"你必须更多地炼......这意味着什么?" 了解化疗期间体力活动的体验 (EPAC):由COM-B模型提供信息的混合方法研究
Rebecca Cesnik1, Alanah Pike2, Kellie Toohey3
1ACT Health and Community Services Directorate, ACT, Australia; Faculty of Health, University of Canberra, Bruce, ACT, Australia; Research Institute of Sport and Exercise, University of Canberra, ACT, Australia.
大多数接受化疗的癌症患者希望更加活跃,但面临着障碍. 需要增加支持和综合体力活动 (PA) 服务,以提高患者在癌症治疗期间的能力,机会和动机.
科学领域:
- 在瘤学瘤学.
- 行为科学 行为科学
- 公共卫生 公共卫生
背景情况:
- 身体活动 (PA) 在癌症治疗期间提供了显著的好处.
- 然而,接受化疗的个体往往经历活动水平不足.
- 了解患者的体验对于改善PA参与至关重要.
研究的目的:
- 探索化学疗法 (EPAC) 期间体育活动 (PA) 的体验.
- 在癌症治疗期间识别PA的障碍和促进因素.
- 为整合PA在常规癌症护理中的战略提供信息.
主要方法:
- 混合方法设计使用能力,机会,动机-行为 (COM-B) 模型.
- 与患者,护理人员和临床医生进行半结构面试和焦点小组.
- 调查问卷包括Godin-Shepard休时间调查问卷用于PA评估.
主要成果:
- 91%的患者希望增加PA,但只有17%是活跃的;78%的患者报告在化疗期间降低了PA.
- 出现了八个关键主题,包括身体能力,不一致的教育,以及对综合和定制服务的需求.
- 定性发现映射到COM-B框架的所有组成部分,突出能力,机会和动机因素.
结论:
- 接受化疗的患者表达了对增加体力活动的强烈愿望.
- 加强支持对于提高PA的机会,能力和动机至关重要.
- 需要改变临床实践,将PA纳入常规化疗护理,考虑到治疗现实和服务设计.
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