Nurse-led innovations implemented during COVID-19 for adults living with chronic disease or multimorbidity: A scoping review (Preprint) DOI
Lisa Whitehead,

Colleen Van Lochem,

Olutoyin Babutunde-Sowole

et al.

Published: Nov. 24, 2022

BACKGROUND The COVID-19 pandemic has redefined healthcare. Nurses, the largest registered health workforce worldwide have responded to meet demands and changes in care. Understanding how nurses innovated practice respond will map current evidence. OBJECTIVE To scope all available peer-reviewed evidence on nurse-led innovations support adults living with chronic disease or multimorbidity response COVID-19. METHODS A comprehensive systematic search strategy was used query multiple electronic databases from 2020 through October 2022. After removing 162 duplicates, 751 records were screened 10 included review. Joanna Briggs Institute’s scoping review methodology guide stages of RESULTS number published date is small (n=10) relative size observation rapid across healthcare systems as a result reported involved transition an existing face-to-face intervention information communications technology platform. Some patient satisfaction acceptability innovations. CONCLUSIONS focus interventions underpinned by communication platforms highlights importance digitally competent workforce. Key gaps literature identified including reports geographical area variety clinical settings. Few been published. call for greater visibility during this period significant change field management made. CLINICALTRIAL (https://osf.io/zmep2/).

Language: Английский

Home-based cardio-oncology rehabilitation using a telerehabilitation platform in hematological cancer survivors: a feasibility study DOI Creative Commons
Kateřina Filáková, Andrea Janíková, Marián Felšöci

et al.

BMC Sports Science Medicine and Rehabilitation, Journal Year: 2023, Volume and Issue: 15(1)

Published: March 23, 2023

Cardiovascular disease is a competing mortality cause in hematological cancer survivors due to toxic oncological treatment, accumulation of risk factors, and decline cardiorespiratory fitness. Cardio-oncology rehabilitation (CORE) an emerging treatment model optimize the prognosis patients survivors; however, its accessibility during COVID-19 pandemic poor. The study aimed evaluate feasibility, safety, effect 12-week home-based CORE intervention telerehabilitation approach among survivors.A prospective single-arm interventional was conducted at faculty hospital Brno, Czech Republic. This provided 12 weeks using that allows remote supervision by clinician from medical facility. consists three components: heart rate sensor (PolarM430, Kempele, Finland), web platform compatible with sensor, telesupervising via telephone call (1 per week). To improve adherence, physiotherapist called participants assess or address adverse effects, exercise feedback, participant-related concerns. anthropometry, body composition, fitness were measured immediately after intervention.Eleven average age 60.3 ± 10 years participated study. Most diagnosed Follicular lymphoma received maintenance treatment. Participants had significant (p < 0.05) increase 2.6 ml/kg/min; peak workload, 143.3 60.6 W 158.6 67.5 0.05). Improvement anthropometry composition observed but yielded no statistical significance. (80%) completed times/per week session for weeks.No event identified.Findings this suggest may provide CRF period discharge. effective, feasible, safe, has demonstrated good adherence. Further randomized controlled efficacy larger sample size needed before clinical implementation.Clinical trial registration number NCT04822389 (30/03/2021).

Language: Английский

Citations

14
Patients' Perceptions of Hybrid and Virtual-Only Care Models During the Cardiac Rehabilitation Patient Journey DOI Open Access
Laís Manata Vanzella, Lisa M. Cotie,

Madeleine Flores-Hukom

et al.

The Journal of Cardiovascular Nursing, Journal Year: 2024, Volume and Issue: unknown, P. 10.1097/JCN.0000000000001076 - 10.1097/JCN.0000000000001076

Published: Jan. 5, 2024

Background The COVID-19 pandemic initially led to discontinuation of the “traditional” center-based cardiac rehabilitation (CR) model. Virtual models emerged as an opportunity deliver care, with many programs continuing offer these models. Objective aim this study was explore patients' perceptions virtual either hybrid (combining and virtual) or virtual-only CR since pandemic. Methods Men women who chose participate in between January 2022 2023 were invited attend 1 8 focus group sessions. Focus groups conducted online until thematic saturation reached. Transcripts analyzed using analysis. Results Twenty-three patients (48% female; 83% attending CR) participated study. Analysis revealed 12 overarching themes associated patient journey: pre-CR, namely, (1) importance endorsement from healthcare providers (2) need for education/communication while waiting program initiation; during CR, (3) preference class composition/structure, (4) enhance peer support environment, (5) convenience concerns sessions, (6) necessity on-site (7) safety exercise prescription, (8) requirement/obligation allied health offerings, (9) satisfaction education, (10) use technology facilitate participation; post-CR, (11) acknowledgment completion (12) support/education after graduation. Conclusions Patients require ongoing time referral beyond completion. Physical, psychosocial, nutritional, educational supports are needed. Perceptions expressed by related model modifiable, strategies address should be explored.

Language: Английский

Citations

4
Relationship between physical activity and quality of life among patients with respiratory and digestive system cancer during and outside the COVID-19 pandemic DOI
Hui‐Mei Chen, Jiu‐Yun Tian, Wenjing Gao

et al.

Supportive Care in Cancer, Journal Year: 2025, Volume and Issue: 33(4)

Published: March 17, 2025

Language: Английский

Citations

0
Effect of a lifestyle intervention program's on breast cancer survivors' cardiometabolic health: Two-year follow-up DOI Creative Commons
Valentina Natalucci, Carlo Ferri Marini, Francesco Lucertini

et al.

Heliyon, Journal Year: 2023, Volume and Issue: 9(11), P. e21761 - e21761

Published: Oct. 29, 2023

The purpose of this study is to assess the cardiometabolic responses a lifestyle intervention (LI) conducted at home among breast cancer (BC) survivors during two years COVID-19 pandemic. A 3-month LI focused on diet and exercise was performed thirty BC (women; stages 0-II; non-metastatic; aged 53.6 ± 7.6 years; non-physically active) with risk factor related metabolic/endocrine diseases. Anthropometrics, cardiorespiratory fitness (V˙O2max), physical activity level (PAL), adherence Mediterranean (MeDiet modified questionnaire), several biomarkers (i.e., glycemia, insulin, insulin resistance [HOMA-IR] index, triglycerides, high- [HDL] low- [LDL] density lipoproteins, total cholesterol, progesterone, testosterone, hs-troponin) were evaluated before 3-, 6-, 12-, 24-month after LI. Beneficial effects observed variables body mass waist circumference, MeDiet, PAL, V˙ O2max, HOMA-IR LDL, testosterone) 3-month. significant effect O2max persisted up follow-up. Decreases in index triglycerides 12-month, however did not persist afterward. This provides evidence positive association between health survivors.

Language: Английский

Citations

3
Physical Activity Level and Perspectives of Participants Transitioning from Onsite to Virtual Cardiac Rehabilitation during the Early COVID-19 Pandemic: A Mixed-Method Study DOI Open Access
Laís Manata Vanzella, Gabriela Lima de Melo Ghisi,

Tracey Jacqueline Fitchett Colella

et al.

Journal of Clinical Medicine, Journal Year: 2022, Volume and Issue: 11(16), P. 4838 - 4838

Published: Aug. 18, 2022

This mixed-method study aimed to compare physical activity (PA) patterns of a cross-over cardiac rehabilitation (CR) cohort with center-based CR and explore barriers facilitators participants transitioning engaging in virtual CR. It included the retrospective self-reported PA (n = 75) matched 75). Some 12) attended semi-structured focus group sessions results were interpreted context PRECEDE-PROCEED model. Differences between groups not observed (p > 0.05). The increased exercise frequency 0.002), duration 0.007), MET/minutes 0.007) over time. 0.04) no significant change any other parameters. Analysis from revealed six overarching themes classified under predisposing factors (knowledge), enabling (external support, COVID-19 restrictions, mental health, personal reasons/preferences), reinforcing (recommendations). These findings suggest an improvement levels pre-pandemic mitigated those who transitioned early pandemic. Improving patients’ exercise-related knowledge, provider endorsements, implementation videoconferencing could help overcome participation

Language: Английский

Citations

5
Experiences of breast cancer survivors with exercise rehabilitation: qualitative systematic review and meta-synthesis DOI
Yanjuan Lu, Chunlei Liu, Mengying Sun

et al.

Supportive Care in Cancer, Journal Year: 2023, Volume and Issue: 31(10)

Published: Sept. 8, 2023

Language: Английский

Citations

2
Nurse-led innovations implemented during COVID-19 for adults living with chronic disease or multimorbidity: A scoping review (Preprint) DOI
Lisa Whitehead,

Colleen Van Lochem,

Olutoyin Babutunde-Sowole

et al.

Published: Nov. 24, 2022

BACKGROUND The COVID-19 pandemic has redefined healthcare. Nurses, the largest registered health workforce worldwide have responded to meet demands and changes in care. Understanding how nurses innovated practice respond will map current evidence. OBJECTIVE To scope all available peer-reviewed evidence on nurse-led innovations support adults living with chronic disease or multimorbidity response COVID-19. METHODS A comprehensive systematic search strategy was used query multiple electronic databases from 2020 through October 2022. After removing 162 duplicates, 751 records were screened 10 included review. Joanna Briggs Institute’s scoping review methodology guide stages of RESULTS number published date is small (n=10) relative size observation rapid across healthcare systems as a result reported involved transition an existing face-to-face intervention information communications technology platform. Some patient satisfaction acceptability innovations. CONCLUSIONS focus interventions underpinned by communication platforms highlights importance digitally competent workforce. Key gaps literature identified including reports geographical area variety clinical settings. Few been published. call for greater visibility during this period significant change field management made. CLINICALTRIAL (https://osf.io/zmep2/).

Language: Английский

Citations

0