在初级保健中为癌症幸存者提供体育活动计划的混合方法组织评估
Famke Huizinga1, Nico-Derk Lodewijk Westerink1, Annemiek M E Walenkamp2
1Department of Primary and Long-term Care, University Medical Center Groningen, University of Groningen, PO Box 196, FA 21, 9700 AD, Groningen, Netherlands.
Translational behavioral medicine
|July 7, 2025
概括
身体活动 (PA) 计划对于癌症幸存者来说在一般实践中是可行的,如果有足够的组织支持. 成功的关键因素包括积极主导的医生,足够的培训,并将PA咨询纳入常规护理.
科学领域:
- 在瘤学瘤学.
- 一般的做法一般的做法
- 公共卫生 公共卫生
背景情况:
- 身体活动 (PA) 对癌症幸存者提供了显著的健康益处.
- 在一般实践环境中,PA课程并未得到一致的整合.
- 这项研究解决了对癌症幸存者的常规PA支持的差距.
研究的目的:
- 评估在荷兰一般实践中为癌症幸存者采用,实施和维护PA计划的情况.
- 使用RE-AIM框架进行全面的组织级评估.
- 确定成功集成PA程序的可行性和关键组件.
主要方法:
- 混合方法方法结合了定量和定性数据.
- 涉及的初级保健医生 (PCP) 和全科医生 (GP).
- 通过问卷,采访收集的数据,并通过描述和主题分析分析.
主要成果:
- 9%的一般实践参与了,显示出高度的代表性.
- 在18.5个月的时间里,PCP平均指导了7名患者.
- 很高的坚持 (77%) 和积极的培训评估 (8/10);69%的人继续使用程序元素.
结论:
- 在一般实践中,如果有足够的组织能力,PA计划是可行的.
- 指定首席从业人员,提供培训,并整合PA咨询至关重要.
- 有效的实施需要调整和整合到日常护理中,以提供有针对性的幸存者支持.
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