Journal of Multidisciplinary Healthcare (Mar 2023)
The Subjective Will and Psychological Experience of Home-Based Exercise in Lung Cancer Patients During Interval of Chemotherapy: A Qualitative Study
Abstract
Yachen Hu,1– 3,* Xinxin Chen,1,2,* Jiaxin Fan,1 Ying Huang,4 Junyan Ye,4 Fen Gu,5 Yumei Li1,2,* 1School of Medicine, Tongji University, Shanghai, People’s Republic of China; 2Department of Nursing, Shanghai Pulmonary Hospital, Tongji University, Shanghai, People’s Republic of China; 3Department of Respiratory Medicine, Shanghai Children’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People’s Republic of China; 4Department of Oncology Medicine, Shanghai Pulmonary Hospital, Tongji University, Shanghai, People’s Republic of China; 5Department of Nursing, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China*These authors contributed equally to this workCorrespondence: Yumei Li, Department of Nursing, Shanghai Pulmonary Hospital, Tongji University, Shanghai, 200433, People’s Republic of China, Email [email protected]: This qualitative study explores the subjective will and psychological experience of home exercise in patients with lung cancer during the interval of chemotherapy.Methods: Semi-structured interviews were conducted with 15 lung cancer patients undergoing chemotherapy. Following the Colaizzi 7-step analysis method, the interview data were read carefully, meaningful statements related to the research questions were extracted, coded, collected and described in detail, and the authenticity of the theme was verified.Results: The analysis revealed the home-based exercise experience of patients’ in the interval period of chemotherapy, and identified three themes: 1) the perception experience of home-based exercise (beneficial home-based exercise experience, negative home-based exercise experience); 2) the influencing factors of home-based exercise (exercise rehabilitation knowledge, disease symptoms and adverse effects of chemotherapy, exercise history, exercise self-efficacy, social support, restrictions on objective conditions); 3) Patients with lung cancer expected to get professional guidance about home-based exercise rehabilitation knowledge from medical care providers.Conclusion: Patients’ perception and attitude towards home-based exercise behavior is affected by many factors during the interval of chemotherapy, and they expect professional guidance from medical care providers. Medical care providers should know the problems and the influencing factors in the process of home-based exercise of patients, and formulate personalized exercise measures for patients based on their own characteristics and needs, so as to relieve the symptoms of discomfort and improve the quality of life of patients with lung cancer.Keywords: lung cancer, chemotherapy, home-based exercise, psychological experience, qualitative research
