Portuguese Institute of Oncology, Porto, Portugal.
Faculty of Economics of the University of Porto, Portugal.
Eur J Oncol Nurs. 2024 Oct;72:102665. doi: 10.1016/j.ejon.2024.102665. Epub 2024 Jul 14.
This study aimed to determine the efficacy of an exergame rehabilitation program on pain, anxiety or depression, and fatigue in oncology patients undergoing abdominal surgery.
The randomized controlled trial evaluated the efficacy of exergame rehabilitation on Pain, Anxiety, Depression, and Fatigue in oncology patients undergoing abdominal surgery. Patients were recruited from October 2022-March 2023 and were randomly assigned to the intervention group (postoperative traditional rehabilitation plus an exergame rehabilitation program) or control group (postoperative traditional rehabilitation). Data were collected at three different times: on admission, in the first 48 h, and on the 7th day after surgery. Primary outcomes were evaluated and monitored with different validated instruments: numeric rating scale (NRS) for pain, Hospital Anxiety and Depression Scale (HADS) to assess the level of anxiety and depression, and the Fatigue Assessment Scale (FAS) to assess physical and psychological fatigue. The length of stay and program completion were secondary outcomes.
A total of 128 postoperative patients were recruited. Of these, 58 patients were excluded from the study due to clinical complications related to the surgical procedure (n = 53) or healthcare staff-related reasons (n = 5). Both the control and intervention groups were the same size (n = 35). Lower pain scores were observed on the 7th postoperative day in the group subject to the "exergame rehabilitation program" (p = 0.006). No statistically significant differences were observed for anxiety and depression between the 2 groups. Regarding fatigue, statistically significant differences were observed on admission (p = 0.03), which disappeared 48 h after surgery (p = 0.143). Differences between the groups were observed again on the 7th day after surgery (p = 0.005).
The intervention using exergames was effective in reducing the postoperative pain of the patient undergoing major abdominal surgery and in restoring the levels of fatigue before surgical intervention. However, no differences were observed for anxiety or depression. Future studies with larger samples should be carried out.
本研究旨在确定有氧运动康复方案对接受腹部手术的肿瘤患者的疼痛、焦虑或抑郁以及疲劳的疗效。
这项随机对照试验评估了有氧运动康复对接受腹部手术的肿瘤患者的疼痛、焦虑、抑郁和疲劳的疗效。患者于 2022 年 10 月至 2023 年 3 月招募，并随机分为干预组（术后传统康复加有氧运动康复方案）或对照组（术后传统康复）。数据在三个不同时间点采集：入院时、术后 48 小时内和术后第 7 天。主要结局采用不同的验证工具进行评估和监测：数字评分量表（NRS）评估疼痛、医院焦虑和抑郁量表（HADS）评估焦虑和抑郁程度、疲劳评估量表（FAS）评估身体和心理疲劳。住院时间和方案完成情况为次要结局。
共招募了 128 名术后患者。其中，由于与手术相关的临床并发症（n=53）或医护人员相关的原因（n=5），有 58 名患者被排除在研究之外。对照组和干预组的患者人数相同（n=35）。接受“有氧运动康复方案”的患者在术后第 7 天疼痛评分较低（p=0.006）。两组间焦虑和抑郁无统计学差异。在疲劳方面，入院时存在统计学差异（p=0.03），术后 48 小时消失（p=0.143）。术后第 7 天再次观察到组间差异（p=0.005）。
使用有氧运动的干预措施有效降低了接受大型腹部手术的患者的术后疼痛，并恢复了手术干预前的疲劳水平。然而，在焦虑或抑郁方面没有观察到差异。应该进行具有更大样本量的未来研究。
