Transforming the nature of fatigue through exercise: qualitative findings from a multidimensional exercise programme in cancer patients undergoing chemotherapy
Transforming the nature of fatigue through exercise: qualitative findings from a multidimensional exercise programme in cancer patients undergoing chemotherapy
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DOI：
10.1111/j.1365-2354.2004.00502.x
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发表时间：
2004-09-01
影响因子：
2.1
通讯作者：
Roerth, M
中科院分区：
文献类型：
--
作者：
Adamsen, L;Midtgaard, J;Roerth, M
本研究的目的是探讨晚期癌症患者接受化疗并同时参加为期 6 周的多维锻炼计划（体育锻炼、放松、按摩和身体意识训练）时的疲劳性质。在项目之前、期间和结束时，对 23 名年龄在 18 岁至 65 岁之间的患者进行了半结构化定性访谈。研究结果表明，身体虚弱、疲劳和身体能力的不确定性是患者参与的动机。在整个项目中，患者经历了运动引起的疲劳，他们将这种疲劳与体力增强、精力改善和身体健康的感觉联系在一起。这种积极的疲劳感可以被视为与化疗引起的消极疲劳形成鲜明对比，后者的特点是身体不适和无法控制的疲惫。患者学会了通过运动作为调整身体虚弱感的策略来度过剧烈疲劳期。如果要鼓励患者保持活跃并设定切合实际的目标，那么疲劳定性方面的可见性是必要的。本研究中确定的疲劳转化过程支持运动作为治疗癌症相关疲劳的有益干预策略的理论。
The objective of this study was to explore the nature of fatigue in cancer patients with advanced stages of disease undergoing chemotherapy and concurrently participating in a 6-week multidimensional exercise programme (physical exercise, relaxation, massage and body-awareness training). Semi-structured qualitative interviews were conducted with 23 patients between 18 and 65 years of age prior to, during, and at termination of the programme. The findings endorsed that physical debilitation, fatigue, and uncertainty of physical capacity were the patients' motivation for participation. Throughout the programme the patients experienced exercise-induced fatigue, which they associated with a sense of increased physical strength, improvement in energy and physical well-being. This positive sense of fatigue can be seen as a contrast to the negative chemotherapy-induced fatigue, which is characterized by physical discomfort and uncontrollable exhaustion. The patients learned to manoeuvre through periods of intense fatigue by using exercise as a strategy to adjust their sense of physical debilitation. Visibility of fatigue's qualitative aspects is necessary if patients are to be encouraged to stay active and to set realistic goals. The transformation process of fatigue identified in this study supports the theory of exercise as a beneficial intervention strategy in the treatment of cancer-related fatigue.