Zusammenfassung
Hintergrund Patienten mit chronischer Graft-versus-Host-Krankheit (cGvHD) nach allogener hämatopoetischer Stammzelltransplantation (alloSZT) leiden oft langfristig an reduzierter Leistungsfähigkeit und Bewegungseinschränkungen.
Methoden Durch die Arbeitsgruppe des German-Austrian-Swiss GvHD-Konsortium wurde in Kooperation mit Physiotherapeuten, Sportwissenschaftlern, Pädiatern, Pneumologen und Rehabilitationsmedizinern ein Konsens zur Bewegungstherapie der GvHD erarbeitet.
Ergebnisse Trotz regelmäßiger Anwendung physio- und sporttherapeutischer Maßnahmen in der Supportivtherapie der cGvHD, ist die Datenlage limitiert. Um die Qualität der Behandlung von cGvHD-Patienten durch die Etablierung einheitlicher Standards zu verbessern, wurde ein Konsens erarbeitet.
Diskussion und Schlussfolgerung Die Verbesserung der Leistungsfähigkeit und Lebensqualität von cGvHD-Patienten erfordert eine kontinuierliche Therapie und die Validierung der Konsensusempfehlungen.
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.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.