Document Detail


Exercise in patients receiving hematopoietic stem cell transplantation: lessons learned and results from a feasibility study.
MedLine Citation:
PMID:  21356659     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Purpose/Objectives: To test the feasibility and acceptability of a strength-training intervention in patients receiving hematopoietic stem cell transplantation (HSCT).Design: One-group prospective, repeated-measures design.Setting: Academic medical center in the midwestern United States.Sample: Convenience sample of 10 patients receiving HSCT.Methods: The strength-training intervention consisted of a comprehensive program of progressive resistance to strengthen the upper body, lower body, and abdominal muscles using elastic resistance bands. Instruction and low-intensity training began while the patients were hospitalized and progressed to a moderate level immediately following discharge from the hospital. Training continued for six weeks following hospital discharge.Main Research Variables: Acceptability of the strength-training intervention was evaluated via subjective assessment and by determining the patient's ability to perform the exercises. Feasibility was evaluated by determining the number of patients who were able to complete the prescribed strength intervention and whether the patients used elastic resistance bands.Findings: The strength-training intervention was refined from an unsupervised, home-based program to a combination supervised and unsupervised program with weekly clinic visits. Patients reported that the exercises were very acceptable, although some started out at a very low intensity.Conclusions: This pilot study demonstrates the feasibility and acceptability of the strength-training intervention. The level of supervision required for the strength-training intervention was higher than expected.Implications for Nursing: Strength training may be an effective intervention to alleviate problems with decreased physical activity, reduced muscle mass, and fatigue in HSCT recipients. Additional research is needed.
Authors:
Eileen Danaher Hacker; Janet L Larson; David Peace
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Oncology nursing forum     Volume:  38     ISSN:  1538-0688     ISO Abbreviation:  Oncol Nurs Forum     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7809033     Medline TA:  Oncol Nurs Forum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  216-23     Citation Subset:  IM; N    
Affiliation:
Department of Biobehavioral Health Science in the College of Nursing, University of Illinois in Chicago.
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