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A physical activity intervention to improve the quality of life of patients with a stoma: a feasibility study.
Pilot and Feasibility Studies Pub Date : 2020-02-05 , DOI: 10.1186/s40814-020-0560-0
Gill Hubbard 1 , Claire Taylor 2 , Angus J M Watson 3 , Julie Munro 1 , William Goodman 4 , Rebecca J Beeken 4
Affiliation  

Background We hypothesise that a physical activity (PA) intervention will improve the quality of life (QoL) of people with a stoma. A feasibility study of the intervention and trial parameters is necessary to inform a future main trial. Methods Participants received a weekly PA consultation by telephone, video conferencing, or face-to-face for 12 weeks with a PA instructor who prescribed physical activities and supported participants by addressing stoma-related concerns and using behaviour change techniques. A feasibility study of the intervention and trial parameters was conducted in three UK sites using mixed methods. Results The number of eligible patients consenting to the study was 30 out of 174 (17%). Most participants were female (73%); 73% had an ileostomy and 27% a colostomy; mean time since diagnosis was 6 months. A total of 18 (64%) participants completed pre- (baseline) and post-intervention (follow-up) measures. Results show an improvement on all scales measuring QoL and disease-specific fatigue. The median PA consultation rate per participant was eight sessions. Participants reported completing 75% or more of the prescribed PA each week. Eight stoma-related themes were identified from qualitative interviews: fear of hernia, bending down, fatigue, pain, prolapse, surgical wounds, stoma appliance, and stigma. The intervention appeared to address these issues. Conclusion This feasibility study demonstrated that a novel manualised PA intervention for people with a stoma is safe, feasible, and acceptable, and shows promise for improving outcomes. However, difficulties with recruitment will need to be carefully considered to ensure the success of future studies in this area. Trial registration ISCTN, ISRCTN58613962; Registered 14/9/2017.

中文翻译:

提高造口患者生活质量的体育活动干预:可行性研究。

背景 我们假设体育活动 (PA) 干预将提高造口患者的生活质量 (QoL)。干预和试验参数的可行性研究对于为未来的主要试验提供信息是必要的。方法 参与者通过电话、视频会议或面对面的方式接受为期 12 周的每周 PA 咨询,由 PA 指导员进行体育活动,并通过解决与造口相关的问题和使用行为改变技术来支持参与者。在英国的三个地点使用混合方法对干预和试验参数进行了可行性研究。结果 174 名符合条件的患者中有 30 名(17%)同意本研究。大多数参与者是女性(73%);73% 进行了回肠造口术,27% 进行了结肠造口术;自诊断以来的平均时间为 6 个月。共有 18 名 (64%) 参与者完成了干预前(基线)和干预后(随访)措施。结果显示,测量生活质量和疾病特异性疲劳的所有尺度都有所改善。每个参与者的 PA 咨询率中位数为 8 次。参与者报告每周完成规定的 PA 的 75% 或更多。从定性访谈中确定了八个与造口相关的主题:对疝气的恐惧、弯腰、疲劳、疼痛、脱垂、手术伤口、造口矫治器和耻辱感。干预似乎解决了这些问题。结论 该可行性研究表明,针对造口患者的新型手动 PA 干预是安全、可行和可接受的,并有望改善结果。然而,需要仔细考虑招聘困难,以确保该领域未来研究的成功。试用注册ISCTN,ISRCTN58613962;2017 年 14 月 9 日注册。
更新日期:2020-04-22
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