Li Wei, Li Xuting, Chen Tian, Deng Xianjiao, Zhu Jie, Guo Jiayi, Li Yamin, Ye Man
Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital of Central South University, 139 Renmin Middle Road, Changsha, 410011, Hunan, China.
Xiangya Nursing School of Central South University, Changsha, 410013, Hunan, China.
Support Care Cancer. 2023 Oct 21;31(12):649. doi: 10.1007/s00520-023-08107-5.
Early postoperative exercise is effective in improving the prognosis of postoperative lung cancer patients, but compliance was lower than expected. Factors affecting lung cancer patients' intention to perform early postoperative exercise were unclear.
To discuss the factors affecting lung cancer patients' intention to perform early postoperative exercise based on the Theory of Planned Behavior.
This was a qualitative study. Twenty-five lung cancer patients were recruited using purposive sampling, and semi-structured face-to-face interviews were performed. The reflexive intuitive thematic analysis method was used, and triangulation was employed to ensure the credibility of the study.
Results of this study identified 8 themes from 3 aspects. For behavioral attitudes, two themes emerged: (1) Aware of the benefits of postoperative exercise, (2) Underestimate the importance of postoperative exercise. For subjective norms, four themes emerged: (1) Influence of caregiver support on carrying out postoperative exercise, (2) Short-term supervision of medical staff, (3) Positive driving effect from other patients, and (4) Motivation due to family responsibility. For perceived behavior control, two themes and six sub-themes emerged: (1) Obstacles before actual exercise (Lack of adequate knowledge of postoperative pulmonary exercise, Less active in seeking related knowledge about rehabilitation exercise, and Misconceptions about rehabilitation exercise); (2) Unpleasant experiences during exercise (Physical discomfort, Limited space and depressive atmosphere, and Psychological burden).
Several factors could affect lung cancer patients' early postoperative exercise behavior. Healthcare professionals should fully understand these factors from patients' perspectives. Special interventions should be designed for the patients and their caregivers to correct cognitive bias, reduce obstacles, and promote compliance with exercise.
术后早期运动对改善肺癌患者术后预后有效，但依从性低于预期。影响肺癌患者术后早期运动意愿的因素尚不清楚。
基于计划行为理论探讨影响肺癌患者术后早期运动意愿的因素。
这是一项定性研究。采用目的抽样法招募了25例肺癌患者，并进行了半结构化面对面访谈。采用反思性直观主题分析法，并运用三角互证法确保研究的可信度。
本研究结果从3个方面确定了8个主题。行为态度方面出现了2个主题：（1）意识到术后运动的益处，（2）低估术后运动的重要性。主观规范方面出现了4个主题：（1）照顾者支持对进行术后运动的影响，（2）医务人员的短期监督，（3）其他患者的积极推动作用，（4）家庭责任感带来的动力。感知行为控制方面出现了2个主题和6个子主题：（1）实际运动前的障碍（对术后肺部运动知识了解不足、寻求康复运动相关知识不够积极、对康复运动存在误解）；（2）运动期间的不愉快经历（身体不适、空间有限和氛围压抑、心理负担）。
若干因素可能影响肺癌患者术后早期运动行为。医护人员应从患者角度充分理解这些因素。应为患者及其照顾者设计特殊干预措施，以纠正认知偏差，减少障碍，促进运动依从性。
