Overcome the Fear of Exercise in Patients With Bone Metastases: A Qualitative Study on Patients' Perception

IF 2.9 2区医学 Q2 ONCOLOGY

Cancer Medicine Pub Date : 2025-04-17 DOI:10.1002/cam4.70865

Anita Borsati, Daniela Tregnago, Matteo Caleffi, Christian Ciurnelli, Linda Toniolo, Ilaria Trestini, Lorenzo Belluomini, Marco Sposito, Jessica Insolda, Federico Schena, Michele Milella, Sara Pilotto, Alice Avancini

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Abstract

Purpose

This qualitative study aimed to explore the experiences of patients with cancer and bone metastases who participated in a personalized exercise program.

Methods

Individual interviews were conducted through purposeful sampling of patients who attended the 3-month supervised exercise program. Using a phenomenological approach, semi-structured questions were developed to investigate the benefits, risks, facilitators, and barriers related to exercise. Data were analyzed using inductive thematic analysis.

Results

Thirteen patients with mixed cancer types participated in the study. Patients recognized the physical and psychological benefits of exercise, such as improvements in physical fitness, bone health, reduction of symptoms, especially pain and fatigue, and increase in self-confidence. While they did not perceive any disadvantage from participating in the program, they acknowledged the risk of bone fractures or exacerbation of lesions if the intervention is not tailored and supervised. The program's structure, including the involvement of dedicated specialists, has been reported as a fundamental pillar. Among the modulators for participation and adherence, comorbidities associated with bone metastases, logistic barriers, and lack of social support may be obstacles. Conversely, recommendations from the oncologist, personal motivation, and peer support were found to be facilitators of practice.

Conclusions

Patients with bone metastases expressed a broad range of benefits from participation in a structured exercise program. Several modulators may affect uptake and adherence and thus should be considered when designing a dedicated program.

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克服骨转移患者的运动恐惧：对患者认知的定性研究

目的本定性研究旨在探讨癌症和骨转移患者参加个性化锻炼计划的经验。方法对参加为期3个月的监督锻炼计划的患者进行有目的的抽样调查。采用现象学方法，开发了半结构化问题来调查与锻炼相关的益处、风险、促进因素和障碍。数据分析采用归纳专题分析。结果13例混合型癌症患者参与了研究。患者认识到运动对身体和心理的好处，如改善身体素质，骨骼健康，减轻症状，特别是疼痛和疲劳，增加自信。虽然他们不认为参与该计划有任何不利之处，但他们承认，如果干预措施没有量身定制和监督，可能会出现骨折或病变加剧的风险。据报道，该计划的结构，包括专门专家的参与，是一个基本支柱。在参与和依从性的调节因子中，与骨转移相关的合并症、后勤障碍和缺乏社会支持可能是障碍。相反，来自肿瘤学家的建议、个人动机和同伴支持被发现是实践的促进因素。结论：骨转移患者从参与有组织的锻炼计划中获得了广泛的益处。几种调节剂可能影响摄取和依从性，因此在设计专用程序时应考虑。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cancer Medicine ONCOLOGY-

CiteScore

5.50

自引率

2.50%

发文量

907

审稿时长

19 weeks

期刊介绍： Cancer Medicine is a peer-reviewed, open access, interdisciplinary journal providing rapid publication of research from global biomedical researchers across the cancer sciences. The journal will consider submissions from all oncologic specialties, including, but not limited to, the following areas: Clinical Cancer Research Translational research ∙ clinical trials ∙ chemotherapy ∙ radiation therapy ∙ surgical therapy ∙ clinical observations ∙ clinical guidelines ∙ genetic consultation ∙ ethical considerations Cancer Biology: Molecular biology ∙ cellular biology ∙ molecular genetics ∙ genomics ∙ immunology ∙ epigenetics ∙ metabolic studies ∙ proteomics ∙ cytopathology ∙ carcinogenesis ∙ drug discovery and delivery. Cancer Prevention: Behavioral science ∙ psychosocial studies ∙ screening ∙ nutrition ∙ epidemiology and prevention ∙ community outreach. Bioinformatics: Gene expressions profiles ∙ gene regulation networks ∙ genome bioinformatics ∙ pathwayanalysis ∙ prognostic biomarkers. Cancer Medicine publishes original research articles, systematic reviews, meta-analyses, and research methods papers, along with invited editorials and commentaries. Original research papers must report well-conducted research with conclusions supported by the data presented in the paper.