title: Exercise: A Path to Wellness During Adjuvant Chemotherapy for Breast Cancer?
abstract: BACKGROUND
  Breast cancer treatment can represent a threat to a patient's wellness. The role of exercise in perceived wellness in women with breast cancer merits further study.
  
  
  OBJECTIVE
  The objective of this study was to describe how exercise is perceived by women to influence their physical and psychosocial wellness at the time they were receiving chemotherapy.
  
  
  METHODS
  Five focus group interviews with a total of 27 women with early-stage breast cancer were conducted. Prior to the focus groups, the women had participated in an exercise intervention during chemotherapy treatment.
  
  
  RESULTS
  Three themes emerged from the analysis: exercise shapes feelings of psychological wellness; exercise stimulates feelings of physical wellness; and exercise influences social wellness. The women reported feeling stronger in a psychological sense after exercising, that the strength exercise improved their upper-limb functioning, and that engaging in exercise triggered social support and interactions.
  
  
  CONCLUSIONS
  Exercise during breast cancer treatment is perceived to enhance the patients' wellness on several dimensions and in particular psychological wellness. Exercise might support the patients' efforts to restore their sense of wellness and enhance their level of daily life functioning.
  
  
  CONCLUSIONS
  Cancer nurses should promote exercise as a wellness-fostering intervention during chemotherapy treatment. Focusing on how exercise can contribute to feelings of wellness may help women with breast cancer choose exercise as a health-promoting activity that contributes to their recovery.
authors.affiliation: Author Affiliations: Department of Health Studies, University of Stavanger, Norway (Mrs Husebø and Dr Karlsen); School of Health & Education, Middlesex University, England (Dr Allan); and Department of Gastrointestinal Surgery, Stavanger University Hospital, Norway (Dr Søreide); Department of Clinical Medicine, University of Bergen, Norway (Dr Søreide); and Norwegian Centre for Learning Environment and Behavioural Research in Education, University of Stavanger, Norway (Dr Bru).
authors.forename: Anne Marie L
authors.initials: AM
authors.lastname: Husebø
authors.forename: Helen
authors.initials: H
authors.lastname: Allan
authors.forename: Bjørg
authors.initials: B
authors.lastname: Karlsen
authors.forename: Jon Arne
authors.initials: JA
authors.lastname: Søreide
authors.forename: Edvin
authors.initials: E
authors.lastname: Bru
mesh_terms: D000328:Adult; D000368:Aged; D001294:Attitude to Health; D001943:Breast Neoplasms / Q000188:drug therapy* / Q000451:nursing / Q000473:pathology / Q000523:psychology; D017024:Chemotherapy, Adjuvant; D015444:Exercise / Q000523:psychology*; D005260:Female; D017144:Focus Groups; D006293:Health Promotion; D006801:Humans; D008875:Middle Aged; D009367:Neoplasm Staging; D009859:Oncology Nursing; D036301:Qualitative Research