结肠直肠手术后运动的可持续性：对 PREPARE-ABC 试验参与者的定性研究。

IF 2.6 3区医学 Q1 REHABILITATION

Clinical Rehabilitation Pub Date : 2024-09-10 DOI:10.1177/02692155241278936

J Naisby,K Baker,K Skarparis,J Murdoch,A Clark,S Stirling,D Turner,A M Swart,J Hernon,J Saxton

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引用次数: 0

摘要

目的：本研究旨在探讨参加结直肠手术前后运动干预试验（PREPARE-ABC）后对运动可持续性的看法。采用框架分析法对数据进行分析，并由两名研究人员进行独立编码。参与者在随机参与试验 12-15 个月后，对患者进行了 18 次访谈（基于医院的运动 n = 9，基于家庭的运动 n = 3，标准护理 n = 6）。结果据报道，运动干预措施影响了参与者的康复和未来运动行为改变的可持续性。一些参与者在术后一年多仍坚持锻炼。其中的原因包括：在确诊前就参与了运动、运动带来的心理益处以及希望参与一些有助于康复的活动。对积极生活方式可持续性的看法受到参与有组织运动或体育锻炼的信心以及对其促进未来健康潜力的信念的影响。手术后立即进行体育锻炼干预可能对未来的参与很重要。

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The sustainability of exercise following colorectal surgery: A qualitative study of participants in the PREPARE-ABC trial.

OBJECTIVE This study aimed to explore perceptions regarding the sustainability of exercise following participation in a pre- and post-colorectal surgery exercise intervention trial (PREPARE-ABC). DESIGN Qualitative interview study. Data were analysed using framework analysis and independently coded by two researchers. SETTING Six United Kingdom National Health Service Trusts. PARTICIPANTS Eighteen interviews (hospital-based exercise n = 9, home-based exercise n = 3, standard care n = 6) were conducted with patients 12-15 months after being randomised in the trial, after their 12 month appointment. INTERVENTION Individuals who participated in one of two exercise intervention groups (hospital-supervised or home-supported exercise) or a standard care control group of the PREPARE-ABC trial were invited to interview. RESULTS The exercise interventions were reported to influence participants' recovery and future sustainability of exercise behaviour change. Several participants continued to engage in exercise over a year after their surgery. Reasons for this included being engaged with exercise prior to diagnosis, psychological benefits of exercise and wanting to be engaged with something to help recovery. Perceptions about the sustainability of active lifestyles were influenced by confidence to engage in structured exercise or physical activity and beliefs about its potential to promote future wellness. CONCLUSIONS Sustainability varies among individuals and early assessment of physical activity engagement could be beneficial. Physical activity interventions immediately following surgery may be important for future engagement.

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来源期刊

Clinical Rehabilitation 医学-康复医学

CiteScore

5.60

自引率

6.70%

发文量

117

审稿时长

4-8 weeks

期刊介绍： Clinical Rehabilitation covering the whole field of disability and rehabilitation, this peer-reviewed journal publishes research and discussion articles and acts as a forum for the international dissemination and exchange of information amongst the large number of professionals involved in rehabilitation. This journal is a member of the Committee on Publication Ethics (COPE)