在印度尼西亚,为接受内分泌治疗的乳腺癌患者实施为期 12 周的家庭有氧和阻力运动计划的可行性、可接受性和初步效果:混合方法研究。

IF 2.3 Q2 MEDICINE, GENERAL & INTERNAL
SAGE Open Medicine Pub Date : 2024-10-29 eCollection Date: 2024-01-01 DOI:10.1177/20503121241272706
Yufi Kartika Astari, Susanna Hilda Hutajulu, Yayi Suryo Prabandari, Bagas Suryo Bintoro, Rakhmat Ari Wibowo, Mardiah Suci Hardianti, Anggoro Budi Hartopo, Katie M Di Sebastiano, Matthew John Allsop, Shaunna Burke
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引用次数: 0

摘要

目的评估在印度尼西亚为接受内分泌治疗的乳腺癌患者实施家庭有氧运动和阻力运动的可行性、可接受性和初步效果:这是一项混合方法研究,采用并行设计,包括定量单臂前后干预和定性研究。我们招募了正在接受内分泌治疗的乳腺癌患者(36 人),并为他们安排了为期 12 周的家庭计步器驱动步行和使用治疗带的阻力练习。我们使用了描述性统计来评估可行性(招募、保留和坚持)和安全性。改良布鲁斯跑步机测试用于测量预测有氧能力(V̇O2 峰值)。使用欧洲癌症研究和治疗组织生活质量问卷和疲劳严重程度量表评估生活质量和疲劳。测量在基线和干预后进行,采用配对t检验或Wilcoxon检验进行分析。干预后进行了半结构化访谈和主题分析,以探讨患者的接受程度:结果显示,招募率为 75%,保留率为 89%,有氧运动坚持率为 53%,阻力运动坚持率为 78%。无严重不良事件报告。干预后的访谈表明,受试者对干预持积极态度,认为负担小,获益大。运动持续时间和预测 V̇O2 峰值显著增加(+1.1 分钟,p = 0.001;+2.3 毫升/千克/分钟,p = 0.043),但生活质量(p > 0.050)或疲劳严重程度(p = 0.299)未发现显著变化:结论:在我们的研究人群中,在常规护理的背景下实施基于家庭的有氧和阻力运动是可行的,可以提高预测的有氧能力。还需要进一步研究,以了解生活质量和疲劳的有限变化,并进行调整,以支持在印度尼西亚更多地点实施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Feasibility, acceptability, and preliminary effectiveness of implementing a 12-week home-based aerobic and resistance exercise program for breast cancer patients receiving endocrine treatment in Indonesia: A mixed methods study.

Objectives: To assess the feasibility, acceptability, and preliminary effectiveness of implementing a home-based aerobic and resistance exercise for patients with breast cancer receiving endocrine treatment in Indonesia.

Methods: This is a mixed methods study with concurrent design consisting of quantitative single-arm pre-post intervention and qualitative study. We recruited patients with breast cancer (N = 36) receiving endocrine treatment and assigned 12 weeks of home-based pedometer-driven walking and resistance exercises using therapeutic bands. Descriptive statistics were used to assess the feasibility (recruitment, retention, and adherence) and safety. The modified Bruce treadmill test was used to measure predicted aerobic capacity (V̇O2 peak). Quality of life and fatigue were assessed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire and fatigue severity scale. Measurements were performed at baseline and post-intervention and analyzed with the paired t-test or Wilcoxon test. Semi-structured interviews and thematic analysis were conducted post-intervention to explore patients' acceptability.

Results: The results showed a recruitment rate of 75%, retention rate of 89%, and adherence rates were 53% for aerobic and 78% for resistance exercise. No severe adverse events were reported. Post-intervention interviews identified positive attitudes toward the intervention, with low burden and high perceived benefit. Exercise duration and predicted V̇O2 peak increased significantly (+1.1 min, p = 0.001 and +2.3 ml/kg/min, p = 0.043), but no significant change was detected for Quality of Life (p > 0.050) or fatigue severity (p = 0.299).

Conclusions: A home-based aerobic and resistance exercise was feasible when implemented in the context of routine care in our study population, improving predicted aerobic capacity. Further research is required to understand limited changes to Quality of Life and fatigue and adaptations to support implementation in additional sites in Indonesia.

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来源期刊
SAGE Open Medicine
SAGE Open Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.50
自引率
4.30%
发文量
289
审稿时长
12 weeks
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