Factors perceived to influence exercise adherence in women with breast cancer participating in an exercise programme during adjuvant chemotherapy: a focus group study
Factors perceived to influence exercise adherence in women with breast cancer participating in an exercise programme during adjuvant chemotherapy: a focus group study
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DOI：
10.1111/jocn.12633
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发表时间：
2015-02-01
影响因子：
4.2
通讯作者：
Bru, Edvin
中科院分区：
文献类型：
--
作者：
Husebo, Anne Marie Lunde;Karlsen, Bjorg;Bru, Edvin
目的和目标。探讨影响乳腺癌妇女运动坚持性的因素。早期的研究表明，患有乳腺癌的女性在癌症诊断后减少了身体活动，坚持运动干预可能是一个挑战。需要研究来确定乳腺癌治疗期间女性坚持锻炼的动机因素和障碍。这是一项定性研究，旨在探讨患者在随机对照试验中对锻炼依从性挑战的看法。2011-2012年期间，有目的地从2010-2012年期间参加运动干预组的27名早期乳腺癌妇女中抽样进行焦点小组访谈。五个焦点小组进行了研究，并使用系统的文本压缩方法完成了数据分析。在焦点小组研究中，确定了五个主要主题，这些主题描述了参与者认为影响他们在化疗期间坚持锻炼的因素：“乳腺癌治疗的副作用是锻炼的障碍”，“恢复和维持日常生活的正常状态激发锻炼”，“其他有价值的活动与锻炼竞争”，“建设性支持促进锻炼”和“关于效能和结果的积极信念促进锻炼”。乳腺癌妇女坚持锻炼受到内部和外部条件的挑战，通过关注治疗副作用的影响和支持患者改变健康行为的自我效能，可能会得到改善。护士应该意识到，坚持锻炼可能是乳腺癌妇女的一个挑战。它们应帮助确定妇女锻炼的障碍和克服这些障碍的方法，并支持她们相信自己有能力改变健康行为。
Aims and objectives. To explore factors influencing exercise adherence among women with breast cancer while following an exercise programme.Background. Earlier research shows that women with breast cancer decrease physical activity following the cancer diagnosis and that adhering to exercise interventions can be a challenge. Research is needed to identify motivational factors and barriers for exercise adherence among women during treatment for breast cancer.Design. This was a qualitative study to explore patient's perceptions of the challenges to exercise adherence during a randomised, controlled trial.Methods. Twenty-seven women with early-stage breast cancer were purposively sampled for focus group interviews during 2011-2012 from their participation in the exercise intervention group during 2010-2012. Five focus groups were performed, and data analysis was completed using the systematic text condensation method.Results. During the focus group study, five main themes were identified, which described factors participants perceived to influence their adherence to exercise during chemotherapy: 'side effects of breast cancer treatment as a barrier to exercise', 'restoring and maintaining normality in daily life motivates exercise', 'other valued activities compete with exercise', 'constructive support enhances exercise' and 'positive beliefs about efficacy and outcomes motivate exercise'.Conclusion. Adherence to exercise in women with breast cancer is challenged by internal and external conditions and may be improved by attention to the impact of treatment side effects and by supporting patient self-efficacy towards changing health behaviour.Relevance to clinical practice. Nurses should be aware that exercise adherence could be a challenge among women with breast cancer. They should help identify obstacles to exercise for women and ways to overcome them, as well as support them in their beliefs that they are capable of changing their health behaviour.