患者和专业人员对常规癌症护理中促进身体活动的看法：一项定性研究。
Patient and professional perspectives on physical activity promotion in routine cancer care: a qualitative study.
机构信息
Department of Kinesiology, Faculty of Medicine, Université Laval, Quebec, QC, Canada.
Department of Social and Preventive Medicine, School of Public Health, Université de Montréal, Montréal, QC, Canada.
出版信息
BMC Health Serv Res. 2024 Sep 30;24(1):1153. doi: 10.1186/s12913-024-11480-4.
BACKGROUNDS
Physical activity is associated with many benefits in reducing cancer symptoms and treatments side effects. Yet, studies consistently show that knowledge about physical activity is under-promoted among people diagnosed with cancer. Therefore, we aimed to contribute to filling this gap by ascertaining patient and professional perspectives regarding physical activity promotion.
METHODS
This study took place in Montreal, Canada. We conducted individual, semi-structured interviews with cancer patients who participated in a physical activity program and professionals working in the healthcare system. Participants had to be aged over 18 years, be able to communicate verbally in either English or French, and consent to an audio-recorded interview. A hybrid deductive-inductive approach to content analysis was applied to analyze interview transcripts using Dedoose and Microsoft Excel software.
RESULTS
Our sample comprised 21 patients (76.2% women) and 20 professionals (80% women). We identified 24 factors (barriers, facilitators, and improvement suggestions) influencing physical activity promotion across organizational, community, and social levels. Results suggest that to improve physical activity promotion in cancer care, it is necessary to showcase exercise specialists as a healthcare resource, to champion for this change within health organizations, to develop partnerships between public and private sectors of the health and fitness industries, and to reassess social norms concerning cancer survivorship and treatment.
CONCLUSION
These findings shed light on the gaps and the bright lights in physical activity promotion for people diagnosed with cancer across numerous levels.
背景
身体活动与减轻癌症症状和治疗副作用方面的许多益处相关。然而，研究一致表明，在被诊断患有癌症的人群中，身体活动知识的宣传力度不足。因此，我们旨在通过确定患者和专业人士对身体活动促进的观点来填补这一空白。
方法
本研究在加拿大的蒙特利尔进行。我们对参加身体活动计划的癌症患者和在医疗保健系统中工作的专业人员进行了个体、半结构化访谈。参与者必须年满 18 岁，能够用英语或法语进行口头交流，并同意进行录音采访。我们采用了一种演绎归纳混合的内容分析方法，使用 Dedoose 和 Microsoft Excel 软件分析访谈记录。
结果
我们的样本包括 21 名患者（76.2%为女性）和 20 名专业人员（80%为女性）。我们确定了 24 个因素（障碍、促进因素和改进建议），这些因素影响着组织、社区和社会各级的身体活动促进。结果表明，为了改善癌症护理中的身体活动促进，有必要将运动专家作为医疗资源展示出来，在卫生组织内倡导这一变革，发展公共和私营部门在健康和健身行业之间的伙伴关系，并重新评估与癌症生存和治疗相关的社会规范。
结论
这些发现揭示了在多个层面上为被诊断患有癌症的人群促进身体活动方面的差距和亮点。
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