Effectiveness ofWalking Exercise in Patients Undergoing Surgical Resection of Lung Cancer: A Systemic Review and Meta-Analysis

• Main Authors: LIU, HSUAN-RONG, 劉宣瑢
• Other Authors: LIN, LI-FENG
• Format: Others
• Language: zh-TW
• Published: 2017
• Online Access: http://ndltd.ncl.edu.tw/handle/m3wdc5

碩士 === 中臺科技大學 === 護理系碩士班 === 105 === Lung cancer patients usually complain some health problems (e.g. pain, fatigue, sleep disorder, dyspnea, activity intolerance, dry mouth) after receiving the surgeries. Those health problems may have negative impact on quality of life and daily life function in patients with lung cancer. Walking exercise has been used to improve lung cancer patients’ quality of life and relevant physiological indices However, there was no systematic reviews to evaluate its practical clinic outcomes in Taiwan. To explore the effect of walking exercise on the outcomes of physiological indices in lung cancer patients who received surgery by using systematic reviews and meta-analysis method. To search published articles between Nov., 2006 and Nov., 2016 from PubMed, EBSCO( MEDLINE, CINAHL, Academic Search Complet – ASC ), PsycInfo, Joanna Briggs Institute EBP database, Cochrane Library Central Register of Controlled Trials, Index to Taiwan Periodical Literature System, National Digital Library of Theses and Dissertations in Taiwan, and Airiti Library by using the keywords,"Lung cancer", "surgery" and "walking exercise" to select the randomized control trail and quasi-experimental study design of walking exercise for further analysis, synthesis, and summarization. The results suggested that exercise compared with control has a positive impact on quality of life. Walking exercise resulted in improvement EORTC-C30 dyspnea domain (MD = -17.90, 95%CI [-30.84, -4.96], p < .05), Short-Form 36 physical domain (MD 7.84, 95CI%[3.68, 12.00], p < .01) and mental domain (MD 8.17, 95CI% [13.11, 13.22 ], p < .01). But there was no impact on exercise capacity and lung function. In conclusion, Walking exercise improves quality of life and physiological indices in lung cancer patients, which might help medical staffs to carry out as a caring intervention.