Red Cross College of Nursing, Chung-Ang University, Seoul, South Korea.
Department of Nursing, Graduate School, Chung-Ang University, Seoul, South Korea.
Eur J Cancer Care (Engl). 2022 Sep;31(5):e13624. doi: 10.1111/ecc.13624. Epub 2022 May 23.
We aimed to determine the feasibility and benefits of a videoconferencing-based home exercise programme to improve health-related quality of life (HRQOL), posttraumatic growth and physical strength levels of paediatric cancer survivors during the coronavirus disease 2019 (COVID-19).
Eight paediatric cancer survivors participated in the intervention for 8 weeks. The programme comprised home exercise sessions administered using Zoom, a videoconferencing platform. The supervised exercise sessions were performed two times per week; the participants were taught to perform joint exercises at home for the remaining 5 days of the week. HRQOL, posttraumatic growth and physical strength levels were assessed at baseline and after the intervention.
The rates of recruitment, retention and attendance were 52.9%, 88.9% and 98.4%, respectively. There were no cases of adverse events. The programme significantly improved flexibility (z = -2.21, p = 0.03), muscle strength (z = -2.67, p = 0.01) and power (z = -2.41, p = 0.02) among five domains of physical fitness measured using a physical activity promotion system and also improved total physical strength (z = -2.67, p = 0.01). Posttraumatic growth decreased slightly, whereas HRQOL improved slightly; however, the change was not statistically significant.
The study findings present preliminary evidence of the feasibility and benefits of this videoconferencing-based home exercise programme among paediatric cancer survivors.
本研究旨在确定基于视频会议的家庭运动方案在改善 COVID-19 期间儿科癌症幸存者的健康相关生活质量(HRQOL)、创伤后成长和体力水平方面的可行性和益处。
8 名儿科癌症幸存者参与了为期 8 周的干预。该方案包括使用视频会议平台 Zoom 进行家庭运动课程。监督性运动课程每周进行两次;参与者被教导在家中进行关节运动,其余 5 天每天进行。在干预前后评估 HRQOL、创伤后成长和体力水平。
招募率、保留率和出勤率分别为 52.9%、88.9%和 98.4%。没有不良事件发生。该方案显著改善了使用身体活动促进系统测量的五个身体体能领域的柔韧性(z=-2.21,p=0.03)、肌肉力量(z=-2.67,p=0.01)和力量(z=-2.41,p=0.02),同时也改善了总体力(z=-2.67,p=0.01)。创伤后成长略有下降,而 HRQOL 略有改善;然而,变化没有统计学意义。
本研究结果初步证明了基于视频会议的家庭运动方案在儿科癌症幸存者中的可行性和益处。