促进身体活动和参与与头癌以及其他头癌患者的生活:一项混合方法研究
Hannah C Doughty1,2, Kerry Woolfall3, Ruaraidh A Hill4
1Department of Primary Care and Mental Health, University of Liverpool, Liverpool, L69 3GL, UK. H.C.Doughty@ljmu.ac.uk.
概括
身体活动 (PA) 对头癌 (HaNC) 患者至关重要,但参与率很低. 障碍包括缺乏意识和恐惧,需要多学科的支持和教育,以改善生活质量.
科学领域:
- 在瘤学瘤学.
- 康复医学 康复医学 康复医学
- 行为科学 行为科学
背景情况:
- 由于高症状负担,头癌 (HaNC) 显著影响患者的生活质量.
- 身体活动 (PA) 被认为具有提高HaNC患者生活质量的潜力.
- 在HaNC患者中,目前的PA参与率非常低,不到9%是活跃的.
研究的目的:
- 探索影响身体活动 (PA) 促进和参与的障碍和促进因素,在头癌 (HaNC) 患者中.
- 了解患者,家庭成员和医疗保健专业人员关于HaNC护理中的PA的观点.
主要方法:
- 与28名HaNC患者,10名家庭成员和18名医疗保健专业人员进行了半结构化采访.
- 使用了患者的一般自我效能度量和患者和专业人员的国际体力活动问卷 (简短形式).
- 采用了定性数据的反射主题分析和定量数据的描述性分析,使用能力-机会-动机-行为模型和理论领域框架进行了综合分析.
主要成果:
- 大多数患者报告了中等至高的自我效能和PA水平;专业人士也报告了高的PA.
- 患者在很大程度上不知道PA对管理副作用和提高生活质量的好处.
- 障碍包括对伤害的恐惧 (家庭/专业人士),专业人士的角色感知,以及对所有利益相关者的培训,信息和指导的需求.
结论:
- 对HaNC患者的PA推广需要一个多学科的方法.
- 通过向患者宣传PA的好处和安全性,可以减轻治疗副作用并改善患者的生活质量.
- 需要进一步的研究,以了解整个患者治疗轨迹的PA行为变化动态.
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