为制定体育锻炼干预措施而进行的癌症连续性调查：对女性癌症幸存者的体育锻炼经历和偏好的定性调查。

IF 2.8 3区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Supportive Care in Cancer Pub Date : 2024-10-31 DOI:10.1007/s00520-024-08955-9

Hannah A Lavoie, Kellie B Scotti, Demetra D Christou, Danielle E Jake-Schoffman

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引用次数: 0

摘要

目的：临床指南建议癌症幸存者（即癌症确诊者）在治疗期间和治疗后定期参加体育锻炼（PA），但大多数人并没有这样做。此外，针对癌症幸存者的体育锻炼推广主要集中在治疗后，因此需要了解治疗期间的体育锻炼推广情况。本研究探讨了治疗中和治疗后乳腺癌和妇科癌症幸存者（BGCS）的 PA 经验和偏好，为 PA 干预的设计提供参考：对年龄≥ 50 岁、确诊为乳腺癌或妇科癌症（1-3 期）、正在接受化疗和/或初治或刚完成化疗和/或初治（12 至 24 个月）的绝经后妇女进行了半结构式访谈。对访谈进行了录音和逐字记录。采用主题分析法探讨主题：参与者（N = 26；年龄：63.9 岁）被诊断患有乳腺癌（92.3%）和妇科癌症（7.7%），46.2%（n = 12）正在接受治疗，53.8%（n = 14）已结束治疗。BGCS 在癌症治疗中经历了多种副作用，两组人都认为 PA 是一个重要的目标。治疗中的 BGCS 专注于控制副作用（如疲劳），并认识到在治疗前后精力会有所波动，因此这些时期不太适合进行体育锻炼。治疗中的 BGCS 强烈支持灵活的居家干预。治疗后的 BGCS 强调康复和预防复发，也倾向于居家、灵活的干预措施，但对支持小组以帮助他们的康复历程表现出更大的兴趣。首选活动包括散步、跳舞和肌肉锻炼：研究结果凸显了绝经后女性同性恋者在参与体育锻炼（尤其是在治疗期间）时所面临的独特挑战，强调了量身定制的体育锻炼干预措施的重要性。

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A look into the cancer continuum for the development of a physical activity intervention: qualitative investigation of the physical activity experiences and preferences of female cancer survivors.

Purpose: Clinical guidelines recommend cancer survivors (i.e., people with a cancer diagnosis) engage in regular physical activity (PA) during and post treatment, yet most do not. Additionally, PA promotion for cancer survivors has primarily focused on post treatment, calling for an understanding of PA promotion during treatment. This study explores the PA experiences and preferences of both in-treatment and post-treatment breast and gynecologic cancer survivors (BGCS) to inform the design of a PA intervention.

Methods: Semi-structured interviews were conducted with postmenopausal women aged ≥ 50 years, diagnosed with breast or gynecological cancer (stages 1-3), who were undergoing, or recently completed (12 to 24 months) chemotherapy and/or primary treatment. Interviews were audio-recorded and transcribed verbatim. Thematic analysis was used to explore themes.

Results: Participants (N = 26; M_age: 63.9 years) had a breast (92.3%) and gynecologic (7.7%) cancer diagnosis and 46.2% (n = 12) were in treatment whereas 53.8% (n = 14) were post treatment. BGCS experienced several side effects of cancer treatment and both groups felt PA was an important goal. In-treatment BGCS focused on managing side effects (e.g., fatigue) and recognized energy fluctuated around treatments, making those periods less ideal for PA. In-treatment BGCS strongly endorsed a flexible, at-home intervention. Post-treatment BGCS emphasized recovery and relapse prevention, also favoring at-home, flexible interventions but showing greater interest towards support groups to aid with their recovery journey. Preferred activities included walking, dancing, and muscle-strengthening.

Conclusion: Findings highlight the unique challenges postmenopausal BGCS face in participating in PA, especially in-treatment, emphasizing the importance of a tailored PA intervention.

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来源期刊

Supportive Care in Cancer 医学-康复医学

CiteScore

5.70

自引率

9.70%

发文量

751

审稿时长

3 months

期刊介绍： Supportive Care in Cancer provides members of the Multinational Association of Supportive Care in Cancer (MASCC) and all other interested individuals, groups and institutions with the most recent scientific and social information on all aspects of supportive care in cancer patients. It covers primarily medical, technical and surgical topics concerning supportive therapy and care which may supplement or substitute basic cancer treatment at all stages of the disease. Nursing, rehabilitative, psychosocial and spiritual issues of support are also included.