“我得了前列腺癌，但这并不意味着我什么都做不了”——男性在治疗期间对前列腺癌运动干预可接受性的体验。
'Just because I have prostate cancer doesn't mean that I can't do things' - men's experiences of the acceptability of an exercise intervention for prostate cancer during treatment.
机构信息
Department of Sport and Exercise Science, South East Technological University, Cork Rd., Waterford, Ireland.
UPMC Hillman Cancer Center, Whitfield Hospital, Waterford, Ireland.
出版信息
BMC Cancer. 2024 Aug 2;24(1):949. doi: 10.1186/s12885-024-12687-8.
BACKGROUND
Structured exercise has an important role in mitigating the extensive side effects caused by ongoing prostate cancer treatments, specifically androgen deprivation therapy (ADT) and radiation therapy (RT). Little is known about men's experiences of, and preferences for, structured exercise programmes during active cancer treatment. This study aimed to inform the acceptability of a 6-month supervised intervention that emphasised increasing and varied intensities of aerobic and resistance exercise, by exploring the experiences of men who participated.
METHODS
Individual semi-structured interviews were conducted with an interviewer independent of the exercise study and data was analysed using a descriptive qualitative design.
RESULTS
Twelve prostate cancer patients were interviewed including participants who completed (n = 9) and withdrew from (n = 3) the intervention. Four main themes captured how men experienced the intervention: (1) Navigating the Unknown: Building confidence amidst vulnerability (subtheme- pushing the limits), (2) Building Trust: The credibility and approach of the exercise instructor (subtheme- appropriateness of supervised vs. independent exercise), (3) Flexibility in Delivery, (4) Finding Purpose: Exercise as a means of escapism and regaining control during treatment.
CONCLUSION
While an initial lack of self-confidence can be a barrier to exercise participation, exercise programmes have the potential to provide psychosocial benefits, rebuild confidence and empower men throughout their cancer treatment and into recovery. Structured exercise is acceptable during treatment including RT and can offer a form of escapism and sense of control for men navigating their cancer journey. Trust building, flexible delivery and credibility alongside a challenging exercise prescription are important facilitators of acceptability for men. Strategies to embed exercise from the point of diagnosis through ADT and RT should reflect men's experiences of exercise during treatment.
TRIAL REGISTRATION
The trial has been registered on ClinicalTrials.gov as of the 14th of December 2021 (NCT05156424).
背景
结构性锻炼在减轻前列腺癌治疗（尤其是去势治疗和放射治疗）所带来的广泛副作用方面具有重要作用。目前，人们对男性在癌症治疗期间进行结构性锻炼计划的体验和偏好知之甚少。本研究旨在探索参加者的经验，为一项为期 6 个月的强化有氧运动和阻力运动的监督干预措施提供信息，该措施强调增加和多样化运动强度。
方法
对 12 名前列腺癌患者进行了独立于锻炼研究的半结构式访谈，并使用描述性定性设计对数据进行了分析。
结果
共访谈了 12 名前列腺癌患者，包括完成（n=9）和退出（n=3）干预的患者。四个主要主题描述了男性的体验：（1）探索未知：在脆弱中建立信心（亚主题：突破极限）；（2）建立信任：锻炼指导员的可信度和方法（亚主题：监督和独立锻炼的适当性）；（3）交付的灵活性；（4）寻找目的：作为治疗期间逃避和重新获得控制的手段。
结论
虽然缺乏自信最初可能是参加锻炼的障碍，但锻炼计划有可能提供心理社会益处，重建信心，并在癌症治疗和康复过程中赋予男性权力。在治疗期间包括放射治疗时，结构性锻炼是可以接受的，它可以为正在应对癌症之旅的男性提供一种逃避和控制感。建立信任、灵活的交付和信誉以及具有挑战性的运动处方是男性接受度的重要促进因素。从去势治疗和放射治疗开始，将锻炼纳入诊断后的策略应反映男性在治疗期间的锻炼体验。
试验注册
该试验已于 2021 年 12 月 14 日在 ClinicalTrials.gov 上注册（NCT05156424）。
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