关键词: Activité physique Activité physique adaptée Adapted physical activity Analyse phénoménologique Analyse qualitative Cancer General medicine Médecine générale Non-drug therapy Oncology Prescription non médicamenteuse Qualitative study

Mesh : Humans Qualitative Research Exercise Neoplasms / psychology therapy Female Male France Middle Aged Sedentary Behavior Aged Quality of Life Adult

来  源:   DOI:10.1016/j.bulcan.2024.02.014

Abstract:
BACKGROUND: Physical activity is a major determinant in the prevention of chronic diseases, equally on the side effects of treatments and the consequences of the disease. It improves quality of life, but also reduces morbidity and mortality, and therefore health expenses. A sedentary lifestyle is the fourth cause of premature death in the world, in the context of chronic non-communicable diseases. In France, the prescription for adapted physical activity (APA) has been included in the law since 2016. With the development of \"Maisons Sport santé\", the Onco\'sport program was developed to enable people affected by cancer to participate in adapted physical activity. The objective of our work is to explore the lived experience of cancer patients practicing adapted physical activity as part of the Onco\'sport program.
METHODS: This is a qualitative study of 10 semi-directed individual interviews with patients participating in the Onco\'sport program, recruited from the \"Maison Sport Santé\" from Nîmes and the association \"Les Roses du Gard\". A phenomenological analysis was carried out with a semiopragmatic approach.
RESULTS: For all participants, the APA through a program provides professional supervision of Physical Activity, influences adherence and builds confidence. This program is at the origin of changes in lifestyle habits and improves the relationship with illness and their cancer thanks to the physical and psychological benefits felt. Thus, APA appears as a full-fledged supportive care which requires informing patients and promoting it so that access is facilitated and becomes a standard. Health professionals including general practitioners do not currently have an important place in the promotion of APA, and patients most often obtain documentation on their own or through associations of patient.
CONCLUSIONS: An APA program like Onco\'sport is often the cause of a return to physical activity in patients, brings overall well-being and changes lifestyle habits. It seems important to promote physical activity to patients but also to the general population, given the benefits. This promotion involves easier access to this type of supervised program, financial support and better training of health professionals.
摘要:
背景:体力活动是预防慢性病的主要决定因素,同样在治疗的副作用和疾病的后果。它提高了生活质量,还能降低发病率和死亡率,因此,医疗费用。久坐的生活方式是世界上第四大过早死亡的原因,在慢性非传染性疾病的背景下。在法国,自2016年起,适应性体力活动处方(APA)已被纳入法律.随着“运动品牌”的发展,Onco运动计划的制定是为了让受癌症影响的人能够参与适应的身体活动。我们工作的目的是探索癌症患者在Onco运动计划中进行适应性体育锻炼的生活经验。
方法:这是一项定性研究,对参加Onco运动计划的患者进行了10次半定向个人访谈,从尼姆和协会“LesRosesduGard”的“MaisonSportSanté”招募。用半读写法进行了现象学分析。
结果:对于所有参与者,APA通过一项计划提供对身体活动的专业监督,影响坚持和建立信心。该计划是生活习惯改变的起源,并由于感觉到的身体和心理益处而改善了与疾病和癌症的关系。因此,APA似乎是一种全面的支持性护理,需要告知患者并进行推广,以便为患者提供便利并成为标准。包括全科医生在内的卫生专业人员目前在促进APA方面没有重要地位,患者通常自己或通过患者协会获得文件。
结论:像Onco\'运动这样的APA计划通常是患者恢复体力活动的原因,带来整体福祉并改变生活习惯。促进患者和一般人群的体育锻炼似乎很重要,鉴于好处。这种推广涉及更容易访问这种类型的监督程序,财政支持和更好地培训卫生专业人员。
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