摘要
Purpose: To investigate the feasibility of conducting a rehabilitation program for patients following surgery for abdomino-pelvic cancer. Methods: A non-randomised controlled before-and-after study. Patients who had undergone surgery for stage I–III abdomino-pelvic cancer (colorectal, gynaecological or prostate cancer) were recruited. The rehabilitation group (n = 84) received an 8-week, bi-weekly education and exercise program conducted by a physiotherapist, exercise physiologist, health psychologist and dietician, supplemented by exercise diaries and telephone coaching sessions. The comparator group (n = 104) completed postal questionnaires only. Feasibility measures, functional exercise capacity, muscle strength, physical activity levels, pelvic floor symptoms, anxiety and depression, health-related quality of life (HRQoL) and self-efficacy were measured at baseline (time 1), immediately post-intervention (time 2) and at 6 months post-baseline (time 3) and compared within- and between-groups. Results: The consent rate to the rehabilitation program was 24%. Eighty-one percent of the rehabilitation group attended 85–100% of 16 scheduled sessions. Overall satisfaction with the program was 96%. Functional exercise capacity, handgrip strength in males, bowel symptoms, physical activity levels, depression and HRQoL were significantly improved in the rehabilitation group (p < 0.05) at time 2. The improvements in all these outcomes were sustained at time 3. The rehabilitation group had significantly improved physical activity levels, depression and HRQoL compared with the comparator group at times 2 and 3 (p < 0.05). Conclusion: Recruitment to this oncology rehabilitation program was more difficult than expected; however, attendance and patient satisfaction were high. This program had positive effects on several important clinical outcomes in patients following abdomino-pelvic cancer treatment. Trial registration: ANZCTR 12614000580673.
| 原文 | English |
|---|---|
| 期刊 | Supportive Care in Cancer |
| DOIs | |
| 出版狀態 | Published - 2019 一月 1 |
指紋
All Science Journal Classification (ASJC) codes
- Oncology
引用此文
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An allied health rehabilitation program for patients following surgery for abdomino-pelvic cancer : a feasibility and pilot clinical study. / Frawley, Helena C.; Lin, Kuan-Yin; Granger, Catherine L.; Higgins, Rosemary; Butler, Michael; Denehy, Linda.
於: Supportive Care in Cancer, 01.01.2019.研究成果: Article
TY - JOUR
T1 - An allied health rehabilitation program for patients following surgery for abdomino-pelvic cancer
T2 - a feasibility and pilot clinical study
AU - Frawley, Helena C.
AU - Lin, Kuan-Yin
AU - Granger, Catherine L.
AU - Higgins, Rosemary
AU - Butler, Michael
AU - Denehy, Linda
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Purpose: To investigate the feasibility of conducting a rehabilitation program for patients following surgery for abdomino-pelvic cancer. Methods: A non-randomised controlled before-and-after study. Patients who had undergone surgery for stage I–III abdomino-pelvic cancer (colorectal, gynaecological or prostate cancer) were recruited. The rehabilitation group (n = 84) received an 8-week, bi-weekly education and exercise program conducted by a physiotherapist, exercise physiologist, health psychologist and dietician, supplemented by exercise diaries and telephone coaching sessions. The comparator group (n = 104) completed postal questionnaires only. Feasibility measures, functional exercise capacity, muscle strength, physical activity levels, pelvic floor symptoms, anxiety and depression, health-related quality of life (HRQoL) and self-efficacy were measured at baseline (time 1), immediately post-intervention (time 2) and at 6 months post-baseline (time 3) and compared within- and between-groups. Results: The consent rate to the rehabilitation program was 24%. Eighty-one percent of the rehabilitation group attended 85–100% of 16 scheduled sessions. Overall satisfaction with the program was 96%. Functional exercise capacity, handgrip strength in males, bowel symptoms, physical activity levels, depression and HRQoL were significantly improved in the rehabilitation group (p < 0.05) at time 2. The improvements in all these outcomes were sustained at time 3. The rehabilitation group had significantly improved physical activity levels, depression and HRQoL compared with the comparator group at times 2 and 3 (p < 0.05). Conclusion: Recruitment to this oncology rehabilitation program was more difficult than expected; however, attendance and patient satisfaction were high. This program had positive effects on several important clinical outcomes in patients following abdomino-pelvic cancer treatment. Trial registration: ANZCTR 12614000580673.
AB - Purpose: To investigate the feasibility of conducting a rehabilitation program for patients following surgery for abdomino-pelvic cancer. Methods: A non-randomised controlled before-and-after study. Patients who had undergone surgery for stage I–III abdomino-pelvic cancer (colorectal, gynaecological or prostate cancer) were recruited. The rehabilitation group (n = 84) received an 8-week, bi-weekly education and exercise program conducted by a physiotherapist, exercise physiologist, health psychologist and dietician, supplemented by exercise diaries and telephone coaching sessions. The comparator group (n = 104) completed postal questionnaires only. Feasibility measures, functional exercise capacity, muscle strength, physical activity levels, pelvic floor symptoms, anxiety and depression, health-related quality of life (HRQoL) and self-efficacy were measured at baseline (time 1), immediately post-intervention (time 2) and at 6 months post-baseline (time 3) and compared within- and between-groups. Results: The consent rate to the rehabilitation program was 24%. Eighty-one percent of the rehabilitation group attended 85–100% of 16 scheduled sessions. Overall satisfaction with the program was 96%. Functional exercise capacity, handgrip strength in males, bowel symptoms, physical activity levels, depression and HRQoL were significantly improved in the rehabilitation group (p < 0.05) at time 2. The improvements in all these outcomes were sustained at time 3. The rehabilitation group had significantly improved physical activity levels, depression and HRQoL compared with the comparator group at times 2 and 3 (p < 0.05). Conclusion: Recruitment to this oncology rehabilitation program was more difficult than expected; however, attendance and patient satisfaction were high. This program had positive effects on several important clinical outcomes in patients following abdomino-pelvic cancer treatment. Trial registration: ANZCTR 12614000580673.
UR - http://www.scopus.com/inward/record.url?scp=85068340053&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85068340053&partnerID=8YFLogxK
U2 - 10.1007/s00520-019-04931-w
DO - 10.1007/s00520-019-04931-w
M3 - Article
AN - SCOPUS:85068340053
JO - Supportive Care in Cancer
JF - Supportive Care in Cancer
SN - 0941-4355
ER -