Background:Physical activity (PA) is associated with lower mortality and cancer recurrence risks. Although evidence shows health benefits for cancer patients before, during, and immediately after treatment, PA recommendations are not regularly included in the standard care.Objective:The study aimed to identify perceived knowledge, barriers, and facilitators of oncology providers’ PA promotion for cancer patients using the 5A (Assess, Advise, Agree, Assist, and Arrange) framework.Methods:A qualitative research design with a phenomenological approach was adopted. A purposive sample of 16 oncology care providers in Nebraska participated in semi-structured interviews via Zoom/phone. Interviews were audio-recorded, transcribed, and imported into MAXQDA 2024 for thematic analysis.Results:Analysis of the qualitative data identified five themes: (i) Broad and inclusive conceptualizations of PA among oncology care providers suggested that they were able to define PA; (ii) Current Practices in PA Counseling included advising on PA and assessment; (iii) Barriers to PA counseling included lack of guideline awareness, insufficient training, low prioritization, uncertainty about responsibility, time constraints, limited resources, lack of referral systems, patient health conditions, and environmental factors; (iv) Facilitators were identified as acknowledged health benefits for cancer survivors, awareness of PA recommendations, access to community resources, and support from interdisciplinary teams; and (v) Expressed desire among oncology care providers for training on incorporating PA into oncology care.Conclusions:Oncology providers recognized PA’s health benefits for cancer survivors but did not promote it due to inadequate knowledge of guidelines and lack of resources. These barriers require improved PA counselling education to help providers incorporate PA into clinical care.
背景：体力活动（PA）与降低死亡率和癌症复发风险相关。尽管有证据表明体力活动对癌症患者在治疗前、治疗期间及治疗后即刻具有健康益处，但体力活动建议并未被常规纳入标准护理方案。 目的：本研究旨在运用5A（评估、建议、共识、协助、安排）框架，探讨肿瘤科医护人员在促进癌症患者体力活动方面的认知水平、障碍因素及促进因素。 方法：采用现象学视角的质性研究设计。通过目的性抽样选取内布拉斯加州16名肿瘤科医护人员，通过Zoom/电话进行半结构化访谈。访谈录音经转录后导入MAXQDA 2024软件进行主题分析。 结果：质性数据分析形成五大主题：（一）肿瘤科医护人员对体力活动的概念认知广泛且包容，表明其具备定义体力活动的能力；（二）当前体力活动咨询实践包含活动建议与评估；（三）体力活动咨询障碍包括指南认知不足、培训欠缺、优先级较低、责任归属不明、时间限制、资源有限、转诊体系缺失、患者健康状况及环境因素；（四）促进因素包括认可体力活动对癌症幸存者的健康益处、了解体力活动建议、社区资源可及性及跨学科团队支持；（五）肿瘤科医护人员表达出将体力活动纳入肿瘤护理的培训需求。 结论：肿瘤科医护人员虽认可体力活动对癌症幸存者的健康益处，但因指南认知不足及资源缺乏而未积极推广。需通过加强体力活动咨询教育以克服这些障碍，帮助医护人员将体力活动融入临床实践。
肿瘤(癌症)患者之家