关键词: 乳腺癌, 新辅助化疗患者, 运动, 阻碍与促进因素, 质性研究

Abstract: Objective: To study the barriers and facilitators to exercise in patients with breast cancer undergoing neoadjuvanting chemotherapy, so as to provide a reference for formulating exercise intervention plans and constructing scientific exercise intervention programs. Methods: Phenomenological research method was applied to conduct semi-structured in-depth interviews with the first neoadjuvant chemotherapy patients in the breast surgery department of a grade A tertiary cancer hospital from August 1, 2023 to October 31, 2023, and the data were analyzed by Colaizzi 7-step analysis method. Results: The exercise facilitators of breast cancer patients with neoadjuvant chemotherapy could be summarized into two themes, including perception of the benefits of exercise and health crisis consciousness caused by disease factors;The barriers can be distilled into three themes, including low self-efficacy, limited physical activity due to a poor status after chemotherapy, and self-image disorder. Conclusion: Exercise in patients with neoadjuvant chemotherapy for breast cancer is affected by many factors. Medical staff should take targeted measures to improve patients’ exercise participation and disease symptom management ability, so as to improve their exercise compliance during chemotherapy.

Key words: Breast cancer, Neoadjuvant chemotherapy patients, Exercise, Barriers and facilitators factors, Qualitative study