King Meredith, Roche Nicole, Harris Benjamin, Hibbert Michael, Don Garrick, Dale Marita, King Gregory G, Wootton Sally
The University of Sydney, Sydney, New South Wales, Australia
Chronic Disease Community Rehabilitation Service, Northern Sydney Local Health District, Sydney, New South Wales, Australia.
BMJ Open. 2025 Jul 25;15(7):e101624. doi: 10.1136/bmjopen-2025-101624.
INTRODUCTION: Preoperative exercise training is recommended, when feasible, for people undergoing resection for lung cancer and has been shown to reduce the risk of postoperative pulmonary complications and improve preoperative exercise capacity. However, preoperative exercise training programmes are not commonly available in the Australian clinical practice setting due to a range of factors including resource and time restrictions. We aim to describe the protocol to evaluate the implementation of an existing preoperative exercise training programme in people undergoing lung cancer resection in an Australian setting. METHODS AND ANALYSIS: This is an evaluation of a secondary objective of a study examining the effect of lung cancer resection on exercise capacity, lung function and symptoms of dyspnoea and quality of life. Participants will be prospectively recruited at the time of lung cancer diagnosis and planned surgical treatment through the lung cancer multidisciplinary team of a metropolitan hospital in Sydney, Australia. All participants will be offered the choice of participating in the preoperative exercise training programme which encompasses a hybrid gym and telerehabilitation programme of up to five sessions/week from baseline until surgical date. The programme will be evaluated using the Reach, Effectiveness, Adoption, Implementation, Maintenance Framework including both quantitative and qualitative measures which will be analysed using descriptive statistics and qualitative analysis coded inductively. ETHICS AND DISSEMINATION: The study has received ethical approval through the Northern Sydney Local Health District reference 2023/ETH01643 and has been registered prospectively. Findings will be disseminated through peer-reviewed publication and scientific conference presentation. TRIAL REGISTRATION NUMBER: ACTRN12624000359538.
引言:对于接受肺癌切除术的患者,若可行,建议进行术前运动训练,且已证明这可降低术后肺部并发症的风险并提高术前运动能力。然而,由于包括资源和时间限制在内的一系列因素,术前运动训练项目在澳大利亚临床实践环境中并不常见。我们旨在描述在澳大利亚环境下评估现有术前运动训练项目在接受肺癌切除术患者中实施情况的方案。 方法与分析:这是一项对一项研究次要目标的评估,该研究旨在探讨肺癌切除术对运动能力、肺功能、呼吸困难症状和生活质量的影响。参与者将在肺癌诊断和计划进行手术治疗时,通过澳大利亚悉尼一家大都市医院的肺癌多学科团队进行前瞻性招募。所有参与者都将有机会选择参加术前运动训练项目,该项目包括一个混合健身房和远程康复项目,从基线到手术日期每周最多进行五次训练。该项目将使用“覆盖范围、有效性、采用情况、实施情况、维持框架”进行评估,包括定量和定性措施,将使用描述性统计和归纳编码的定性分析进行分析。 伦理与传播:该研究已通过北悉尼地方卫生区获得伦理批准,编号为2023/ETH01643,并已进行前瞻性注册。研究结果将通过同行评审出版物和科学会议报告进行传播。 试验注册号:ACTRN12624000359538。
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