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수술 직후 유방암 환자의 운동제약 및 촉진요인: 질적 내용분석
연수진 ( Su Jin Yeon ),민지희 ( Ji Hee Min ),변지용 ( Ji Yong Byeon ),민진주 ( Jin Joo Min ),류지인 ( Ji In Ryu ),정안숙 ( Ansuk Jeong ),김지예 ( Jee Ye Kim ),김승일 ( Seung Il Kim ),전용관 ( Justin Y. Jeon ) 한국운동생리학회(구 한국운동과학회) 2021 운동과학 Vol.30 No.2
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.
횡복직근 피부피판술을 받은 유방암 환자들의 운동 제약 및 촉진요인
박하늬(Park, Ha-Nui),연수진(Yeon, Sujin),민지희(Min, Jihee),변지용(Byeon, Ji-Yong),민진주(Min, Jin Joo),송승용(Song, Seung Yong),이동원(Lee, Dong Won),전용관(Jeon, Justin Y.) 대한종양간호학회 2020 Asian Oncology Nursing Vol.20 No.1
Purpose: The purpose of this study was to understand the experience of exercise participation among patients following transverse rectus abdominis myocutaneous (TRAM) flap breast reconstruction surgery. Methods: A phenomenological method was used in this study. Exercise experiences for twelve patients, who had undergone TRAM flap breast reconstruction, were collected through focus group interviews. Results: The factors that contributed to exercise barriers in the experience of TRAM flap breast reconstruction patient exercise participation were categorized into 3 groups: ‘fear of exercise after surgery’, ‘weakened emotional condition’, and ‘lack of exercise information’. Exercise facilitators after TRAM flap breast reconstruction were also categorized into 3 groups: ‘desire to improve appearance’, ‘feasiable exercise program’, and ‘exercise experience’. Conclusion: The results of this study reveal the exercise barriers and facilitators for patients following TRAM flap breast reconstruction, which should be considered to develop effective exercise programs.