关键词: Activité physique Barrier Barrière Cancer Exercise Facilitateur Facilitator Modèle socio-écologique Physical activity Precarity Précarité Socio-ecological model

Mesh : Adult Humans Exercise / psychology Qualitative Research Social Support Mental Disorders Motivation

来  源:   DOI:10.1016/j.bulcan.2023.12.017

Abstract:
BACKGROUND: Despite the undeniable benefits of physical activity during and beyond cancer treatments, patients do not always undertake and/or maintain it. The aim of the study is to identify, describe and understand the barriers and facilitators of physical activity practice among adults arriving at the end of treatment for solid cancer, in precarious situations, living in Seine-Saint-Denis.
METHODS: The study was conducted using a descriptive qualitative phenomenological method involving semi-directed interviews with 23 participants during and beyond cancer.
RESULTS: Multiple-level factors (micro, meso, macro) are involved in active behavior of patients. Three main facilitators were identified: perceived benefit, social support, and urban planning. Three barriers are identified: (1) physical and psychological disorders whether or not related to cancer and its treatment, (2) precariousness, organizational constraints, unfavorable social environment, (3) lack of coordination, lack of accurate and appropriate information, lack of realistic referral to physical activity offers.
CONCLUSIONS: A diversity of representations, combinations of factors, and experiences are described. Getting people with cancer to engage in and maintain long-term physical activity is a complex task, requiring multidisciplinary action on all socio-ecological factors.
摘要:
背景:尽管身体活动在癌症治疗期间和之后具有不可否认的益处,患者并不总是承担和/或维护它。这项研究的目的是确定,描述和理解的障碍和促进者的身体活动实践的成年人到达结束治疗的实体癌,在不稳定的情况下,住在塞纳河圣丹尼斯.
方法:该研究使用描述性定性现象学方法进行,该方法涉及在癌症期间和之后对23名参与者进行半定向访谈。
结果:多层次因素(微观,meso,宏)参与患者的主动行为。确定了三个主要促进者:感知效益,社会支持,和城市规划。确定了三个障碍:(1)身体和心理障碍是否与癌症及其治疗有关,(2)不稳定,组织约束,不利的社会环境,(3)缺乏协调,缺乏准确和适当的信息,缺乏现实的体育活动推荐。
结论:表述的多样性,因素的组合,并描述了经验。让癌症患者参与和维持长期的体力活动是一项复杂的任务,需要对所有社会生态因素采取多学科行动。
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