一项评估癌症咨询期间与肿瘤科医生进行运动讨论的横断面研究:CONNECT 研究。
A cross-sectional study evaluating the exercise discussion with oncologist during cancer consultation: the CONNECT study.
发表日期:2024 Jun 28
作者:
A Avancini, D Giannarelli, A Borsati, S Carnio, O Cantale, A Nepote, F Mangiapane, D Bafunno, D Galetta, V Longo, D Tregnago, I Trestini, L Belluomini, M Sposito, J Insolda, F Schena, M Milella, S Novello, S Pilotto,
来源:
ESMO Open
摘要:
有证据表明,体育锻炼可以给癌症患者带来多种身心益处。本研究旨在调查肿瘤学家在促进运动方面的作用。通过向癌症患者分发匿名、自填式问卷,进行了一项多中心、横断面研究。调查问卷包含人口统计、健康和运动变量。研究中包含的与运动相关的问题使用戈丁-谢泼德休闲时间身体活动问卷来测量身体运动量。此外,调查还收集了以下信息:是否与患者讨论了运动,以及肿瘤科医生是否遵循有关运动的评估、建议、强化和转诊 (AARR) 流程。调查还询问患者是否愿意在咨询期间讨论锻炼问题。采用描述性统计和逻辑回归。共有 549 名患者完成了调查,应答率为 75%。关于运动讨论,38%的患者表示他们的肿瘤科医生发起了运动讨论,14%的患者自己开始讨论,48%的患者表示没有考虑这个问题。总体而言,35% 的患者报告肿瘤科医生评估了他们的运动水平,22% 和 42% 的患者分别接受了增加运动的建议或强化,10% 的患者被转介至专门服务机构。关于偏好,72%的患者认为肿瘤科医生应该发起运动讨论,2%的人认为只有患者才应该开始讨论,26%的人认为不应该讨论这个问题。同样,74%的患者愿意接受运动评估,59%和75%的患者愿意接受增加运动的建议和强化,46%的患者愿意接受运动服务。尽管运动促进率较低,但患者愿意接收锻炼信息。应制定专门的策略来支持肿瘤学家促进患者锻炼。版权所有 © 2024 作者。由爱思唯尔有限公司出版。保留所有权利。
Evidence demonstrates that physical exercise confers several psycho-physical benefits on patients with cancer. This study aims to investigate the role of oncologists in exercise promotion.A multicenter, cross-sectional study was conducted by distributing an anonymous, self-administered questionnaire to patients with cancer. The questionnaire enclosed demographic, health, and exercise variables. The exercise-related questions included in the study used the Godin-Shephard Leisure-Time Physical Activity Questionnaire to measure the amount of physical exercise. In addition, the survey gathered information on whether exercise was discussed with patients, and whether oncologists followed the assess, advise, reinforce, and refer (AARR) process regarding exercise. The survey also asked if patients preferred that exercise be discussed during their consultations. Descriptive statistics and logistic regression were applied.With a response rate of 75%, a total of 549 patients completed the survey. Regarding the exercise discussion, 38% of patients stated that their oncologist initiated an exercise discussion, 14% started the discussion themselves, and 48% said that the issue was not considered. Overall, 35% of patients reported that the oncologist assessed their exercise level, 22% and 42% received advice or reinforcement to increase their exercise, respectively, and 10% were referred to a dedicated service. Regarding preferences, 72% of patients thought that the oncologists should initiate an exercise discussion, 2% that only patients should start the discussion, and 26% thought that the issue should not be discussed. Similarly, 74% of patients are willing to receive the exercise assessment, 59% and 75% the advice and reinforcement to increase their exercise, and 46% to be referred to an exercise service.Although exercise promotion rates are low, patients are willing to receive exercise information. Dedicated strategies should be developed to support oncologists in promoting exercise to their patients.Copyright © 2024 The Author(s). Published by Elsevier Ltd.. All rights reserved.