Tearing down the barriers to exercise after mastectomy: a qualitative inquiry to facilitate exercise among breast cancer survivors
Objective Proper exercise immediately after breast cancer surgery (BCS) may prevent unnecessary physical and psychological decline resulting from the surgery; however, patients’ attitude, barriers and facilitators for exercise during this period have not been studied. Hence, this study aims to explo...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2022-07-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/7/e055157.full |
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| author | Jiyong Byeon Justin Y Jeon Sujin Yeon Ansuk Jeong Jihee Min Yong Jin Yoon Jinmoo Heo Chulwon Lee Jeeye Kim Seho Park Seung Il Kim |
| author_facet | Jiyong Byeon Justin Y Jeon Sujin Yeon Ansuk Jeong Jihee Min Yong Jin Yoon Jinmoo Heo Chulwon Lee Jeeye Kim Seho Park Seung Il Kim |
| author_sort | Jiyong Byeon |
| collection | DOAJ |
| description | Objective Proper exercise immediately after breast cancer surgery (BCS) may prevent unnecessary physical and psychological decline resulting from the surgery; however, patients’ attitude, barriers and facilitators for exercise during this period have not been studied. Hence, this study aims to explore the barriers and facilitators of exercise among patients with breast cancer through multiple interviews immediately after surgery through 4 weeks after BCS.Methods We conducted three in-depth interviews of 33 patients with breast cancer within 1 month after BCS.Results We identified 44 themes, 10 codes and 5 categories from interview results. Physical constraints and psychological resistance were identified as the barriers to exercise, while a sense of purpose and first-hand exercise experience were identified as the facilitators of exercise. By conducting the interviews over the course of 4 weeks after surgery, we monitored patterns of changes in barriers and facilitators over time. Overall, our analyses identified that professional intervention based on the time since surgery and the physical state after BCS is essential. The intervention would counteract the overwhelming psychological resistance in the early weeks by developing a sense of purpose in the later weeks.Conclusions We made suggestions for future research and exercise intervention programmes that can benefit breast cancer survivors based on the categories, codes and themes identified in this study. |
| format | Article |
| id | doaj-art-8b03d5809bdd4561aeb1bef16befaaca |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-8b03d5809bdd4561aeb1bef16befaaca2025-01-31T09:35:09ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2021-055157Tearing down the barriers to exercise after mastectomy: a qualitative inquiry to facilitate exercise among breast cancer survivorsJiyong Byeon0Justin Y Jeon1Sujin Yeon2Ansuk Jeong3Jihee Min4Yong Jin Yoon5Jinmoo Heo6Chulwon Lee7Jeeye Kim8Seho Park9Seung Il Kim10Department of Sport Industry Studies, Yonsei University, Seodaemun-gu, Korea (the Republic of)Department of Sport Industry Studies, Yonsei University, Seodaemun-gu, Korea (the Republic of)Department of Sport Industry Studies, Yonsei University, Seodaemun-gu, Korea (the Republic of)Institute of Convergence Science, Yonsei University, Seodaemun-gu, Korea (the Republic of)Department of Sport Industry Studies, Yonsei University, Seodaemun-gu, Korea (the Republic of)Department of Sport Industry Studies, Yonsei University, Seodaemun-gu, Korea (the Republic of)Department of Sport Industry Studies, Yonsei University, Seodaemun-gu, Korea (the Republic of)Department of Sport Industry Studies, Yonsei University, Seodaemun-gu, Korea (the Republic of)Department of Surgery, Yonsei University College of Medicine, Seodaemun-gu, Korea (the Republic of)Department of Surgery, Yonsei University College of Medicine, Seodaemun-gu, Korea (the Republic of)Department of Surgery, Yonsei University College of Medicine, Seodaemun-gu, Korea (the Republic of)Objective Proper exercise immediately after breast cancer surgery (BCS) may prevent unnecessary physical and psychological decline resulting from the surgery; however, patients’ attitude, barriers and facilitators for exercise during this period have not been studied. Hence, this study aims to explore the barriers and facilitators of exercise among patients with breast cancer through multiple interviews immediately after surgery through 4 weeks after BCS.Methods We conducted three in-depth interviews of 33 patients with breast cancer within 1 month after BCS.Results We identified 44 themes, 10 codes and 5 categories from interview results. Physical constraints and psychological resistance were identified as the barriers to exercise, while a sense of purpose and first-hand exercise experience were identified as the facilitators of exercise. By conducting the interviews over the course of 4 weeks after surgery, we monitored patterns of changes in barriers and facilitators over time. Overall, our analyses identified that professional intervention based on the time since surgery and the physical state after BCS is essential. The intervention would counteract the overwhelming psychological resistance in the early weeks by developing a sense of purpose in the later weeks.Conclusions We made suggestions for future research and exercise intervention programmes that can benefit breast cancer survivors based on the categories, codes and themes identified in this study.https://bmjopen.bmj.com/content/12/7/e055157.full |
| spellingShingle | Jiyong Byeon Justin Y Jeon Sujin Yeon Ansuk Jeong Jihee Min Yong Jin Yoon Jinmoo Heo Chulwon Lee Jeeye Kim Seho Park Seung Il Kim Tearing down the barriers to exercise after mastectomy: a qualitative inquiry to facilitate exercise among breast cancer survivors BMJ Open |
| title | Tearing down the barriers to exercise after mastectomy: a qualitative inquiry to facilitate exercise among breast cancer survivors |
| title_full | Tearing down the barriers to exercise after mastectomy: a qualitative inquiry to facilitate exercise among breast cancer survivors |
| title_fullStr | Tearing down the barriers to exercise after mastectomy: a qualitative inquiry to facilitate exercise among breast cancer survivors |
| title_full_unstemmed | Tearing down the barriers to exercise after mastectomy: a qualitative inquiry to facilitate exercise among breast cancer survivors |
| title_short | Tearing down the barriers to exercise after mastectomy: a qualitative inquiry to facilitate exercise among breast cancer survivors |
| title_sort | tearing down the barriers to exercise after mastectomy a qualitative inquiry to facilitate exercise among breast cancer survivors |
| url | https://bmjopen.bmj.com/content/12/7/e055157.full |
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