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体育锻炼与癌症:探索化疗输注作为运动的机会。

Physical Exercise and Cancer: Exploring Chemotherapy Infusion as an Opportunity for Movement.

机构信息

Discipline of Sport and Exercise Science, Faculty of Health, University of Canberra, ACT 2617, Australia.

Discipline of Sport and Exercise Science, Faculty of Health, University of Canberra, ACT 2617, Australia; UC Research Institute for Sport and Exercise, University of Canberra, ACT 2617, Australia.

出版信息

Semin Oncol Nurs. 2020 Oct;36(5):151068. doi: 10.1016/j.soncn.2020.151068. Epub 2020 Sep 29.

Abstract

OBJECTIVE

Exercise initiated in the early stages of cancer treatment may present as the most opportune time to reduce the detrimental side effects of treatment. Beginning exercise post-cancer treatment may not be early enough to elicit important improvements. The role of exercise alongside chemotherapy treatment, specifically during chemotherapy infusion may be an opportunity for the therapeutic delivery of exercise for cancer patients.

DATA SOURCES

Narrative review of peer-reviewed literature with a focus on exercise during chemotherapy infusions and therapeutic effects of exercise on the tumor microenvironment.

CONCLUSION

Exercise initiated in the early stages of chemotherapy treatment may present as the most opportune time to improve therapeutic health outcomes and patient experience. If exercise during chemotherapy infusion could be feasible more testing is warranted to explore different modes including resistance-based exercise, dosage, intensity, and its potential affect on tumor hypoxia and chemotherapy drug uptake.

IMPLICATIONS FOR NURSING PRACTICE

Oncology nurses are in the ideal position to initiate the conversation about exercise during chemotherapy treatments specifically the opportunity to provide light exercise during chemotherapy infusion. Starting exercise during this time may be the most beneficial timing to decrease the myriad of treatment side effects experienced. Further research is required to explore the potential affect of exercise during chemotherapy infusion on health benefits, tumor hypoxia, and drug uptake, all of which seem to be positively affected by physical exercise.

摘要

目的

在癌症治疗的早期阶段开始运动可能是减少治疗副作用的最佳时机。开始运动的时间晚于癌症治疗可能不足以产生重要的改善。在化疗治疗期间,特别是在化疗输注期间进行运动,可能是为癌症患者提供运动治疗的机会。

资料来源

对同行评议文献的叙述性综述,重点是化疗输注期间的运动和运动对肿瘤微环境的治疗效果。

结论

在化疗治疗的早期阶段开始运动可能是改善治疗健康结果和患者体验的最佳时机。如果在化疗输注期间进行运动是可行的,那么需要进行更多的测试来探索不同的模式,包括基于阻力的运动、剂量、强度及其对肿瘤缺氧和化疗药物摄取的潜在影响。

对护理实践的意义

肿瘤护士处于在化疗治疗期间开始运动的理想位置,特别是有机会在化疗输注期间提供轻度运动。在此期间开始运动可能是减少各种治疗副作用的最佳时机。需要进一步研究以探讨化疗输注期间运动对健康益处、肿瘤缺氧和药物摄取的潜在影响,所有这些似乎都受到体育锻炼的积极影响。

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