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Health care professionals’ understanding of contraindications for physical activity advice in the setting of stem cell transplantation

PURPOSE: Most patients receiving a hematopoietic stem cell transplantation (HSCT) are able to tolerate and benefit from physical activity (PA). Therefore, it is important that health care professionals (HCPs) advise patients to perform PA before, during, and after transplantation. By understanding w...

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Autores principales: Meyer-Schwickerath, Corinna, Köppel, Maximilian, Kühl, Rea, Rivera, Janina Bujan, Tsiouris, Angeliki, Huber, Gerhard, Wiskemann, Joachim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9420674/
https://www.ncbi.nlm.nih.gov/pubmed/36031656
http://dx.doi.org/10.1007/s00520-022-07336-4
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author Meyer-Schwickerath, Corinna
Köppel, Maximilian
Kühl, Rea
Rivera, Janina Bujan
Tsiouris, Angeliki
Huber, Gerhard
Wiskemann, Joachim
author_facet Meyer-Schwickerath, Corinna
Köppel, Maximilian
Kühl, Rea
Rivera, Janina Bujan
Tsiouris, Angeliki
Huber, Gerhard
Wiskemann, Joachim
author_sort Meyer-Schwickerath, Corinna
collection PubMed
description PURPOSE: Most patients receiving a hematopoietic stem cell transplantation (HSCT) are able to tolerate and benefit from physical activity (PA). Therefore, it is important that health care professionals (HCPs) advise patients to perform PA before, during, and after transplantation. By understanding which medical conditions and safety issues are associated with the (non-) promotion of PA, concrete actions and interventions can be planned and implemented. METHODS: Physicians (N = 51), nurses (N = 52), and physical therapists (N = 26) participated in a nationwide cross-sectional online survey. HCPs’ understanding of 15 medical conditions as contraindications for PA was assessed. Significant group differences were determined using chi-square analysis. RESULTS: Acute infection was the only condition which was considered as contraindication by all HCPs (62.7%). Cachexia (78%), having a stoma (91%), or port (96.2%), psychological problems (88.4%), and leukopenia (83.3%) were not considered as contraindications. Six conditions were rated inconsistently between the groups, whereas physicians had the least concerns regarding PA. Physicians with an additional training in PA perceived a platelet count of ≤ 50,000/μl significantly less often as contraindication (p < 0.05). CONCLUSION: The large number of potentially-answers especially in nursing staff and physical therapists might reflect caution or uncertainty. There is a clear need for a good multidisciplinary cooperation between all HCPs in order to support patients to confidently engage in PA. Furthermore, education possibilities and evidence-based courses to build knowledge regarding safety concerns should be the standard practice in the setting of HSCT. The investigative nature of the paper indicates that certain trends should be interrogated in a causal-longitudinal design.
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spelling pubmed-94206742022-08-30 Health care professionals’ understanding of contraindications for physical activity advice in the setting of stem cell transplantation Meyer-Schwickerath, Corinna Köppel, Maximilian Kühl, Rea Rivera, Janina Bujan Tsiouris, Angeliki Huber, Gerhard Wiskemann, Joachim Support Care Cancer Original Article PURPOSE: Most patients receiving a hematopoietic stem cell transplantation (HSCT) are able to tolerate and benefit from physical activity (PA). Therefore, it is important that health care professionals (HCPs) advise patients to perform PA before, during, and after transplantation. By understanding which medical conditions and safety issues are associated with the (non-) promotion of PA, concrete actions and interventions can be planned and implemented. METHODS: Physicians (N = 51), nurses (N = 52), and physical therapists (N = 26) participated in a nationwide cross-sectional online survey. HCPs’ understanding of 15 medical conditions as contraindications for PA was assessed. Significant group differences were determined using chi-square analysis. RESULTS: Acute infection was the only condition which was considered as contraindication by all HCPs (62.7%). Cachexia (78%), having a stoma (91%), or port (96.2%), psychological problems (88.4%), and leukopenia (83.3%) were not considered as contraindications. Six conditions were rated inconsistently between the groups, whereas physicians had the least concerns regarding PA. Physicians with an additional training in PA perceived a platelet count of ≤ 50,000/μl significantly less often as contraindication (p < 0.05). CONCLUSION: The large number of potentially-answers especially in nursing staff and physical therapists might reflect caution or uncertainty. There is a clear need for a good multidisciplinary cooperation between all HCPs in order to support patients to confidently engage in PA. Furthermore, education possibilities and evidence-based courses to build knowledge regarding safety concerns should be the standard practice in the setting of HSCT. The investigative nature of the paper indicates that certain trends should be interrogated in a causal-longitudinal design. Springer Berlin Heidelberg 2022-08-29 2022 /pmc/articles/PMC9420674/ /pubmed/36031656 http://dx.doi.org/10.1007/s00520-022-07336-4 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Meyer-Schwickerath, Corinna
Köppel, Maximilian
Kühl, Rea
Rivera, Janina Bujan
Tsiouris, Angeliki
Huber, Gerhard
Wiskemann, Joachim
Health care professionals’ understanding of contraindications for physical activity advice in the setting of stem cell transplantation
title Health care professionals’ understanding of contraindications for physical activity advice in the setting of stem cell transplantation
title_full Health care professionals’ understanding of contraindications for physical activity advice in the setting of stem cell transplantation
title_fullStr Health care professionals’ understanding of contraindications for physical activity advice in the setting of stem cell transplantation
title_full_unstemmed Health care professionals’ understanding of contraindications for physical activity advice in the setting of stem cell transplantation
title_short Health care professionals’ understanding of contraindications for physical activity advice in the setting of stem cell transplantation
title_sort health care professionals’ understanding of contraindications for physical activity advice in the setting of stem cell transplantation
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9420674/
https://www.ncbi.nlm.nih.gov/pubmed/36031656
http://dx.doi.org/10.1007/s00520-022-07336-4
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