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本科课程设计以促进癌症运动康复计划。

Undergraduate Curriculum Designed to Facilitate a Cancer Exercise Rehabilitation Program.

机构信息

Department of Kinesiology and Rehabilitation Science (KRS), University of Hawai'i at Mānoa, 1337 Lower Campus Road PE/A 231, Honolulu, HI, 96822, USA.

Rehabilitation Hospital of the Pacific, 226 North Kuakini Street, Honolulu, HI, 96817, USA.

出版信息

J Cancer Educ. 2022 Aug;37(4):1009-1018. doi: 10.1007/s13187-020-01913-z. Epub 2020 Nov 4.

Abstract

In 2030, more than 22.1 million cancer survivors are expected to reside in the USA. A workforce knowledgeable in the unique issues of oncologic exercise design and delivery will help to fulfill the need for services that improve survivor health, prognosis, and quality of life (QOL). The purpose of this project was to describe the application of a cancer exercise rehabilitation training program on student performance benchmarks and patient outcomes. Thirty-seven kinesiology students were taught how to design an exercise program for cancer patients through face-to-face instruction (10 h) and online material. Students created and delivered exercise prescriptions to cancer patients (n = 111) over 12 weeks. Surveys evaluating student performance, patient fitness, and patient psychosocial outcomes were used to assess students' skill proficiency, ability to apply newly acquired knowledge, and academic/professional growth. A 2-way ANOVA evaluating student performance scores revealed a significant main effect of time (F(1, 165) = 22.92, p < 0.001), indicating that student performance was improved. Post hoc tests showed the "skill proficiency, knowledge and exercise leadership" dimension was significantly improved (p < 0.0001). Cancer patients had significant improvements in body composition, muscular function, flexibility, and balance (p < 0.05). Students succeeded in tasks directly related to content learned in prerequisite kinesiology courses, while 3 weeks was required for students to become proficient in clinic-related duties. Ninety percent of the students reported that the internship was an excellent learning experience. The curriculum was successful in teaching students how to design and implement exercise programs that improve cancer patient fitness and QOL.

摘要

预计到 2030 年,美国将有超过 2210 万癌症幸存者。拥有丰富肿瘤运动设计和实施专业知识的工作人员将有助于满足服务需求,以改善幸存者的健康、预后和生活质量 (QOL)。本项目旨在描述癌症运动康复培训计划在学生表现基准和患者结果中的应用。37 名运动学学生通过面对面教学 (10 小时) 和在线材料学习如何为癌症患者设计运动方案。学生在 12 周内为 111 名癌症患者制定并提供运动处方。通过评估学生表现、患者健康状况和患者心理社会结果的调查来评估学生的技能熟练程度、应用新知识的能力以及学术/职业成长。评估学生表现分数的双因素方差分析显示时间的主效应具有统计学意义(F(1, 165)=22.92,p<0.001),表明学生的表现有所提高。事后检验显示“技能熟练程度、知识和运动领导力”维度有显著提高(p<0.0001)。癌症患者的身体成分、肌肉功能、柔韧性和平衡能力均有显著改善(p<0.05)。学生成功完成了与运动学先修课程中所学内容直接相关的任务,而学生需要 3 周的时间才能熟练掌握与诊所相关的职责。90%的学生报告说实习是一次极好的学习体验。该课程成功地教授了学生如何设计和实施运动计划,以提高癌症患者的健康和生活质量。

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