摘要
目的探讨肺癌患者体力活动行为改变的影响因素,为制订针对性干预方案提供依据。方法采用描述性质性研究方法,按照目的抽样法选取2023年10—12月18例肺癌患者以及10位医护人员进行半结构式访谈,并以健康行动过程取向(HAPA)理论为框架,采用定向内容分析法分析资料。结果肺癌患者体力活动行为改变的阻碍因素提炼为6个主题:风险感知不足、消极结果预期、自我怀疑和行为回避倾向、坚持的挑战与中断风险、缺乏行为意图与需求、缺少行动及应对计划;促进因素提炼为6个主题:感知到体力活动不足的潜在危害、体力活动健康效益的感知、自我效能感的培育和发展、激发活动动机、制订差异化活动计划、制订适应性应对计划。结论肺癌患者体力活动行为受多重因素影响,可基于HAPA理论制订针对性干预策略,促进体力活动行为改变,提高体力活动水平。
Objective To explore the influencing factors of physical activity behavior change in lung cancer patients and provide a basis for developing targeted intervention programs.Methods A descriptive qualitative research method was employed.Using purposive sampling,18 lung cancer patients and 10 healthcare professionals were selected for semi-structured interviews from October to December 2023.The health action process approach(HAPA)theory was used as the framework,and directed content analysis was applied to analyze the data.Results The barriers to physical activity behavior change in lung cancer patients were distilled into six themes:insufficient risk perception,negative outcome expectations,self-doubt and behavior avoidance tendencies,challenges in persistence and risk of interruption,lack of behavioral intention and demand,and absence of action and coping plans.The facilitating factors were divided into six themes:perception of the potential hazards of insufficient physical activity,perception of the health benefits of physical activity,cultivation and development of self-efficacy,stimulation of motivation for activity,formulation of differentiated activity plans,and formulation of adaptive coping plans.Conclusion Physical activity behavior in lung cancer patients is influenced by multiple factors.Targeted intervention strategies can be developed based on the HAPA theory to promote physical activity behavior change and improve physical activity levels.
作者
曹虎兴
李雨霏
曹峻钧
马俏俏
侯黎莉
CAO Huxing;LI Yufei;CAO Junjun;MA Qiaoqiao;HOU Lili(School of Nursing,Shanghai Jiao Tong University,Shanghai,200025;School of Nursing,Soochow University,Suzhou,Jiangsu,215006;Department of Nursing,the Ninth People's Hospital Affiliated to School of Medicine of Shanghai Jiao Tong University,Shanghai,200011)
出处
《实用临床医药杂志》
2025年第14期125-130,共6页
Journal of Clinical Medicine in Practice
基金
国家自然科学基金项目(82272919)。
关键词
肺癌
幸存状态
体力活动
行为改变
健康行动过程取向理论
障碍因素
促进因素
质性研究
lung cancer
survivorship
physical activity
behavior change
health action process approach theory
barrier factors
facilitating factors
qualitative research
