2.50
Hdl Handle:
http://hdl.handle.net/10755/164685
Category:
Abstract
Type:
Presentation
Title:
CHANGES IN PHYSICAL ACTIVITY: HOME TO HOSPITALIZATION
Author(s):
Hacker, Eileen; Ferrans, Carol
Author Details:
Eileen Hacker, PhD, RN, AOCN, Assistant Professor, University of Illinois at Chicago, Chicago, Illinois, USA, email: ehacker@uic.edu; Carol Ferrans
Abstract:
Topic: Clinical observations suggest that patients experience significant reductions in physical activity following an intensive preparatory regimen and hematopoietic stem cell transplantation (HSCT). No studies found in the HSCT literature examined changes in physical activity. This may be due, in part, to the methodological difficulties associated with quantifying objective measures of physical activity. Oncology nurses need this information to identify effective interventions aimed at mitigating problems, such as physical inactivity, loss of strength, and fatigue. Purpose: The purpose of the study was to describe changes in physical activity before and after HSCT. This research addresses the 2005-2009 ONS Research Agenda by describing changes in physical activity levels and physical functioning, both nursing sensitive patient outcomes. Framework: Wilson and Cleary?s Conceptual Model of Patient Outcomes guided the study. Methods: This study used a prospective, repeated measures design. The convenience sample (n = 16) was drawn from two academic medical centers. The Actiwatch-Score was used to quantify physical activity. This accelerometer monitors the occurrence and degree of motion using a piezoelectric sensor. The device is the size of a wristwatch and worn on the non-dominant hand. Physical activity levels were assessed over a five-day period before admission to the hospital for the intensive preparatory regimen and HSCT and immediately following the transplant on days 4 through 8. Descriptive statistics and one-way repeated measures ANOVA were used to analyze the data. Study results indicate that physical activity significantly declined following HSCT (p < 0.001). The greatest decline in physical activity levels occurred during the evening hours (4 p.m. - 12 p.m.) with a 63% reduction in levels. Daytime (8 a.m. - 4 p.m.) physical activity levels fell by 62% and night time (12 a.m. - 8 a.m.) levels fell by 26%.Findings: This is the first study to objectively document changes in physical activity following HSCT. Patients receiving a hematopoietic stem cell transplant patients may be at risk for multiple physical complications, especially if physical activity is severely limited while hospitalized and following discharge from the hospital. Interventions directed toward increasing physical activity and maintaining muscle mass in HSCT patients are needed to minimize the complications associated with decreased physical activity.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
31st Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Boston, Massachusetts, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleCHANGES IN PHYSICAL ACTIVITY: HOME TO HOSPITALIZATIONen_GB
dc.contributor.authorHacker, Eileenen_US
dc.contributor.authorFerrans, Carolen_US
dc.author.detailsEileen Hacker, PhD, RN, AOCN, Assistant Professor, University of Illinois at Chicago, Chicago, Illinois, USA, email: ehacker@uic.edu; Carol Ferransen_US
dc.identifier.urihttp://hdl.handle.net/10755/164685-
dc.description.abstractTopic: Clinical observations suggest that patients experience significant reductions in physical activity following an intensive preparatory regimen and hematopoietic stem cell transplantation (HSCT). No studies found in the HSCT literature examined changes in physical activity. This may be due, in part, to the methodological difficulties associated with quantifying objective measures of physical activity. Oncology nurses need this information to identify effective interventions aimed at mitigating problems, such as physical inactivity, loss of strength, and fatigue. Purpose: The purpose of the study was to describe changes in physical activity before and after HSCT. This research addresses the 2005-2009 ONS Research Agenda by describing changes in physical activity levels and physical functioning, both nursing sensitive patient outcomes. Framework: Wilson and Cleary?s Conceptual Model of Patient Outcomes guided the study. Methods: This study used a prospective, repeated measures design. The convenience sample (n = 16) was drawn from two academic medical centers. The Actiwatch-Score was used to quantify physical activity. This accelerometer monitors the occurrence and degree of motion using a piezoelectric sensor. The device is the size of a wristwatch and worn on the non-dominant hand. Physical activity levels were assessed over a five-day period before admission to the hospital for the intensive preparatory regimen and HSCT and immediately following the transplant on days 4 through 8. Descriptive statistics and one-way repeated measures ANOVA were used to analyze the data. Study results indicate that physical activity significantly declined following HSCT (p &lt; 0.001). The greatest decline in physical activity levels occurred during the evening hours (4 p.m. - 12 p.m.) with a 63% reduction in levels. Daytime (8 a.m. - 4 p.m.) physical activity levels fell by 62% and night time (12 a.m. - 8 a.m.) levels fell by 26%.Findings: This is the first study to objectively document changes in physical activity following HSCT. Patients receiving a hematopoietic stem cell transplant patients may be at risk for multiple physical complications, especially if physical activity is severely limited while hospitalized and following discharge from the hospital. Interventions directed toward increasing physical activity and maintaining muscle mass in HSCT patients are needed to minimize the complications associated with decreased physical activity.en_GB
dc.date.available2011-10-27T12:05:08Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:05:08Z-
dc.conference.date2006en_US
dc.conference.name31st Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationBoston, Massachusetts, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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