PTRNQualitativeCancer nursing

"Doing What Only I Can Do": Experiences From Participating in a Multimodal Exercise-Based Intervention in Older Patients With Advanced Cancer-A Qualitative Explorative Study.

Marta Kramer Mikkelsen, Hanne Michelsen, Dorte Lisbet Nielsen and 3 others

PMID 34294645

WHAT IT FOUND

Older patients with advanced cancer enrolled in a combined exercise, walking, protein drink and nurse counseling program said it helped strength, energy and daily tasks, but fatigue, side effects and being pushed too hard were barriers.

Key findings

01Participants described increased strength, endurance and energy, and some felt less fatigue, pain, neuropathy or breathlessness.

02Physiotherapists and nurses motivated participants, and nurse-led support was valued for solving problems that could otherwise block exercise.

03Fatigue was sometimes the main reason for not attending, and a participant developed an osteoporotic spinal compression after exercising.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for RNs

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What it does not show

Only patients who completed the post-program evaluation testing were interviewed, so experiences of those who dropped out, especially barriers, were missing. Participants may have wanted to give positive answers because of their relationship with the exercise team. The main analyst was also the study coordinator and nurse involved in the intervention, so prior familiarity with participants could bias interpretation. Only intervention-group experiences were analyzed, so the study cannot show what would have happened without the program. The program had several components, so the study cannot separate their contributions.

Declared interests

The authors declared no conflicts of interest.

The easy way to misread this

Do not read the reported benefits as evidence that the program's components work on their own. The study interviewed only patients who completed the post-program evaluation testing, did not compare them with patients who did not receive the program, and cannot separate the contributions of exercise, walking, protein drinks and nurse counseling.

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