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Rehabilitation behavior of limb function in postoperative breast cancer patients based on the theory of planned behavior:a qualitative research
TONG Jingtao, WANG Ying, NI Ping, YANG Xueke, WU Meiliyang, ZENG Ying, XIA Ying, XIA Wenlin
Chinese Journal of Nursing    2022, 57 (6): 711-717.   DOI: 10.3761/j.jissn.0254-1769.2022.06.010
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Objective To explore the true perception of patients with breast cancer who participated the rehabilitation exercise of limb function.Methods Using the purposive sampling method,18 postoperative breast cancer patients admitted in a tertiary hospital in Wuhan,China,from February 2021 to March 2021 were recruited for semi-structured interviews based on the theory of planned behavior. Collected data were analyzed to summarize the main themes by the Colaizzi phenomenological method(7 steps).Results The true experience of postoperative breast cancer patients on the rehabilitation behavior of limb function can be summarized as 3 themes. Behavioral attitude:negative emotions following stress,rehabilitation behaviors that are systematically underestimated,and the value of reconstructing the image of women. Subjective normative measurement:influence of social roles,peer effect,and medical staff support. Perceived behavior control:the confinement of the comfort zone,and the needs of the rehabilitation environment.Conclusion The behavior of limb function rehabilitation in postoperative breast cancer patients is affected by the behavioral attitude,subjective norms measurement and perceived behavioral control. From the perspective of patients,medical staff should correct cognitive bias in rehabilitation behavior of breast cancer patients. Negative cognition needs to be avoided through positive belief factors. Meanwhile,multiple sources of support should be highlighted to stimulate patients’ sense of self-management,create a rich rehabilitation environment,and promote the improvement of breast function rehabilitation behavior of postoperative breast cancer patients.

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Self-management experience of cancer patients after chemotherapy on home fall prevention:a qualitative study
TIAN Lu,CHEN Ying,LONG Yanhui,CUI Jinrui,WU Meiliyang
Chinese Journal of Nursing    2020, 55 (11): 1648-1652.   DOI: 10.3761/j.issn.0254-1769.2020.11.008
Abstract480)   HTML3)    PDF (773KB)(13)       Save

Objective This study aims to explore the real self-management experience of cancer patients after chemotherapy on home fall prevention and to identify influencing factors of implementing self-management on home fall prevention,so as to provide references for the further construction of intervention strategies. Methods The purpose sampling method was used,and a total of 20 cancer patients treated with chemotherapy were interviewed by semi-structured in-depth interviews. Themes were identified and analyzed by Nancy phenomenological method. Results The overall ability of cancer patients after chemotherapy to prevent falls at home is poor. After chemotherapy,cancer patients had problems with the knowledge about self-management of home fall prevention,the skills of home fall prevention and poor compliance of self-management. The themes,including the hopelessness for disease recovery,the lack of information on prevention of falls at home and limited condition,were found to be the most common barriers for implementing fall prevention measures,while the support from nurses/family members and strongly healthy responsibility were motivating factors for patients to prevent falls at home. Conclusion Understanding the perception of home fall prevention for chemotherapy patients provides the information for education of fall prevention and assists nurses to form strategies and measures to promote patients safety.

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