MEME KANSERİ SAĞKALIMLARINDA ALGILANAN EGZERSİZ İNANIŞLARI VE ENGELLERİ: TANIMLAYICI KESİTSEL BİR ARAŞTIRMA

Abstract

Özellikle kanser hastaları için fiziksel aktivite ve egzersizin faydasının önemi anlaşıldığından, sürdürülebilir bir sağlık sonucu yaratmak için hastaları fiziksel olarak daha aktif bir ortama adapte etmek amacıyla egzersize olan inancı değerlendirmek için çaba gösterilmektedir. Bu nedenle, bu çalışma meme kanserinden kurtulanlarda egzersize olan inancı değerlendirmek için geçerliliği kanıtlanmış bir ölçme aracı (Egzersiz İnançları/Engelleri Ölçeği-EBBS) kullanarak egzersizin faydalarını ve engellerini değerlendirmeyi amaçlamıştır. Ayrıca, EBBS ile hastaların sosyodemografik ve klinik değişkenleri arasındaki ilişkilerin değerlendirilmesi de amaçlanmıştır. Toplam 112 hasta taranmış ve bu çalışmaya katılmaya davet edilmiştir. Klinik (ameliyat tipi, adjuvan tedaviler, vb.), demografik veriler (yaş, ilaç kullanımı, vb.) ve toplam oturma süresi sırasıyla basit bir veri formu ve Uluslararası Fiziksel Aktivite Anketi-Kısa Formunun (IPAQ-SF) 7. maddesi aracılığıyla toplanmıştır.Tüm hastalardan EBBS'yi doldurmaları istenmiştir. 96 hasta bu çalışmayı tamamlamıştır. Ameliyat sonrası geçirilen süre ile algılanan inanç (r=.-273, p=0.009) ve algılanan engeller (r=-.239, p=0.022) arasında anlamlı korelasyonlar bulunmuştur. Algılanan engeller yaş ile de anlamlı şekilde ilişkiliydi (r=-.212, p=0.042). Meme cerrahisi tipi ve aksiller prosedür tipinin yanı sıra ilaçların (Tamoksifen) algılanan inançlar ve engeller üzerinde anlamlı bir etkisi bulunmamıştır. Hastalararasında sürdürülebilir bir egzersiz davranışı sağlamak için faktörler kapsamlı bir şekilde araştırılmalıdır. Yaşlı hastalar düzenli egzersiz davranışı kazanmak için kapsamlı bir şekilde izlenmelidir. Bu çalışma aynı zamanda kanser popülasyonu arasında egzersize yönelik inançları değerlendirmek için hassas, spesifik ve odaklanmış araçlara duyulan ihtiyacın altını çizmiştir.

Keywords

• Meme kanseri
• Egzersiz
• Egzersiz engelleri
• Egzersiz inanışları
• Fiziksel inaktivite

PERCEIVED EXERCISE BELIEFS AND BARRIERS AMONG BREAST CANCER SURVIVORS: A DESCRIPTIVE CROSS-SECTIONAL STUDY

Abstract

Since the importance of the benefit of physical activity and exercise has been understood especially for cancer patients, efforts are taken to assess belief in exercise to adapt patients to a more physically active environment to create a sustainable health outcome. Thus, this study aimed to assess exercise beliefs and barriers by using a validated metric tool (Exercise Beliefs/Barriers Scale-EBBS) to evaluate beliefs in exercise in breast cancer survivors (BCS). In addition, it was also aimed to assess the relationships among EBBS, sociodemographic, and clinical variables of BCS. A total of 112 BCS were screened and invited to participate in this study. Clinical (type of surgery, adjuvant treatments, etc.), demographic data (age, medication use, etc.), and total sitting time were collected through a simple data form and 7th of the International Physical Activity Questionnaire-Short Form (IPAQ-SF), respectively. All patients were requested to fill out EBBS.96 BCS completed this study. Weak but significant correlations were found between time spent after surgery and perceived belief (r=. -273, p=0.009), and perceived barriers (r=-.239, p=0.022), respectively. Perceived barriers were also significantly correlated with age (r=-.212, p=0.042). No significant effects of the type of breast surgery and axillary procedure as well as medications (Tamoxifen) on perceived beliefs and barriers were found. Factors should be thoroughly investigated to provide a sustainable exercise behavior among BCS. Older BCS should be thoroughly monitored to gain regular exercise behavior. This study also highlighted the emerging need for sensitive, specific, and focused tools to assess beliefs in exercise among the cancer population.

Keywords

• Breast cancer
• Exercise
• Exercise barriers
• Exercise beliefs
• Physical inactivity

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