Rethinking exercise identity: a qualitative study of physically inactive cancer patients' transforming process while undergoing chemotherapy.
Rethinking exercise identity: a qualitative study of physically inactive cancer patients' transforming process while undergoing chemotherapy.
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DOI：
10.1136/bmjopen-2017-016689
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发表时间：
2017-08-23
期刊：
影响因子：
2.9
通讯作者：
Møller T
中科院分区：
文献类型：
--
作者：
Adamsen L;Andersen C;Lillelund C;Bloomquist K;Møller T
探讨非体力活动乳腺癌、结肠癌患者的诊断前运动史和对体力活动(PA)的态度，以及在辅助化疗时启动体力活动的经验。一项探索性的定性研究指导了在化疗开始时和12周后进行的半结构化、开放式访谈的解释性分析。这项研究被嵌入了一项试点随机对照试验。参与者是从丹麦哥本哈根一家医院的肿瘤科招募的。33名癌症患者，中位年龄49岁：25名乳腺癌患者和8名结肠癌患者，72%的患者心脏呼吸健康水平较低，大多数患者受教育程度较高。患者在分配到PA干预组或等待名单对照组之前，接受辅助化疗、肿瘤学家的PA推荐和锻炼、癌症护士专科医生的咨询。诊断前的锻炼被排除在患者的日常生活之外，因为人们认为锻炼乏味，缺乏纪律，工作条件对男女都有压力。肿瘤学家和护士的建议鼓励患者在化疗期间接受招募和参与PA干预，从而重新考虑他们的态度和行为。尽管有广泛的副作用，但大多数患者坚持他们的PA承诺，因为他们认为医疗保健专业人员、同龄人和家人的身体、情感和社会利益以及支持。患者对运动的态度从诊断前在日常生活中没有优先考虑转变为高度优先。这项研究确定了患者治疗轨迹中运动转化过程中的四个重要阶段，这与临床医生在识别、激励和支持长期风险的癌症患者方面具有相关性。临床医生应该针对年轻的、受过高等教育的癌症患者在辅助化疗开始时进行治疗，因为他们的特殊风险是由于从事有压力、雄心勃勃的职业而导致的久坐不动的生活方式。当前对照试验(ISRCTN24901641)，阶段：定性结果。
To explore physically inactive breast and colon cancer patients’ prediagnosis exercise history and attitudes to physical activity (PA) and experiences in initiating PA while undergoing adjuvant chemotherapy. An explorative qualitative study guided the interpretive analysis of semistructured, open-ended interviews conducted at initiation of chemotherapy and after 12 weeks. The study was embedded in a pilot randomised controlled trial. Participants were recruited from the Oncological Department at a hospital in Copenhagen, Denmark. 33 patients with cancer, median age 49 years: 25 patients with breast cancer and 8 with colon cancer, 72% with a low cardiac respiratory fitness level and the majority with a high level of education. Patients received adjuvant chemotherapy, oncologist’s PA recommendation and exercise, cancer nurse specialist’s counselling prior to allocation to PA interventions or waitlist control group. Prediagnosis exercise had been excluded from patients’ daily lives due to perceptions of exercise as boring, lack of discipline and stressful work conditions for both genders. Recommendations from oncologists and nurses inspired the patients to reconsider their attitudes and behaviour by accepting recruitment and participation in PA interventions during chemotherapy. Despite extensive side effects, most patients adhered to their PA commitment due to their perception of the bodily, emotional and social benefits and support of healthcare professionals, peers and family. The patients’ attitude towards exercise transformed from having no priority in patients’ daily lives prediagnosis to being highly prioritised. This study identified four important phases in the exercise transformation process during the patients’ treatment trajectory of relevance to clinicians in identifying, motivating and supporting physically inactive patients with cancer at long-term risk. Clinicians should address young, highly educated patients with cancer at onset of adjuvant chemotherapy due to their specific risk of a sedentary lifestyle resulting from being in stressful, ambitious careers. Current Controlled Trials (ISRCTN24901641), Stage: Qualitative results.
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DOI：
10.1136/bmj.e70
发表时间：
2012-01-30
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
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影响因子：
2.6
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3.4
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DOI：
10.1089/acm.1997.3.215
发表时间：
1997-01-01
期刊：
Journal of alternative and complementary medicine (New York, N.Y.)
影响因子：
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作者：
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