College of Nursing, University of Saskatchewan, Regina, SK S4T 0H8, Canada.
Faculty of Applied Science, School of Nursing, University of British Columbia, Vancouver, BC V6T 2B5, Canada.
Curr Oncol. 2021 Nov 2;28(6):4408-4419. doi: 10.3390/curroncol28060374.
Falls are a major issue among older adults with cancer and lead to interruptions in cancer treatment. Resistance and balance training can prevent falls in older adults, but minimal evidence is available regarding the older cancer population, who often have unique risk factors. We used a pre-post design to assess the feasibility of a remotely delivered exercise program that progressed in difficulty and its efficacy on lower body strength, balance, and falls in older adults with cancer who had prior in-person exercise experience. Twenty-six older adults with cancer completed the intervention. Attendance rate for the virtual component was 97.6% and for the independent component was 84.7%. Participants perceived the program as rewarding and enjoyable (100%), felt this program prepared them to exercise on their own (92%), were confident to continue exercising on their own (81%), and would recommend the program to other patients (100%). The median balance score at baseline and end-of-study was 4 (IQR = 0). The median chair-stand time decreased from 9.2 s (IQR = 3.13) to 7.7 s (IQR = 4.6). A statistically significant difference in lower body strength ( = 0.68, = 0.001) was detected post-intervention. The findings from this study can inform the design of a larger randomized trial.
跌倒在癌症老年患者中是一个主要问题，会导致癌症治疗中断。阻力和平衡训练可以预防老年人跌倒，但针对常有独特风险因素的老年癌症患者，相关证据很少。我们采用前后设计评估了远程提供的、难度逐渐增加的锻炼方案的可行性，以及其对有既往亲自参加锻炼经验的老年癌症患者的下肢力量、平衡和跌倒的疗效。26 名老年癌症患者完成了干预。虚拟部分的出席率为 97.6%，独立部分的出席率为 84.7%。参与者认为该方案有收获且有趣（100%），感觉该方案使他们有能力自行锻炼（92%），有信心自行继续锻炼（81%），并愿意将该方案推荐给其他患者（100%）。基线和研究结束时的中位数平衡评分均为 4（四分位距 = 0）。从 9.2 秒（四分位距 = 3.13）降至 7.7 秒（四分位距 = 4.6），椅子站立时间中位数显著下降。干预后下肢力量有统计学显著差异（ = 0.68， = 0.001）。本研究的结果可以为更大规模的随机试验设计提供信息。
