Purpose: Physical activity (PA) during chemotherapy can lessen side effects, support treatment adherence, and improve overall outcomes, yet the barriers to PA in this population remain underexplored. This study assessed self-reported PA levels, barriers, and sources of PA education among adults with cancer undergoing chemotherapy. Methods: A cross-sectional survey was conducted among adult outpatients receiving chemotherapy in the ACT, Australia. The survey collected demographic information, PA levels using the modified Godin–Shephard Leisure Time Questionnaire, barriers to PA, and sources of PA education. Both quantitative and qualitative analyses were performed. Results: Of 111 participants (mean age 59.2), only 11.7% met ‘active’ PA status and 9.9% met resistance exercise guidelines. Barriers included fatigue, strength, pain, motivation, nausea, and lack of time. Notably, almost one-third received no PA education during chemotherapy, and nearly half wanted more. Education by accredited exercise physiologists increased resistance exercise participation. Conclusions: Few participants met PA recommendations during chemotherapy, with many reporting insufficient PA education and significant barriers. These findings highlight critical gaps in patient care and education. Addressing these through integrated, evidence-based PA programs and policy changes could enhance patient health, improve outcomes, and reduce disparities in supportive cancer care.
目的：化疗期间进行体力活动（PA）可减轻副作用、提高治疗依从性并改善整体预后，但该人群参与体力活动的障碍尚未得到充分研究。本研究评估了接受化疗的成年癌症患者自我报告的体力活动水平、参与障碍及体力活动教育来源。方法：在澳大利亚首都领地地区对接受化疗的成年门诊患者开展横断面调查。调查收集了人口统计学信息、采用改良版戈丁-谢泼德休闲时间问卷评估的体力活动水平、体力活动障碍及体力活动教育来源。研究同时进行了定量与定性分析。结果：在111名参与者（平均年龄59.2岁）中，仅11.7%达到“积极活动”状态，9.9%符合抗阻运动指南标准。主要障碍包括疲劳、体力不足、疼痛、缺乏动力、恶心及时间不足。值得注意的是，近三分之一患者在化疗期间未接受任何体力活动指导，近半数患者希望获得更多指导。经认证的运动生理学家提供的教育可提高抗阻运动参与率。结论：化疗期间达到体力活动建议标准的患者比例极低，多数患者报告体力活动教育不足且存在显著障碍。这些发现揭示了患者护理与教育领域的关键缺口。通过整合循证体力活动方案及政策调整来应对这些问题，有望提升患者健康水平、改善临床结局并缩小癌症支持性护理领域的差距。
肿瘤(癌症)患者之家