Objectives: This study explored the challenges and solutions to the effective promotion of physical activity (PA) to cancer survivors in practice in Ireland amongst a variety of stakeholders, including healthcare professionals (HCPs), policy makers, community providers of cancer care, and academics.Methods: Focus groups (n = 5) were conducted with participants (n = 40), including oncologists, oncology nurses, physiotherapists, cancer support centre managers, academics, consumers, cancer policy representatives, exercise specialists, community providers of exercise programmes, and a chartered psychologist. The data were analysed using reflexive thematic analysis.Results: Four primary themes were identified: (i) embedding PA into the cancer pathway (including the sub-themes of ‘singing from the same hymn sheet’, ‘PA as an essential element of treatment’, and ‘intervention opportunities and models of care’); (ii) education and training; (iii) access to appropriate PA interventions; and (iv) tailored programmes.Conclusions: The importance of embedding PA into the cancer pathway such that PA is viewed by clinicians and patients as a key part of their treatment was emphasised. Opportunities for PA intervention within existing practice were highlighted, such as the chemotherapy education sessions run by Daffodil nurses. Findings pointed to a need for education and training for HCPs that include how to coach and counsel cancer patients concerning PA in clinic. Finally, a major barrier to PA promotion was limited access to appropriate PA interventions.
目的：本研究旨在探讨爱尔兰各类利益相关方（包括医疗保健专业人员、政策制定者、社区癌症护理服务提供者及学术界人士）在实践中向癌症幸存者有效推广体力活动所面临的挑战及解决方案。 方法：共开展5场焦点小组访谈，招募40名参与者，包括肿瘤科医师、肿瘤科护士、物理治疗师、癌症支持中心管理者、学者、患者代表、癌症政策制定者、运动专家、社区运动项目提供者及注册心理学家。采用反思性主题分析法对数据进行分析。 结果：研究识别出四大核心主题：（1）将体力活动融入癌症治疗路径（包含"统一行动纲领"、"体力活动作为治疗核心要素"及"干预时机与护理模式"三个子主题）；（2）专业教育与培训；（3）获取适宜的体力活动干预资源；（4）个性化方案设计。 结论：研究强调必须将体力活动深度整合至癌症治疗路径，使临床医生与患者共同将其视为治疗的关键组成部分。同时指出在现有医疗实践中存在推广契机，如水仙花护士主导的化疗教育课程。研究结果表明，亟需加强对医疗保健专业人员的教育培训，重点提升其在临床环境中指导癌症患者进行体力活动的能力。最后，研究指出当前体力活动推广的主要障碍在于患者难以获得科学适宜的干预方案。
肿瘤(癌症)患者之家