Loweth Thomas A, Taylor Suzan R, Mapp Gareth, Bebbington Kim, Atkin Naomi, Kite Chris
Faculty of Health, Medicine and Society, Division of Public Health, Sport and Wellbeing University of Chester, Chester CH1 4BJ, UK.
Diabetes Research Centre, College of Life Sciences, University of Leicester, Leicester LE5 4PW, UK.
Diseases. 2024 Oct 2;12(10):236. doi: 10.3390/diseases12100236.
BACKGROUND/OBJECTIVES: The adverse effects of cancer and the long-term sequelae of associated treatments result in reduced quality of life and increased mortality for patients. Supporting patients with cancer to mitigate adverse outcomes is an important aspect of oncology care and the primary purpose of cancer rehabilitation. A retrospective service evaluation was conducted to evaluate the effectiveness of the core iCan patient-centred cancer rehabilitation service.
At the beginning and end of a five-week programme, a series of questionnaires evaluating changes in mental health and wellbeing, and physical activity performance/attitudes, and functional capacity were administered to participants.
Following iCan, we found that functional capacity was improved (30 s sit-to-stand: +6.3 repetition; = -1.00, < 0.001) and that self-reported physical activity was increased (~1173 MET-mins/wk; = -0.76, < 0.001); participants also perceived greater capability, opportunity, and motivation to be active. Mental wellbeing was also improved (SWEMWBS: = -0.69, < 0.001), whilst fatigue was reduced (FACIT: = -0.77, < 0.001).
It appears that iCan has beneficial effects upon the physical/functional and psychological health of its participants. Where data are available, there appear to be clinically significant improvements across the range of measured functional, wellbeing, and activity/sedentariness outcomes, which suggest that participation in iCan is instrumental in adding value to the health and wellbeing of patients.
背景/目的：癌症的不良影响以及相关治疗的长期后遗症导致患者生活质量下降和死亡率增加。支持癌症患者减轻不良后果是肿瘤护理的一个重要方面，也是癌症康复的主要目的。进行了一项回顾性服务评估，以评估以患者为中心的核心iCan癌症康复服务的有效性。
在为期五周的项目开始和结束时，向参与者发放了一系列问卷，评估心理健康和幸福感、身体活动表现/态度以及功能能力的变化。
接受iCan服务后，我们发现功能能力得到改善（30秒坐立试验：重复次数增加6.3次；= -1.00，<0.001），自我报告的身体活动增加（约1173梅脱-分钟/周；= -0.76，<0.001）；参与者还感觉到更有能力、机会和动力去积极活动。心理健康也得到改善（SWEMWBS量表：= -0.69，<0.001），同时疲劳感减轻（FACIT量表：= -0.77，<0.001）。
iCan似乎对参与者的身体/功能和心理健康有有益影响。在有数据的情况下，在所测量的功能、幸福感和活动/久坐结果范围内似乎有临床显著改善，这表明参与iCan有助于提升患者的健康和幸福感。
