基于阶段变化理论的乳腺癌内分泌治疗患者运动依从体验的质性研究

doi:10.3761/j.issn.0254-1769.2025.06.009

中华护理杂志 ›› 2025, Vol. 60 ›› Issue (6): 696-702.DOI: 10.3761/j.issn.0254-1769.2025.06.009

基于阶段变化理论的乳腺癌内分泌治疗患者运动依从体验的质性研究

张中宁(), 沈傲梅, 漆维方, 李欣, 郑瑞双, 强万敏(), 王静

300060 天津市天津医科大学肿瘤医院/国家恶性肿瘤临床医学研究中心/天津市恶性肿瘤临床医学研究中心/天津市肿瘤防治重点实验室/乳腺癌防治教育部重点实验室（张中宁，李欣），护理部（沈傲梅，强万敏），肝胆肿瘤科（郑瑞双）；天津中医药大学研究生院（漆维方，王静）

收稿日期:2024-08-09 出版日期:2025-03-20 发布日期:2025-03-20
通讯作者: 强万敏，E-mail：nursing1331@sina.com
作者简介:张中宁：女，本科（硕士在读），主管护师，E-mail：zn910731@163.com
基金资助:
天津市医学重点学科（专科）建设项目(TJYXZDXK-011A)

The experience of exercise adherence in breast cancer patients with endocrine-therapy based on the theory of stage change：a qualitative study

ZHANG Zhongning(), SHEN Aomei, QI Weifang, LI Xin, ZHENG Ruishuang, QIANG Wanmin(), WANG Jing

Received:2024-08-09 Online:2025-03-20 Published:2025-03-20

摘要/Abstract

摘要：

目的探讨乳腺癌内分泌治疗患者对运动依从性的真实想法和体验，旨在为进行针对性干预提供借鉴。方法采用目的抽样法，选取2023年10月—2024年11月在天津市某三级甲等肿瘤专科医院就诊的24例乳腺癌内分泌治疗患者进行半结构式访谈，运用内容分析法分析资料并提炼主题。结果共提炼出3个主题和6个亚主题：运动获益感（身体获益感、心理愉悦感），运动依从性的阻碍与促进因素（阻碍因素、促进因素），运动行为改变的支持性需求（专业支持与指导、情感支持与陪伴）。结论乳腺癌内分泌治疗患者运动依从性较好，获益较多，医护人员应重视其运动依从性的影响因素、行为改变的支持性需求和运动体验，制订针对性运动康复方案，满足患者需求，以提升患者的运动依从性。

关键词: 乳腺肿瘤, 内分泌治疗, 运动依从性, 质性研究, 阶段变化理论, 护理

Abstract:

Objective To explore the thoughts and experiences of exercise adherence in breast cancer patients undergoing endocrine therapy，aims to provide reference for targeted intervention. Methods Employing purposive sampling, a descriptive qualitative study was conducted from Octomber 2023 to November 2024，and 24 breast cancer patients receiving endocrine therapy who visited a tertiary-level hospital in Tianjin, China, were selected for semi-structured in-depth interviews.The data was analyzed through traditional content analysis to extract themes. Results 3 primary themes and 6 sub-themes were identified，including sense of benefits from exercise（including physical benefits and psychological well-being），factors influencing exercise adherence（barriers and facilitators），and supportive needs for exercise adherence（including professional support and guidance，as well as emotional support and companionship）. Conclusion Healthcare providers should consider the influencing factors，supportive needs of behavior change，and exercise experiences of breast cancer patients receiving endocrine therapy. Developing targeted exercise rehabilitation programs to address these needs could enhance exercise adherence.

Key words: Breast Neoplasm, Endocrine-Therapy, Exercise Adherence, Qualitative Research, Stage of Change Theory, Nursing Care

张中宁, 沈傲梅, 漆维方, 李欣, 郑瑞双, 强万敏, 王静. 基于阶段变化理论的乳腺癌内分泌治疗患者运动依从体验的质性研究[J]. 中华护理杂志, 2025, 60(6): 696-702.

ZHANG Zhongning, SHEN Aomei, QI Weifang, LI Xin, ZHENG Ruishuang, QIANG Wanmin, WANG Jing. The experience of exercise adherence in breast cancer patients with endocrine-therapy based on the theory of stage change：a qualitative study[J]. Chinese Journal of Nursing, 2025, 60(6): 696-702.

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参考文献 19

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基于阶段变化理论的乳腺癌内分泌治疗患者运动依从体验的质性研究

The experience of exercise adherence in breast cancer patients with endocrine-therapy based on the theory of stage change：a qualitative study

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