Sammanfattning
Background: Patients diagnosed with haematological malignancies often undergo aggressive treatment protocols and experience treatment-related symptoms and side effects. These patients are often hospitalised for prolonged periods of time and thus at risk of losing physical function. Research has shown that it is important to be physically active and exercise to improve and maintain physical function, quality of life and to reduce fatigue. Motivating patients to adhere to being physically active during hospitalisation may be challenging. Few studies have investigated motivation for and barriers to physical activity or exercise among hospitalised patients with cancer. Objective: To uncover patients’ motivation for and barriers towards participation in supervised training during admission to a haematological department. Methods & materials: A qualitative study with a phenomenological meaning condensation was performed including 12 inpatients. Six patients with and six patients without previous experience in attending supervised training in the department were interviewed. Interview data were analysed with phenomenological meaning condensation. Results: The study showed that patients are “the main coordinator of their rehabilitation”. The patients had to motivate themselves and manage the barriers found in this study for participating in supervised training. Self-motivation and overcoming barriers were influenced by department routines, patient’s habits as well as knowledge of and perception of being physically active and exercising. Patients’ motivation for and barriers to participation in supervised training is described in the overall theme Main coordinator in own rehabilitationand the sub-themes Department routines, Patient's habitsas well as Knowledge and perception of the supervised training offer. Despite the uniform offer of physical training, patients themselves must thus maintain and plan their participation in the supervised training during admission. Conclusion: Inpatients participating in supervised training were all motivated and established habits supported them in remaining physically active during their course of disease. Increased support to in-patients who do not habitually participate in the training offer seems to contribute to reduce barriers to participation.