TY -的盟Cnossen英格丽·C AU - van Uden-Kraan,科妮莉亚F AU - Rinkel, Rico NPM盟——Aalders IJke J AU - de Goede齐斯特里非盟-德布莉Remco AU - Doornaert,帕特丽夏盟-里特维德,德里克高频非盟- Langendijk Johannes盟——Witte Birgit我非盟——Leemans, C Rene AU - Verdonck-de Leeuw,厄玛米PY - 2014 DA - 2014/03/06 TI -多通道引导自助运动项目,以防止演讲,吞咽、头部和颈部癌症患者和肩膀问题:可行性研究乔- J地中海互联网Res SP - e74六世- 16 - 3 KW -电子健康KW -自我保健KW -头颈癌KW -锻炼KW -演讲KW -吞咽KW -肩膀KW -手术KW -化疗放疗KW - AB -背景:在六周(化疗)辐射很多的头部和颈部癌症患者不得不忍受radiotherapy-induced毒性,负面影响病人的生活质量。治疗前咨询结合自助练习，可以告知患者治疗过程中及治疗后可能出现的言语、吞咽、肩部问题。目的:我们的目标是研究在头颈部癌症患者(化疗)放疗期间头部问题的多模式引导自助锻炼计划的可行性。方法:头颈癌患者接受一次(化疗)放射治疗或手术后被要求在家进行Head Matters。这一预防性锻炼计划以三种不同的形式提供，旨在降低出现语言障碍、吞咽问题、肩膀问题和脖子僵硬的风险。每周由一位语言和吞咽治疗师提供指导。病人填写日记记录他们的运动情况。为了深入了解锻炼依从性的可能障碍和促进因素，由2名编码人员独立分析了每周指导课程的报告。结果:41名符合条件的患者中，34名患者愿意参与(83%)。 Of participating patients, 21 patients completed the program (64% adherence rate). The majority of participants (58%) had a moderate to high level of exercise performance. Exercise performance level was not significantly associated with age (P=.50), gender (P=.42), tumor subsite (P=1.00) or tumor stage (P=.20), treatment modality (P=.72), or Head Matters format (Web-based or paper) (P=1.00). Based on patients’ diaries and weekly coaching sessions, patients’ perceived barriers to exercise were a decreased physical condition, treatment-related barriers, emotional problems, lack of motivation, social barriers, and technical problems. Patients’ perceived facilitators included an increased physical condition, feeling motivated, and social and technical facilitators. Conclusions: Head Matters, a multimodal guided self-help exercise program is feasible for head and neck cancer patients undergoing (chemo)radiation. Several barriers (decreased physical condition, treatment-related barriers) and facilitators (increased physical condition, feeling motivated) were identified providing directions for future studies. The next step is conducting a study investigating the (cost-)effectiveness of Head Matters on speech, swallowing, shoulder function, and quality of life. SN - 14388871 UR - //www.mybigtv.com/2014/3/e74/ UR - https://doi.org/10.2196/jmir.2990 UR - http://www.ncbi.nlm.nih.gov/pubmed/24610383 DO - 10.2196/jmir.2990 ID - info:doi/10.2196/jmir.2990 ER -