Purpose

To explore the barriers that colorectal cancer patients (stage II and III) perceive to participate in physical activity (PA) when involved in adjuvant chemotherapy. Views of relatives and physicians concerning this issue were also included.

Method

Qualitative data from ten patients, ten relatives, and ten health professionals were obtained through semi-structured interviews (n = 30).

Results

Two main themes were identified after data analysis: (a) barriers to PA related to ostomy and adjuvant chemotherapy and (b) barriers related to perceived lack of support for PA. In regard to the first theme, participants reported difficulties associated with the ostomy, limitations of the intravenous chemotherapy device, fatigue and reduced physical fitness, and focusing on cancer and restructuring priorities. Concerning the perceived lack of support for PA, participants referred to their families' overprotection, the health professionals’ lack of knowledge and time to prescribe PA, and the lack of PA services in health centres.

Conclusions

Further information from health professionals about the recommendations of PA and its benefits during adjuvant chemotherapy could palliate these PA barriers. The offer of specific PA programmes for these patients is also recommended.

中文翻译：

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结直肠癌患者化疗期间参与身体活动的障碍：一项定性研究。

 目的

探讨结直肠癌患者（II 期和 III 期）在参与辅助化疗时感知到参与体力活动 (PA) 的障碍。还包括亲属和医生对这个问题的看法。

 方法

通过半结构化访谈（ n = 30）获得了 10 名患者、10 名亲属和 10 名卫生专业人员的定性数据。

 结果

数据分析后确定了两个主题：(a) 与造口术和辅助化疗相关的PA障碍；(b) 与感知缺乏PA支持相关的障碍。关于第一个主题，参与者报告了与造口术相关的困难、静脉化疗装置的局限性、疲劳和体能下降，以及关注癌症和重组优先事项。关于人们认为缺乏对PA的支持，参与者提到了家人的过度保护、卫生专业人员缺乏知识和时间来开PA处方，以及卫生中心缺乏PA服务。

 结论

卫生专业人员提供的有关 PA 的建议及其在辅助化疗期间的益处的更多信息可以缓解这些 PA 障碍。还建议为这些患者提供特定的 PA 计划。