一般实践中癌症幸存者体育活动计划的患者结果:干预实施研究
Famke Huizinga1, Nico-Derk L Westerink1, Annemiek Me Walenkamp2
1Department of Primary and Long-term Care, University Medical Center Groningen, University of Groningen, Groningen.
概括
这项研究表明,荷兰通用诊所的体力活动 (PA) 计划改善了癌症幸存者的健康结果,特别是提高了他们的PA水平和身体功能. 该计划成功地到达了健康状况较差的幸存者.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 一般实践一般实践
背景情况:
- 身体活动 (PA) 对癌症幸存者的福祉至关重要.
- 目前,没有PA课程被整合到荷兰的一般实践环境中.
- 这项研究解决了对癌症幸存者健康的初级保健支持的差距.
研究的目的:
- 评估参与一般实践中实施的PA计划的癌症幸存者的健康结果.
- 使用RE-AIM框架评估PA干预的覆盖范围,有效性和实施情况.
主要方法:
- 一个为期9个月的单臂干预研究,涉及15个荷兰的一般实践.
- 参与者接受了初级保健医生 (PCP) 的咨询,以增加每日PA.
- 包括疲劳,抑郁,焦虑,步数和身体功能在内的结果随着时间的推移而被测量.
主要成果:
- 149名癌症幸存者参与了这项研究,占受邀者的26%,参与者基本健康状况较差.
- 在主要结局 (疲劳,抑郁,焦虑) 和二次结局 (尤其是步数和身体功能) 中观察到显著改善.
- 报告显示,高水平的辅导会 (98%) 和高水平的辅导目标 (73%),在课程开始前的退学率为11%,在课程期间的退学率为26%.
结论:
- 该PA计划有效地到达了健康状况较差的长期癌症幸存者.
- 证明了健康的积极变化,特别是PA和身体功能的积极变化.
- 将这种PA计划整合到初级保健中,可能会使癌症幸存者越来越多的人口受益.
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