Objectives

To summarize the current available evidence on the use of behavior change theories to explain and change physical activity behavior in urological cancer survivors.

Data Sources

Five electronic databases including Medline, Web of Science, Embase, Cochrane, and Psych INFO and reference lists of key studies were searched between database inception and November 2020.

Peer-reviewed articles on the use of behavior change theories to understand or change physical activity in urological cancer survivors were included.

Conclusion

The theory of planned behavior and the social cognitive theory were the most used theories to explain and change physical activity behavior in urological cancers, respectively. However, the use of behavior change theories in physical activity interventions for urological cancers is still low across all urological tumor groups. Planning frameworks such as the intervention mapping approach should be used to enhance the systematic use of behavior change theories during every phase of intervention development. In addition, more research is needed to identity which behavior change techniques are most effective to change physical activity behavior in urological cancer survivors.

Implications for Nursing Practice

Nurses play a key role in the urological cancer patients’ clinical pathway and should be able to motivate patients to engage in sufficient physical activity levels. Therefore, it is important that nurses understand the underlying reasons why patients (do not) engage in physical activity and which behavior change techniques are most effective in changing a patients’ behavior.

中文翻译：

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使用理论对泌尿系统癌症幸存者进行体育锻炼干预：叙述性评论

目标

总结有关使用行为改变理论来解释和改变泌尿外科癌症幸存者的身体活动行为的当前可用证据。

数据源

从数据库开始到 2020 年 11 月，检索了包括 Medline、Web of Science、Embase、Cochrane 和 Psych INFO 在内的五个电子数据库以及关键研究的参考文献列表。

包括使用行为改变理论来理解或改变泌尿外科癌症幸存者的身体活动的同行评审文章。

结论

计划行为理论和社会认知理论分别是解释和改变泌尿系统肿瘤中体力活动行为最常用的理论。然而，行为改变理论在泌尿系统癌症的身体活动干预中的使用在所有泌尿系统肿瘤组中仍然很低。在干预发展的每个阶段，应该使用诸如干预映射方法之类的规划框架来加强行为改变理论的系统使用。此外，需要更多的研究来确定哪些行为改变技术最有效地改变泌尿外科癌症幸存者的身体活动行为。

对护理实践的影响

护士在泌尿外科癌症患者的临床路径中发挥着关键作用，应该能够激励患者进行足够的体育锻炼。因此，护士了解患者（不）参与体育活动的根本原因以及哪些行为改变技术在改变患者行为方面最有效是很重要的。