在中国接受癌症手术新辅助治疗的患者中,关于运动预康复的患者教育:混合方法研究
Xiaohan Xu1,2, Jiao Zhang1, Yuelun Zhang3
1Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing 100730, China.
Healthcare (Basel, Switzerland)
|March 13, 2025
概括
在接受新辅助治疗的患者中,运动预康复的利用不足. 主要障碍包括医生意识和患者教育的有限程度,强调需要改善医疗保健提供者培训和支持系统.
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:
- 接受新辅助治疗的患者在运动前康复方面有一个关键的窗口.
- 目前在这个人群中,运动预康复的吸收和影响因素尚不清楚.
研究的目的:
- 描述运动预康复的当前状态.
- 确定接受新辅助治疗的患者进行预康复的促进因素和障碍.
主要方法:
- 连续解释混合方法研究,涉及调查和半结构面试.
- 对269名患者进行了定量调查,对28名患者和医生进行了定性访谈.
- 以能力,机会和动机行为模型为指导的专题分析.
主要成果:
- 只有52.6%的患者达到有氧活动标准;1.1%达到肌肉强化标准.
- 不到40%的患者从医生那里了解了运动预康复.
- 医生意识,时间限制和患者特定因素被确定为关键障碍.
结论:
- 医生主导的关于运动预康复的患者教育显著缺乏.
- 加强医生教育和实施协作护理模式至关重要.
- 远程监督和解决文化/保险障碍可能会改善访问.
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