Experience of exercise self-management in elderly patients with colorectal cancer and sarcopenia: a qualitative study
10.3760/cma.j.cn115682-20240123-00459
- VernacularTitle:老年结直肠癌伴肌少症患者运动自我管理体验的质性研究
- Author:
Mengchen JI
1
;
Danfeng GU
;
Yuan QIAN
;
Ling HANG
;
Mingqi ZHANG
Author Information
1. 江南大学附属医院护理部，无锡 214122
- Publication Type:Journal Article
- Keywords:
Aged;
Colorectal cancer;
Sarcopenia;
Exercise;
Self-management;
Experience;
Qualitative research
- From:
Chinese Journal of Modern Nursing
2024;30(36):4901-4908
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the exercise self-management cognition and real experience of elderly patients with colorectal cancer and sarcopenia, providing reference for the development of exercise intervention programs.Methods:This study was a descriptive qualitative research. From September to December 2023, purposive sampling was used to select 13 elderly patients with colorectal cancer and sarcopenia who visited Affiliated Hospital of Jiangnan University as participants, and face-to-face semi-structured in-depth interviews were conducted. Content analysis method was used to analyze, summarize, and extract themes from interview data.Results:Among the 13 elderly patients with colorectal cancer, there were six males and seven females aged 61 to 70 years. A total of three core themes and ten sub-themes were extracted, namely, cognition of disease and exercise (cognition of disease concepts, cognition of exercise self-management), diverse experiences of exercise self-management (positive support for exercise self-management, negative response to exercise self-management, and concerns about exercise self-management due to self-drag), and expectations for exercise self-management (information support and professional management needs, diversity needs of exercise content and methods, scientific needs of exercise volume and intensity, safety needs of exercise process, and systematic needs of system guarantees) .Conclusions:Elderly patients with colorectal cancer and sarcopenia have a certain level of enthusiasm and expectation for exercise self-management, but due to weak cognition of disease concepts and the benefits of exercise, self-drag, and insufficient system guarantees, there are negative responses to exercise. Medical and nursing staff need to strengthen their assessment of this population and develop scientific and systematic exercise intervention programs. The government and all sectors of society should actively guide people to have a positive cognition of diseases and provide certain policy guarantees.
