Exercise stage of change, barriers, expectations, values and preferences among breast cancer patients during treatment: a pilot study
Exercise stage of change, barriers, expectations, values and preferences among breast cancer patients during treatment: a pilot study
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DOI：
10.1111/j.1365-2354.2006.00705.x
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发表时间：
2007-01-01
影响因子：
2.1
通讯作者：
Hopkins-Price, P.
中科院分区：
文献类型：
--
作者：
Rogers, L. Q.;Courneya, K. S.;Hopkins-Price, P.
随着越来越多的证据支持乳腺癌治疗期间体力活动的益处，需要考虑癌症患者独特的运动障碍、结果期望和偏好来解决运动依从性问题。我们的试点研究旨在确定乳腺癌治疗期间的以下内容：（1）运动障碍、结果期望/值以及与运动变化阶段的关联；（2）运动偏好。对 23 名乳腺癌患者在治疗期间进行了横断面调查。参与者主要年龄在 50-60 岁（52%）、白种人（91%），患有 I 期（30%）、II 期（44%）或 III 期（26%）疾病。总共 48% 正在接受化疗。总共有 50% 的人处于改变的预思考/思考阶段，34% 的人处于行动/维持阶段。常见的运动坚持障碍（即缺乏优先顺序、自律、拖延和疲劳）在统计上与运动呈显着负相关。常见的结果预期包括改善心/肺、降低疾病风险、增强肌肉力量和减肥。重要成果包括改善精神状态、减少疲劳和避免受伤。结果预期（即减少抑郁、无聊和恶心）与锻炼呈正相关。大多数人更喜欢步行（100%）、中等强度（61%）、在家锻炼（78%）。在治疗期间的乳腺癌患者中，运动依从性障碍是普遍存在的且具有疾病特异性。结果期望是身体上的好处，最重要的结果是心理上或避免风险（即受伤）。
With increasing evidence supporting physical activity benefits during breast cancer treatment, addressing exercise adherence with consideration of the unique exercise barriers, outcome expectations and preferences of cancer patients is needed. Our pilot study aimed to determine the following during breast cancer treatment: (1) exercise barriers, outcome expectations/values and associations with exercise stage of change and (2) exercise preferences. A cross-sectional survey was administered to 23 breast cancer patients during treatment. Participants were primarily aged 50-60 years (52%), Caucasian (91%), with stage I (30%), II (44%) or III (26%) disease. A total of 48% were receiving chemotherapy. In total, 50% were in the pre-contemplation/contemplation stage of change, with 34% in action/maintenance. Common exercise adherence barriers (i.e. lack of priority, self-discipline, procrastination and fatigue) demonstrated statistically significant negative associations with exercise. Frequent outcome expectations included improving heart/lungs, reducing disease risk, building muscle strength and losing weight. Important outcomes included improving state of mind, reducing fatigue and avoiding injury. Outcome expectations (i.e. less depression, boredom and nausea) were positively associated with exercise. The majority preferred walking (100%), moderate-intensity (61%), home-based (78%) exercise. Among breast cancer patients during treatment, exercise adherence barriers are general and disease specific. Outcome expectations are physical benefits, with the most important outcomes being psychological or avoidance of risk (i.e. injury).