为什么晚期癌症的老年患者在瘤治疗期间拒绝参加基于运动的试验? - 一个混合方法研究研究
Marta Kramer Mikkelsen1, Andrea Lange1, Latifa Mochref1
1Department of Oncology, Copenhagen University Hospital, Herlev and Gentofte Hospital, Herlev, Denmark.
Physiotherapy theory and practice
|September 16, 2024
概括
老年癌症患者往往拒绝炼试验,原因是晚期的疾病,身体的限制,和感知的预后. 解决这些障碍需要灵活的招聘和支持性护理策略,以更好地参与试验.
科学领域:
- 在瘤学瘤学.
- 临床试验 临床试验
- 运动科学 运动科学
背景情况:
- 在癌症治疗期间建议运动.
- 实践参与试验的障碍不明,特别是在老年人和晚期癌症患者中.
研究的目的:
- 在晚期癌症的老年患者中,探索参与运动研究减少的原因.
- 确定与较高的运动参与率下降的可能性相关的因素.
主要方法:
- 混合方法设计利用定性采访和定量医疗记录数据.
- 定性数据的专题分析和合成成元推理.
- 接受和拒绝参与的患者特征的比较.
主要成果:
- 影响拒绝的因素包括年龄较大,对足够活动水平的信念,身体限制以及对预后不佳的意识.
- 晚期癌症,身体限制和年龄较大与拒绝有显著的关系.
- 在量化分析 (97%) 和采访 (59%) 中,参与率很高.
结论:
- 拒绝与晚期癌症,身体限制和老年有关.
- 建议采用整体,支持性的方法和灵活的招聘来克服障碍.
- 改善易受癌症影响的人群参与运动试验至关重要.
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