Scientific Institute for Quality of Healthcare (IQ healthcare), Radboud Institute for Health Science (RIHS), Radboud University Medical Centre Nijmegen, Nijmegen, The Netherlands; Department of Medical Oncology, Radboud Institute for Health Science (RIHS), Radboud University Medical Centre Nijmegen, Nijmegen, The Netherlands; Department of Radiation Oncology, Radboud University Medical Center, Nijmegen, The Netherlands.
Department of Medical Oncology, Radboud Institute for Health Science (RIHS), Radboud University Medical Centre Nijmegen, Nijmegen, The Netherlands.
Crit Rev Oncol Hematol. 2018 Feb;122:157-163. doi: 10.1016/j.critrevonc.2017.09.005. Epub 2017 Sep 12.
The purpose of this review was to assess the effectiveness of different strategies to implement physical activity during and after cancer treatment.
We searched for studies containing strategies to implement physical activity in cancer care that meet the inclusion criteria of the Cochrane EPOC group. The primary outcome was physical activity uptake. We expressed the effectiveness of the strategies as the percentage of studies with improvement.
Nine studies met the inclusion criteria. Patient groups doing physical activities via an implementation strategy had better outcomes than those receiving usual care: 83% of the studies showed improvement. Strategies showing significant improvement compared to usual care employed healthcare professionals to provide individual counselling or advice for exercise or interactive elements such as audit and feedback systems. When comparing the different strategies 1) interactive elements or 2) elements tailored to the needs of the patients had better physical activity uptake.
Implementation strategies containing individual and interactive elements, tailored to the individual needs of patients, are more successful in improving physical activity uptake.
本综述旨在评估在癌症治疗期间和之后实施身体活动的不同策略的有效性。
我们搜索了包含在癌症护理中实施身体活动的策略的研究，这些策略符合 Cochrane EPOC 小组的纳入标准。主要结果是身体活动的参与率。我们将策略的有效性表示为改善研究的百分比。
有 9 项研究符合纳入标准。通过实施策略进行身体活动的患者组比接受常规护理的患者组有更好的结果：83%的研究显示出改善。与常规护理相比，显示出显著改善的策略采用了医疗保健专业人员为运动提供个人咨询或建议，或采用了审核和反馈系统等互动元素。当比较不同的策略时，1）互动元素或 2）针对患者需求定制的元素具有更好的身体活动参与率。
包含针对患者个体需求定制的个体和互动元素的实施策略在提高身体活动参与率方面更为成功。
