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Abstract：
Background: Breast cancer (BC) is the most prevalent cancer diagnosis among women worldwide. Several randomized controlled trials and systematic reviews have shown the benefits of exercise before, during, and after cancer treatment to manage side effects related to cancer and its therapies. However, these are poorly implemented across the disease-span, specifically, during the preoperative setting. Methods: Patients diagnosed with BC and participating in a randomized controlled trial on the effects of a prehabilitation program based on Nordic walking, muscle strengthening, and therapeutic education were invited to participate in this qualitative substudy. Two groups of eight patients each were recorded, transcript and analyzed using a specialized software (Atlas-Ti®, version 24). Results: During the axial codification phase, 22 unique codes and 6 main themes were identified related to their experience with the program, namely, (1) information received prior to participating; (2) motivation to participate; (3) barriers; (4) facilitators; (5) perceived degree of support from healthcare workers as well as peers; and (6) satisfaction with the characteristics of the prehabilitation program. Conclusions: Patients interviewed showed great interest in prehabilitation as a way to prepare both physically and mentally for surgery. In order to implement these interventions, healthcare systems need to acknowledge barriers and facilitators as well as the need for these programs to be supervised and monitored to avoid adverse events.
摘要：
背景：乳腺癌（BC）是全球女性中最普遍的癌症诊断。一些随机对照试验和系统评价已经显示了运动之前的益处，during,并在癌症治疗后管理与癌症及其治疗相关的副作用。然而,这些在整个疾病范围内执行不力，具体来说,在术前设置。方法：诊断为BC并参与一项基于北欧步行的康复计划效果的随机对照试验的患者，肌肉加强，和治疗教育被邀请参加这项定性子研究。两组患者各8例,转录本并使用专门的软件(Atlas-Ti®，版本24)。结果：在轴向编码阶段，22个独特的代码和6个主要主题被确定与他们的经验与程序，即,（1）参与之前收到的信息；（2）参与的动机；（3）障碍；（4）促进者；（5）医护人员和同行的支持程度；（6）对康复计划特征的满意度。结论：接受采访的患者对康复表现出极大的兴趣，以此作为在身体和心理上为手术做准备的一种方式。为了实施这些干预措施，医疗保健系统需要承认障碍和促进者，以及需要对这些项目进行监督和监测，以避免不良事件。
