Hematology/Oncology, Hamilton Health Sciences, Hamilton, Ontario, Canada; Rehabilitation Sciences, McMaster University, Hamilton, Ontario, Canada.
Psychooncology. 2014 Feb;23(2):204-15. doi: 10.1002/pon.3389. Epub 2013 Sep 6.
As more evidence emerges to support the incorporation of exercise for cancer survivors to positively affect physical, emotional, and social health, it is imperative that health-care providers use current knowledge to develop evidence-based exercise programs for these patients. Our purpose is to describe the development, implementation, and effectiveness of the CanWell program, an evidence-based, community and partnership-based, exercise, and education program for all people with cancer.
Exercise and cancer research was reviewed, summarized, and utilized to develop CanWell. A 12-week, supervised, community-based, exercise, and education program established in collaboration between an acute care hospital, academic center, and a not-for-profit YMCA facility. CanWell participants completed physical and health-related quality of life measures prior to initiating the program and repeated them at 6 and 12 weeks.
Following the exercise program, participants reported significant improvements in health-related quality of life, recorded distance ambulated during a 6-min walk test, and total minutes on a treadmill recorded using the standardized exponential exercise protocol treadmill test. Furthermore, no increases in disease burden were identified using the Edmonton Symptom Assessment System. In addition, no exercise related injuries were reported by CanWell participants.
As the body of evidence supporting the incorporation of exercise as a standard of care for cancer survivors, it is imperative that care providers use current knowledge to provide opportunities for their patients to exercise in effective exercise programs. CanWell is an example on how collaboration between hospital, university, and community institutions can be used to move research into practice and meet the needs of cancer survivors.
随着越来越多的证据表明，让癌症幸存者进行锻炼可以积极影响他们的身体、情绪和社交健康，因此医疗保健提供者必须利用现有知识为这些患者制定基于证据的锻炼计划。我们的目的是描述 CanWell 计划的制定、实施和效果，该计划是一个基于证据的、以社区和伙伴关系为基础的锻炼和教育计划，适用于所有癌症患者。
审查、总结和利用锻炼和癌症研究的成果来开发 CanWell。这是一个为期 12 周的、由急性护理医院、学术中心和非营利性基督教青年会设施合作开展的、基于社区的、监督下的锻炼和教育计划。CanWell 参与者在开始计划之前完成身体和与健康相关的生活质量测量，并在 6 周和 12 周时重复测量。
在参加锻炼计划后，参与者报告称在与健康相关的生活质量方面有显著改善，6 分钟步行测试中记录的步行距离以及使用标准化指数锻炼方案跑步机测试记录的总分钟数也有所增加。此外，使用埃德蒙顿症状评估系统没有发现疾病负担增加的情况。此外，CanWell 参与者没有报告任何与锻炼相关的伤害。
随着越来越多的证据支持将锻炼作为癌症幸存者的标准护理措施，医疗保健提供者必须利用现有知识为患者提供机会，让他们参加有效的锻炼计划。CanWell 是一个典范，展示了医院、大学和社区机构之间的合作如何能够将研究转化为实践，并满足癌症幸存者的需求。
