Hacker Eileen Danaher, Larson Janet L, Peace David
Department of Biobehavioral Health Science, College of Nursing, University of Illinois, Chicago, USA.
Oncol Nurs Forum. 2011 Mar;38(2):216-23. doi: 10.1188/11.ONF.216-223.
PURPOSE/OBJECTIVES: To test the feasibility and acceptability of a strength-training intervention in patients receiving hematopoietic stem cell transplantation (HSCT).
One-group prospective, repeated-measures design.
Academic medical center in the midwestern United States.
Convenience sample of 10 patients receiving HSCT.
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.
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.
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.
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.
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.
目的/目标：测试造血干细胞移植（HSCT）患者进行力量训练干预的可行性和可接受性。
单组前瞻性重复测量设计。
美国中西部的学术医疗中心。
10例接受HSCT的患者的便利样本。
力量训练干预包括一个综合计划，使用弹力带进行渐进性阻力训练，以增强上肢、下肢和腹部肌肉。指导和低强度训练在患者住院期间开始，并在出院后立即进展到中等强度。出院后训练持续六周。
通过主观评估和确定患者进行锻炼能力来评估力量训练干预的可接受性。通过确定能够完成规定力量干预的患者数量以及患者是否使用弹力带来评估可行性。
力量训练干预从一个无监督的家庭计划改进为一个有监督和无监督相结合的计划，每周进行门诊随访。患者报告说这些锻炼非常容易接受，尽管有些患者开始时强度非常低。
这项初步研究证明了力量训练干预的可行性和可接受性。力量训练干预所需的监督水平高于预期。
力量训练可能是缓解HSCT受者身体活动减少、肌肉量减少和疲劳问题的有效干预措施。需要进一步研究。
