Comparative Different Interventions to Improve Exercise Adherence in Patients in the Postoperative Breast Cancer Phase of Care: A Network Meta-analysis.
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引用次数: 0
Abstract
Background: Global Cancer Statistics 2020 reported that breast cancer had exceeded lung cancer as the most frequently diagnosed cancer. Surgery is the primary treatment modality for breast cancer, but postoperative upper limb dysfunction often occurs; functional exercise can alleviate this and restore upper limb function. However, exercise compliance is low in postoperative breast cancer patients; thus, many studies have been conducted in recent years to improve patient compliance with exercise.
Objective: The aim of this study was to compare the effectiveness of different interventions to improve exercise adherence in postoperative breast cancer patients.
Methods: We searched PubMed, Cochrane Library, Web of Science, EMBASE, Wan Fang, CNKI, VIP, and CBM databases for eligible studies. Exercise adherence rate and quality-of-life difference were assessed as outcomes. Sensitivity analysis and inconsistency detection were performed to evaluate whether the exclusion of high-risk studies affected the validity. Risk of bias was assessed using the risk-of-bias table in RevMan 5.4. Surface under the cumulative ranking was used to estimate the rankings among different interventions.
Results: Twenty-five randomized controlled trials involving 9 interventions were included, and the network meta-analysis results showed that patients in the pedometer + counseling group had the best exercise adherence.
Conclusion: Pedometer + counseling care measures are recommended to improve exercise adherence in postoperative breast cancer patients.
Implications for practice: Oncology nurses can improve patients' exercise compliance through counseling and by giving them pedometers to wear.
背景：2020年癌症全球统计数据显示，癌症已超过癌症，成为诊断最常见的癌症。外科手术是癌症的主要治疗方式，但术后上肢功能障碍往往发生；功能锻炼可以缓解这种情况，恢复上肢功能。然而，癌症术后患者的运动依从性较低；因此，近年来进行了许多研究来提高患者对运动的依从性。目的：本研究旨在比较不同干预措施对改善癌症术后运动依从性的有效性。方法：检索PubMed、Cochrane Library、Web of Science、EMBASE、万方、CNKI、VIP和CBM数据库中符合条件的研究。运动坚持率和生活质量差异被评估为结果。进行敏感性分析和不一致性检测，以评估排除高风险研究是否影响有效性。使用RevMan 5.4中的偏倚风险表评估偏倚风险。累积排名下的表面用于估计不同干预措施之间的排名。结果：纳入了25项随机对照试验，涉及9项干预措施，网络荟萃分析结果显示，计步器+咨询组的患者运动依从性最好。结论：建议采用足疗+咨询护理措施，提高癌症术后患者的运动依从性。实践意义：肿瘤科护士可以通过咨询和给患者佩戴计步器来提高患者的运动依从性。
期刊介绍：
Each bimonthly issue of Cancer Nursing™ addresses the whole spectrum of problems arising in the care and support of cancer patients--prevention and early detection, geriatric and pediatric cancer nursing, medical and surgical oncology, ambulatory care, nutritional support, psychosocial aspects of cancer, patient responses to all treatment modalities, and specific nursing interventions. The journal offers unparalleled coverage of cancer care delivery practices worldwide, as well as groundbreaking research findings and their practical applications.
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