Effects of an early postoperative walking exercise programme on health status in lung cancer patients recovering from lung lobectomy.
Autor: | Chang, Nai‐Wen, Lin, Kuan‐Chia, Lee, Shih‐Chun, Chan, James Yi‐Hsin, Lee, Ya‐Hsin, Wang, Kwua‐Yun |
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Předmět: |
ACTIVE oxygen in the body
CANCER patients CHI-squared test COMPARATIVE studies DIAGNOSIS GAIT in humans HEALTH status indicators LENGTH of stay in hospitals LONGITUDINAL method LUNG tumors RESEARCH methodology EVALUATION of medical care PATIENT-controlled analgesia PATIENTS PNEUMONECTOMY POSTOPERATIVE care POSTOPERATIVE period PROBABILITY theory PULMONARY function tests SCALE analysis (Psychology) STATISTICAL hypothesis testing SURGERY T-test (Statistics) WALKING SOCIOECONOMIC factors BODY mass index REPEATED measures design DATA analysis software DESCRIPTIVE statistics REHABILITATION |
Zdroj: | Journal of Clinical Nursing (John Wiley & Sons, Inc.); Dec2014, Vol. 23 Issue 23-24, p3391-3402, 12p, 6 Charts, 3 Graphs |
Abstrakt: | Aims and objectives To examine the effects of an early postoperative walking exercise programme on postlobectomy lung cancer patients. Background Few interventional studies on the postoperative health status of lung cancer patients have considered the efficacy of programmes designed to improve critical health variables. Design A two-group quasi-experimental, longitudinal approach repeated four times examined participant data collected 12-18 hours prior to surgery and again at one, three and six months after surgery. Methods We assigned the first 33 enrolled participants to the intervention group and the second 33 to the control group. The intervention was a daily supervised walking exercise programme consisting of 12 weeks of brisk walking exercise that began on the day following transfer to the regular ward along with weekly telephone calls until 12 weeks after discharge. Health status was measured using a structured questionnaire ( World Health Organization Quality of Life, brief version) and clinical tests (pulmonary function test and 6-minute walk test). We analysed data using general estimating equations, with p < 0·05 considered significant. Results Intervention group pulmonary and physical functions were increasingly better over time than those of the control group, with no significant difference in quality of life between the two groups. Compared to the control group, the intervention group earned significantly better values for FVC% at postoperative month 3 and for FEV |
Databáze: | Complementary Index |
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