Hematopoietic Stem Cell Transplantation
Conditions
Keywords
Action research, Hematopoietic stem cell transplantation, Exercise program
Brief summary
Background: Hematopoietic stem cell transplantation (HSCT) is a highly aggressive treatment, which is associated with numerous treatment-related side effects, such as fatigue and decreased functional activity. While recent studies have shown that physical exercise for patients undergoing HSCT is safe and feasible, and has a positive effect on the quality of life, fatigue, and lower limb muscle strength. However, there is no consensus regarding the intensity, type and frequency of exercise program, and few studies mention the patients' experience of exercise barriers and facilitators during HSCT. Therefore, the clinical implementation of exercise program is quite difficult. Purpose: The purpose of this study is to develop a feasible exercise program for hospitalized patients undergoing hematopoietic stem cell transplantation. Methods: Action Research is used to collect quantitative and qualitative data. Through the rolling revision of the exercise program during HSCT, finally develop a feasible exercise program. Expected results: Developing a feasible exercise program for hospitalized patients undergoing hematopoietic stem cell transplantation.
Interventions
None listed
Sponsors
Chimei Medical Center
Study design
Observational model
OTHER
Time perspective
OTHER
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
1. First-time hematopoietic stem cell transplantation (HSCT) patients who are ambulatory, their primary caregivers, and physical therapists and nurses participating in the exercise intervention; 2. Age 20 years or older; 3. Capable of understanding and complying with the study objectives; 4. No psychiatric disorders or cognitive impairments.
Exclusion criteria
1. HSCT patients deemed unsuitable for exercise participation based on the attending physician's assessment; 2. HSCT patients at risk of fractures or confined to bed rest due to musculoskeletal conditions.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Exercise adherence rate | approximately 4-6 weeks | Definition: The percentage of prescribed exercise sessions completed by participants during the hematopoietic stem cell transplantation hospitalization period. Measurement Method: 1. Numerator: Number of completed exercise sessions 2. Denominator: Total number of prescribed exercise sessions 3. Unit of Measure: Percentage (%) |
| Patient Satisfaction Score of the Exercise Program | approximately 4-6 weeks | Definition: The mean score of a 7-item satisfaction questionnaire using a 5-point Likert scale to evaluate patient's satisfaction with the exercise program. Measurement Method: 1. Tool: 7-item satisfaction questionnaire with 5-point Likert scale Scale Range: 1 (strongly disagree) to 5 (strongly agree) 2. Total Score Calculation: Mean score of all 7 items 3. Unit of Measure: Score on a scale (1-5) Questionnaire Items: 1. Appropriateness of exercise timing 2. Appropriateness of exercise intensity 3. Appropriateness of exercise frequency 4. Appropriateness of exercise type and difficulty level 5. Achievement of exercise goals 6. Satisfaction with personal performance 7. Willingness to continue exercising |
| Exercise-Related Adverse Events Rate | approximately 4-6 weeks | Definition: The percentage of exercise sessions with adverse events during the hematopoietic stem cell transplantation hospitalization period. Measurement Method: 1. Numerator: Number of exercise sessions with adverse events 2. Denominator: Total number of completed exercise sessions 3. Unit of Measure: Percentage (%) |
Countries
Taiwan
Outcome results
None listed