Influencing factors of exercise guidance and implementation after breast cancer surgery: a qualitative study based on the knowledge transformation framework
10.3760/cma.j.cn115682-20221201-05792
- VernacularTitle:乳腺癌术后运动指导与实施的影响因素分析：一项基于知识转化框架的质性研究
- Author:
Lin QIU
1
;
Yongmei JIN
;
Yang TONG
;
Lifang SONG
;
Chunjing XU
;
Maodie YE
;
Yingying HUANG
Author Information
1. 上海中医药大学附属第七人民医院甲乳疝外科，上海 200137
- Keywords:
Breast neoplasms;
Exercise;
Knowledge transformation framework;
Obstacle factors;
Implementation research
- From:
Chinese Journal of Modern Nursing
2023;29(27):3737-3742
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the obstacle factors and promoting factors of exercise guidance and implementation after breast cancer surgery, so as to provide reference and basis for the formulation of exercise program after breast cancer patients.Methods:Using the objective sampling method, a total of 10 medical staff and 10 patients with breast cancer after operation from the breast surgery department of the Seven People's Hospital Affiliated to Shanghai University of Traditional Chinese Medicine hospital in Shanghai were selected as research objects from July to September 2022. A semi-structured interview was conducted. The interview outline was developed based on the knowledge transformation framework, and the results were analyzed by the content analysis method.Results:The study extracted three levels of influencing factors. The system level included caregiver workload, educational materials, norms and responsibilities and trust in evidence-based evidence. The practitioner level included the level of exercise knowledge, the concern about patient compliance and the emphasis on exercise. The patient level included sports knowledge level, personality and interest, venous line, adverse reaction of treatment, psychological state, weather environment, attention to health and concern of family members.Conclusions:The medical staff need to consider the postoperative exercise guidance for breast cancer patients from the department, themselves and patients, and should fully consider the patients' conditions and subjective experience to improve the patients' exercise compliance.
