본문 바로가기
KERD
논문KCI 등재

수술 직후 유방암 환자의 운동제약 및 촉진요인: 질적 내용분석

Exercise Barriers and Facilitators for Breast Cancer Patients After Surgery: A Qualitative Content Analysis

정안숙|김지예|김승일|류지인|민지희|전용관|변지용|민진주|연수진
한국운동생리학회|2021.05|운동과학 (Exercise Science)|제30권 제2호|pp. 192-204

0

조회

0

다운로드

1

인용

0

참고문헌

키워드

Qualitative study유방암Exercise질적 내용분석조기운동운동제약운동촉진Breast cancer surgeryExercise barrierExercise facilitator

초록

PURPOSE: This study aimed to understand the barriers to exercise and facilitators of exercise for up to 4 weeks following breast cancer surgery. METHODS: A descriptive qualitative research method was used in this study. Twelve patients were recruited through purposive sampling immediately after breast cancer surgery. RESULTS: Physical aspects (pain at the surgery site, reduction in the range of motion, and decrease in fitness), environmental aspects (difficulty in movement due to drain, lack of information on exercise), and psychological aspects (concerns about side effects, fear of pain, and fear of injury during exercise) were identified as barriers to exercise. Expectation of positive effects (recovery from surgery, prevention of lymphedema, usefulness for future radiation therapy, prevention of cancer recurrence, and health management) of exercise and social support (hospital education, support from medical staff, and exercise information received via mass media) were identified as facilitators of exercise. CONCLUSIONS: We recognized different barriers to exercise and facilitators of exercise among patients who recently underwent breast cancer surgery. Future exercise intervention studies should consider minimizing such barriers and maximizing the facilitators identified in our study.

Abstract

PURPOSE: This study aimed to understand the barriers to exercise and facilitators of exercise for up to 4 weeks following breast cancer surgery. METHODS: A descriptive qualitative research method was used in this study. Twelve patients were recruited through purposive sampling immediately after breast cancer surgery. RESULTS: Physical aspects (pain at the surgery site, reduction in the range of motion, and decrease in fitness), environmental aspects (difficulty in movement due to drain, lack of information on exercise), and psychological aspects (concerns about side effects, fear of pain, and fear of injury during exercise) were identified as barriers to exercise. Expectation of positive effects (recovery from surgery, prevention of lymphedema, usefulness for future radiation therapy, prevention of cancer recurrence, and health management) of exercise and social support (hospital education, support from medical staff, and exercise information received via mass media) were identified as facilitators of exercise. CONCLUSIONS: We recognized different barriers to exercise and facilitators of exercise among patients who recently underwent breast cancer surgery. Future exercise intervention studies should consider minimizing such barriers and maximizing the facilitators identified in our study.

참고문헌 (39)

  1. "Ministry of health and welfare. Annual report of cancer statistics in Korea in 2107" (2019)[URL]
  2. 김성경, "우리나라 암 환자의 개인부담 의료비용", 대한내과학회지, 70(1), pp.61~68 (2006), 대한내과학회
  3. Fabro EAN, "Post-mastectomy pain syndrome : incidence and risks", The Breast, 21(3), pp.321~325 (2012)
  4. Ebaugh D, "Shoulder impairments and their association with symptomatic rotator cuff disease in breast cancer survivors", Med. Hypotheses, 77(4), pp.481~487 (2011)
  5. Hayes SC, "Upperbody morbidity after breast cancer : incidence and evidence for evaluation, prevention, and management within a prospective surveillance model of care", Cancer, 118(S8), pp.2237~2249 (2012)
  6. Golden-Kreutz DM, "Depressive symptoms after breast cancer surgery : relationships with global, cancer-related, and life event stress", Psychooncology, 13(3), pp.211~220 (2004)
  7. Poole K, "The psychological impact of post-operative arm morbidity following axillary surgery for breast cancer : a critical review", The Breast, 11(1), pp.81~87 (2002)
  8. Lacomba MT, "Effectiveness of early physiotherapy to prevent lymphoedema after surgery for breast cancer: randomised, single blinded, clinical trial", BMJ, 340, pp.b5396~ (2010)
  9. Cinar N, "The effectiveness of early rehabilitation in patients with modified radical mastectomy", Cancer Nurs, 31(2), pp.160~165 (2008)
  10. Lee GW, "The therapeutic effects of an early exercise program after mastectomy", Phys Ther Korea, 8(1), pp.35~50 (2001)
  11. Kilbreath SL, "Upper limb progressive resistance training and stretching exercises following surgery for early breast cancer : a randomized controlled trial", Breast Cancer Res Treat, 133(2), pp.667~676 (2012)
  12. Scaffidi M, "Early rehabilitation reduces the onset of complications in the upper limb following breast cancer surgery", Eur J Phys and Rehabil Med, 48(4), pp.601~611 (2012)
  13. Möller UO, "A comprehensive approach to rehabilitation interventions following breast cancer treatment-a systematic review of systematic reviews", BMC Cancer, 19(1), pp.472~ (2019)
  14. ten Wolde B, "Postoperative complications after breast cancer surgery are not related to age", Ann Surg Oncol, 24(7), pp.1861~1867 (2017)
  15. Yang EJ, "Longitudinal change of treatment-related upper limb dysfunction and its impact on late dysfunction in breast cancer survivors : a prospective cohort study", J Surg Oncol, 101(1), pp.84~91 (2010)
  16. 이해동, "근거기반 운동의학 시대의 도래", 운동과학, 29(4), pp.325~328 (2020), 한국운동생리학회
  17. Patton MQ, "Qualitative research and evaluation methods. Vol. 3", pp.344~347 (2002)
  18. Polit DF, "Nursing research: Generating and assessing evidence for nursing practice" (2008), Lippincott Williams & Wilkins
  19. Elo S, "The qualitative content analysis process", J Adv Nurs, 62(1), pp.107~115 (2008)
  20. Lincoln YS, "Establishing trustworthiness", Naturalistic Inquiry, 289(331), pp.289~327 (1985)
  21. 정영희, "유방암 수술 환자의 감각 변화에 대한 연구", Asian Oncology Nursing, 9(2), pp.145~154 (2009), 대한종양간호학회
  22. Macdonald L, "Longterm follow-up of breast cancer survivors with post-mastectomy pain syndrome", Br J Cancer, 92(2), pp.225~230 (2005)
  23. Paredes JP, "Variations in sensitivity after sectioning the intercostobrachial nerve", Am J Surg, 160(5), pp.525~528 (1990)
  24. Baron RH, "Patients’ sensations after breast cancer surgery : a pilot study", Cancer Pract, 8(5), pp.215~222 (2000)
  25. Moosman DA, "Anatomy of the pectoral nerves and their preservation in modified mastectomy", Am J Surg, 139(6), pp.883~886 (1980)
  26. Hladiuk M, "Arm function after axillary dissection for breast cancer : a pilot study to provide parameter estimates", J Surg Oncol, 50(1), pp.47~52 (1992)
  27. Shamley D, "Three-dimensional scapulothoracic motion following treat-ment for breast cancer", Breast Cancer Res Treat, 118(2), pp.315~ (2009)
  28. Shamley D, "Shoulder morbidity after treatment for breast cancer is bilateral and greater after mastectomy", Acta Oncologica, 51(8), pp.1045~1053 (2012)
  29. Gillis C, "Prehabilitation versus REHABILITATIONA randomized control trial in patients undergoing colorectal resection for cancer", Anesthesiology, 121(5), pp.937~947 (2014)
  30. 박진희, "유방암 환자의 치료과정에 따른 지지적 관리 요구도의 변화와 삶의 질", Asian Oncology Nursing, 16(4), pp.217~225 (2016), 대한종양간호학회
  31. Vlaeyen JW, "Fear-avoidance and its consequences in chronic musculoskeletal pain : a state of the art", Pain, 85(3), pp.317~332 (2000)
  32. Crombez G, "Fearavoidance model of chronic pain : the next generation", Clin J Pain, 28(6), pp.475~483 (2012)
  33. Blaney J, "The cancer rehabilitation journey : barriers to and facilitators of exercise among patients with cancer-related fatigue", Phys Ther, 90(8), pp.1135~1147 (2010)
  34. Ajzen I, "The theory of planned behavior", Organ Behav Hum Decis Process, 50(2), pp.179~211 (1991)
  35. Courneya KS, "Understanding readiness for regular physical activity in older individuals : an application of the theory of planned behavior", Health Psychol, 14(1), pp.80~ (1995)
  36. Courneya KS, "Utility of the theory of planned behavior for understanding exercise during breast cancer treatment", PsychoOncol, 8(2), pp.112~122 (1999)
  37. Jones LW, "Effects of an oncologist’s recommendation to exercise on self-reported exercise behavior in newly diagnosed breast cancer survivors : a single-blind, randomized controlled trial", Ann Behav Med, 28(2), pp.105~113 (2004)
  38. Park JH, "The effect of oncologists’exercise recommendations on the level of exercise and quality of life in survivors of breast and colorectal cancer : a randomized controlled trial", Cancer, 121(16), pp.2740~2748 (2015)
  39. Sturgeon KM, "Commercially available lifestyle modification program : randomized controlled trial addressing heart and bone health in BRCA1", 2+ breast cancer survivors after risk-reducing salpingo-oophorectomy, 2017, pp.11(2), 246~255

관련 논문AI추천

횡복직근 피부피판술을 받은 유방암 환자들의 운동 제약 및 촉진요인민지희, 민진주, 박하늬, 변지용, 송승용, 연수진, 이동원, 전용관대한종양간호학회 · Asian Oncology Nursing2020 · 제20권 제1호The Effects of Exercise Intervention for Post-Operative Breast Cancer Patients in Korea: A Systemic Review and Meta-Analysis of Randomized Controlled Trials김은미, 김현실, 이동숙, 최승옥대한종양간호학회 · Asian Oncology Nursing2021 · 제21권 제2호유방암 환자의 범이론적 모델 단계에 따른 신체활동량과 운동 제약김승일, 김지예, 민지희, 박하늬, 박형석, 연수진, 이정민, 전용관, 정안숙한국운동생리학회 · 운동과학2022 · 제31권 제1호Factors that Influence Korean Breast Cancer Patients to Undergo Cancer Rehabilitation Therapy김경희, 김지수, 박희정대한종양간호학회 · Asian Oncology Nursing2015 · 제15권 제2호대장암 생존자의 운동 참여 경험변지용, 이미경, 전용관, 정재연, 유사무엘대한종양간호학회 · Asian Oncology Nursing2019 · 제19권 제2호유방암 환자 수술 후 어깨 재활 운동 고찰오석종, 한정규학교체육연구소 · Asian Journal of Physical Education and Sport Science2023 · 제11권 제2호

이 간행물의 다른 논문 (15건)

코로나바이러스감염증-19로 가속화된 비대면과 운동과학김영표pp. 129-130Machine Learning Application in Genomic, Exercise, and Vital Datasets김정안, 박정준, 백경완pp. 131-146발기 부전에서 유산소성 운동의 역할: 무작위 통제 연구의 고찰김광래pp. 147-157MSM의 경피 도포가 편심성 운동에 따른 근손상 발현 및 회복에 미치는 영향조현덕, 김춘섭, 김맹규pp. 158-166Effects of core Balance and Plyometric Training on Anaerobic Power and Dynamic Postural Stability in Youth Taekwondo Athletes김언호, 이기혁, 이종백, 최상협, 전병오pp. 167-174
원문 보기