NURSING ROLE IN A PILOT STUDY ON THE ADMINISTRATION OF EXERCISE IN ACUTE LEUKEMIA PATIENTS DURING INDUCTION CHEMOTHERAPY

2.50
Hdl Handle:
http://hdl.handle.net/10755/165246
Category:
Abstract
Type:
Presentation
Title:
NURSING ROLE IN A PILOT STUDY ON THE ADMINISTRATION OF EXERCISE IN ACUTE LEUKEMIA PATIENTS DURING INDUCTION CHEMOTHERAPY
Author(s):
Garcia, Reynaldo; Creedle, Crista; Battaglini, Claudio
Author Details:
Reynaldo Garcia, RN, BSN, OCN, Oncology Research Nurse Clinician, University of North Carolina Lineberger Cancer Center, Chapel Hill, North Carolina, USA, email: reynaldogarcia@med.unc.edu; Crista Creedle, RN, BSN, OCN, University of North Carolina Hospitals, Chapel Hill, North Carolina; Claudio Battaglini, PhD, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
Abstract:
Induction treatment for an acute leukemia usually requires an-inpatient hospitalization for 3 - 4 weeks. Besides chemotherapy, patient will receive blood product support, antibiotics and intravenous hydration. Patients are usually encouraged to stay active during this hospitalization, however, chemotherapy side-effects, diagnostic tests and fluid traffic management hinders this situation. A pilot study conducted examined the feasibility of administering an exercise regimen during the induction and the 2-weeks after induction of the subjects. Secondly, the study examined the effects of exercise on depression and fatigue symptoms utilizing the Revised Piper Fatigue Scale and Depression questionnaire (CES-D). An article from Sports Medicine Vol. 10 showed that exercise can be considered as a complimentary therapy in the management of chemotherapy related symptoms. The study accrued 6 male and 3 female subjects (target of 10) with age ranging from 18 - 60. Under the supervision of an exercise physiologist, subjects underwent an initial battery of fitness and psychological assessments done within the first 3 days of induction followed by an exercise intervention 3 - 4 times per week and re-assessment of the fitness and psychological parameters during specified times and at the end of the study (day before or the first day of consolidation therapy). It was administered for approximately 6 weeks (average of 4 weeks as an in-patient supervised individualized exercise prescription and 2 weeks as follow up at home through pre- prescribed self- administered exercise prescription) and was modified weekly depending on subjectÆs tolerance. This was divided into two daily sessions. A system has been utilized to inform everyone involved in the patient care about subjectÆs participation in the study. Various nursing interventions were implemented and good communication between the nursing staff and the exercise physiologist was necessary to plan the subject's daily activities. Patients reported a decrease in their overall fatigue of 62.5% using the Revised Piper Fatigue scale and a 35.3% decrease in depression symptoms by using the CES-D assessment. In summary, nurses play a pivotal role in the successful execution of this pilot study and there is evidence to support the positive effects on depression and fatigue.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, 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.titleNURSING ROLE IN A PILOT STUDY ON THE ADMINISTRATION OF EXERCISE IN ACUTE LEUKEMIA PATIENTS DURING INDUCTION CHEMOTHERAPYen_GB
dc.contributor.authorGarcia, Reynaldoen_US
dc.contributor.authorCreedle, Cristaen_US
dc.contributor.authorBattaglini, Claudioen_US
dc.author.detailsReynaldo Garcia, RN, BSN, OCN, Oncology Research Nurse Clinician, University of North Carolina Lineberger Cancer Center, Chapel Hill, North Carolina, USA, email: reynaldogarcia@med.unc.edu; Crista Creedle, RN, BSN, OCN, University of North Carolina Hospitals, Chapel Hill, North Carolina; Claudio Battaglini, PhD, University of North Carolina at Chapel Hill, Chapel Hill, North Carolinaen_US
dc.identifier.urihttp://hdl.handle.net/10755/165246-
dc.description.abstractInduction treatment for an acute leukemia usually requires an-inpatient hospitalization for 3 - 4 weeks. Besides chemotherapy, patient will receive blood product support, antibiotics and intravenous hydration. Patients are usually encouraged to stay active during this hospitalization, however, chemotherapy side-effects, diagnostic tests and fluid traffic management hinders this situation. A pilot study conducted examined the feasibility of administering an exercise regimen during the induction and the 2-weeks after induction of the subjects. Secondly, the study examined the effects of exercise on depression and fatigue symptoms utilizing the Revised Piper Fatigue Scale and Depression questionnaire (CES-D). An article from Sports Medicine Vol. 10 showed that exercise can be considered as a complimentary therapy in the management of chemotherapy related symptoms. The study accrued 6 male and 3 female subjects (target of 10) with age ranging from 18 - 60. Under the supervision of an exercise physiologist, subjects underwent an initial battery of fitness and psychological assessments done within the first 3 days of induction followed by an exercise intervention 3 - 4 times per week and re-assessment of the fitness and psychological parameters during specified times and at the end of the study (day before or the first day of consolidation therapy). It was administered for approximately 6 weeks (average of 4 weeks as an in-patient supervised individualized exercise prescription and 2 weeks as follow up at home through pre- prescribed self- administered exercise prescription) and was modified weekly depending on subjectÆs tolerance. This was divided into two daily sessions. A system has been utilized to inform everyone involved in the patient care about subjectÆs participation in the study. Various nursing interventions were implemented and good communication between the nursing staff and the exercise physiologist was necessary to plan the subject's daily activities. Patients reported a decrease in their overall fatigue of 62.5% using the Revised Piper Fatigue scale and a 35.3% decrease in depression symptoms by using the CES-D assessment. In summary, nurses play a pivotal role in the successful execution of this pilot study and there is evidence to support the positive effects on depression and fatigue.en_GB
dc.date.available2011-10-27T12:15:06Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:15:06Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, 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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