)。

结论

乳腺癌幸存者的身体活动受到多种因素的影响。肿瘤学提供者需要加强评估,识别障碍,并提供干预措施,以促进患者参与身体活动,提高其生活质量。

实践意义

提供者有必要整合医疗和社会支持资源,运用增强动机的策略,并有效地解决障碍,以增加乳腺癌幸存者的身体活动。

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