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文章:

肿瘤学家在临床实践中是否推荐“运动处方”?来自肿瘤学家与患者视角的答案

Do Oncologists Recommend the “Pill” of Physical Activity in Their Practice? Answers from the Oncologist and Patients’ Perspectives

原文发布日期:28 April 2024

DOI: 10.3390/cancers16091720

类型: Article

开放获取: 是

 

英文摘要:

Objectives: The purposes of this current questionnaire-based study were to analyse whether oncologists prescribed PA to their patients in Spain, as well as the type of exercise recommended, the variables that influence whether or not to recommend it and to compare these recommendations with the values reported by their patients. Methods: Two online questionnaires were designed for this study. The first one, filled in by the oncologists (n = 93), contained aspects such as the attitude or barriers to promoting PA. The second was designed for patients with cancer (n = 149), which assessed PA levels and counselling received from oncologists, among other facets. Results: The majority of oncologists (97%) recommend PA during their consultations. Instead, only 62% of patients reported participating in exercise within the last 7 days. Walking was the most common form of exercise, reported by 50% of participants. Patients who received exercise recommendations from their oncologist walked for more days (p= 0.004; ES = 0.442) and more minutes per day (p= 0.022; ES = 0.410). The barriers most highlighted by patients were lack of time and not knowing how to perform PA. Conclusion: Oncologists and patients seem to be interested and able to participate in PA counselling and programmes. However, there was a discrepancy between what was reported by oncologists and expressed by patients in terms of recommendations for PA and the modality itself.

 

摘要翻译: 

目的:本项基于问卷的研究旨在分析西班牙肿瘤科医生是否向患者开具体力活动处方,以及所推荐的运动类型、影响推荐与否的相关变量,并将这些建议与患者报告的实际运动情况进行比较。方法:本研究设计了两份在线问卷。第一份由肿瘤科医生填写(n=93),内容涉及推广体力活动的态度或障碍等方面;第二份针对癌症患者设计(n=149),评估其体力活动水平及从肿瘤科医生处获得的指导等情况。结果:绝大多数肿瘤科医生(97%)会在诊疗过程中推荐体力活动,但仅有62%的患者报告在过去7天内进行过锻炼。步行是最常见的运动形式,50%的参与者选择此项。获得医生运动建议的患者步行天数更多(p=0.004;效应值=0.442),每日步行时间也更长(p=0.022;效应值=0.410)。患者反映的主要障碍是缺乏时间和不知如何开展体力活动。结论:肿瘤科医生和患者均对参与体力活动咨询与项目表现出兴趣和可行性,但在体力活动推荐内容及具体实施方式方面,医生报告与患者表述存在差异。

 

原文链接:

Do Oncologists Recommend the “Pill” of Physical Activity in Their Practice? Answers from the Oncologist and Patients’ Perspectives

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