我们如何让瘤护理提供者和质母细胞瘤患者参与有关身体活动的对话:使用理论领域框架进行定性描述性研究
Jodi E Langley1,2, Grace Warner1, Christine Cassidy1
1Faculty of Health, Dalhousie University, Halifax, NS B3H 4R2, Canada.
Current oncology (Toronto, Ont.)
|April 25, 2025
概括
身体活动 (PA) 讨论受到质母细胞瘤 (GB) 患者和护理人员的重视. 虽然瘤护理提供者 (OCP) 有知识,但障碍阻碍了广泛的PA整合到英国癌症护理中.
科学领域:
- 神经瘤学神经瘤学
- 支持性癌症护理 支持性癌症护理
- 行为科学 行为科学
背景情况:
- 质母细胞瘤 (GB) 是成年人中最常见的原发性恶性脑瘤.
- 身体活动 (PA) 可以提高GB患者的生活质量和身体功能.
- 将PA讨论纳入常规瘤治疗中至关重要.
研究的目的:
- 探索瘤护理提供者 (OCP),护理人员和决策者如何将PA对话纳入GB患者护理.
- 确定PA讨论实施的促进者和障碍者.
主要方法:
- 与OCP,护理人员和决策者进行了19次半结构面试.
- 使用了能力,机会,动机-行为 (COM-B) 模型和理论领域框架 (TDF).
- 通过使用TDF生成的代码库进行定向内容分析来分析数据.
主要成果:
- 患者和护理人员欢迎OCP在整个护理连续过程中的PA讨论.
- 人们认为PA是从以癌症为重点的治疗中得到缓解.
- 以前的PA行为没有影响患者对讨论的开放性.
- OCP 感觉自己对 PA 有很好的了解,患者也愿意接受讨论.
结论:
- 应将PA讨论纳入质母细胞瘤患者的临床护理.
- 尽管患者和提供者开放,但系统性障碍阻碍了广泛的PA实施.
- 需要进一步的战略来克服障碍,并促进自治区的整合.
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