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Erschienen in: Digestive Diseases and Sciences 3/2024

08.01.2024 | Original Article

Nurse Supervised at Institutes versus Nurse Counseling Home-Based Resistance Exercise Training for Acute Pancreatitis

verfasst von: Jing Huang, Hui Zhang

Erschienen in: Digestive Diseases and Sciences | Ausgabe 3/2024

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Abstract

Background

The physical and mental quality of life of patients with acute pancreatitis is poor. Professional nurses have the necessary knowledge, art, and skills to aid in resistance exercise training.

Aims

To evaluate the effectiveness of 6 months of nurse-supervised resistance exercise training plus nutritional supplements and 6 months of nurse counseling home-based resistance exercise training plus nutritional supplements for patients with pancreatitis.

Methods

Patients with acute pancreatitis (age ≥ 18 years) received nurse-supervised resistance exercise training at the institute (NEN cohort, n = 103), nurse counseling for home-based resistance exercise (HEN cohort, n = 123), or usual care (UCN cohort, n = 155) for 6 months. All patients received advice regarding nutritional especially protein supplements.

Results

Before non-treatment intervention(s) (BL), quality of life score of patients was 53, mild-to-moderate self-reported pain episodes, or worse pain, and a total of 22% of patients were disabled. Patients in the NEN cohort had improved quality of life and decreased pain and disability after 6 months of non-treatment intervention(s) (EL) compared to their BL condition and those of the UCN and HEN cohorts at EL (p < 0.05 for all). A smaller number of patients were hospitalized and died in the NEN cohort than in the UCN and HEN cohorts (p ≤ 0.001 for both) during the follow-up period.

Conclusion

The quality of life, pain, and disability condition(s) of patients with acute pancreatitis should be improved. Nurse-supervised resistance exercise training at the institute associated with improvement in the quality of life and decrease of pain, disability, hospitalization, and death of patients with acute pancreatitis.

Graphical Abstract

Literatur
1.
2.
Zurück zum Zitat Machicado JD, Amann ST, Anderson MA et al. Quality of life in chronic pancreatitis is determined by constant pain, disability/unemployment, current smoking, and associated co-morbidities. Am J Gastroenterol 2017;112:633–642.CrossRefPubMedPubMedCentral Machicado JD, Amann ST, Anderson MA et al. Quality of life in chronic pancreatitis is determined by constant pain, disability/unemployment, current smoking, and associated co-morbidities. Am J Gastroenterol 2017;112:633–642.CrossRefPubMedPubMedCentral
3.
Zurück zum Zitat Amann ST, Yadav D, Barmada MM et al. Physical and mental quality of life in chronic pancreatitis: A case-control study from the North American pancreatitis study 2 cohort. Pancreas 2013;42:293–300.CrossRefPubMedPubMedCentral Amann ST, Yadav D, Barmada MM et al. Physical and mental quality of life in chronic pancreatitis: A case-control study from the North American pancreatitis study 2 cohort. Pancreas 2013;42:293–300.CrossRefPubMedPubMedCentral
4.
Zurück zum Zitat Olesen SS, Juel J, Nielsen AK et al. Pain severity reduces life quality in chronic pancreatitis: Implications for design of future outcome trials. Pancreatology 2014;14:497–502.CrossRefPubMed Olesen SS, Juel J, Nielsen AK et al. Pain severity reduces life quality in chronic pancreatitis: Implications for design of future outcome trials. Pancreatology 2014;14:497–502.CrossRefPubMed
5.
Zurück zum Zitat Talukdar R, Unnisa M. Optimizing nutrition in chronic pancreatitis. Curr Opin Gastroenterol 2022;38:495–500.CrossRefPubMed Talukdar R, Unnisa M. Optimizing nutrition in chronic pancreatitis. Curr Opin Gastroenterol 2022;38:495–500.CrossRefPubMed
7.
Zurück zum Zitat Monaghan B, Monaghan A, Mockler D et al. Physical activity for chronic pancreatitis: A systematic review. HPB 2022;24:1217–1222.CrossRefPubMed Monaghan B, Monaghan A, Mockler D et al. Physical activity for chronic pancreatitis: A systematic review. HPB 2022;24:1217–1222.CrossRefPubMed
8.
Zurück zum Zitat de Leeuw J, Prins JB, Teerenstra S, Merkx MA, Marres HA, van Achterberg T. Nurse-led follow-up care for head and neck cancer patients: a quasi-experimental prospective trial. Support Care Cancer 2013;21:537–547.CrossRefPubMed de Leeuw J, Prins JB, Teerenstra S, Merkx MA, Marres HA, van Achterberg T. Nurse-led follow-up care for head and neck cancer patients: a quasi-experimental prospective trial. Support Care Cancer 2013;21:537–547.CrossRefPubMed
9.
Zurück zum Zitat Molina-Mula J, Gallo-Estrada J. Impact of nurse-patient relationship on quality of care and patient autonomy in decision-making. Int J Environ Res Public Health 2020;17:835.CrossRefPubMedPubMedCentral Molina-Mula J, Gallo-Estrada J. Impact of nurse-patient relationship on quality of care and patient autonomy in decision-making. Int J Environ Res Public Health 2020;17:835.CrossRefPubMedPubMedCentral
10.
Zurück zum Zitat Hong YL, Hsieh TC, Chen PR, Chang SC. Nurse-led counseling intervention of postoperative home-based exercise training improves shoulder pain, shoulder disability, and quality of life in newly diagnosed head and neck cancer patients. J Clin Med 2022;11:4032.CrossRefPubMedPubMedCentral Hong YL, Hsieh TC, Chen PR, Chang SC. Nurse-led counseling intervention of postoperative home-based exercise training improves shoulder pain, shoulder disability, and quality of life in newly diagnosed head and neck cancer patients. J Clin Med 2022;11:4032.CrossRefPubMedPubMedCentral
11.
Zurück zum Zitat Steindorf K, Clauss D, Tjaden C et al. Quality of life, fatigue, and sleep problems in pancreatic cancer patients—A randomized trial on the effects of exercise. Dtsch Arztebl Int 2019;116:471–478.PubMedPubMedCentral Steindorf K, Clauss D, Tjaden C et al. Quality of life, fatigue, and sleep problems in pancreatic cancer patients—A randomized trial on the effects of exercise. Dtsch Arztebl Int 2019;116:471–478.PubMedPubMedCentral
12.
Zurück zum Zitat Yan J, Yilin H, Di W et al. A nomogram for predicting the risk of mortality in patients with acute pancreatitis and Gram-negative bacilli infection. Front Cell Infect Microbiol 2022;12:1032375.CrossRefPubMedPubMedCentral Yan J, Yilin H, Di W et al. A nomogram for predicting the risk of mortality in patients with acute pancreatitis and Gram-negative bacilli infection. Front Cell Infect Microbiol 2022;12:1032375.CrossRefPubMedPubMedCentral
13.
14.
Zurück zum Zitat Zhang Y, Qu B, Lun SS, Guo Y, Liu J. The 36-item short form health survey: Reliability and validity in Chinese medical students. Int J Med Sci 2012;9:521–526.CrossRefPubMedPubMedCentral Zhang Y, Qu B, Lun SS, Guo Y, Liu J. The 36-item short form health survey: Reliability and validity in Chinese medical students. Int J Med Sci 2012;9:521–526.CrossRefPubMedPubMedCentral
15.
Zurück zum Zitat Lu YC, Zheng YY. Institute-based nurse-led care versus home-based resistance training for patients with acute pancreatitis: Clinical outcomes analysis. Medicine 2023;102:e32851.CrossRefPubMedPubMedCentral Lu YC, Zheng YY. Institute-based nurse-led care versus home-based resistance training for patients with acute pancreatitis: Clinical outcomes analysis. Medicine 2023;102:e32851.CrossRefPubMedPubMedCentral
16.
Zurück zum Zitat Wassef W, DeWitt J, McGreevy K et al. Pancreatitis quality of life instrument: A psychometric evaluation. Am J Gastroenterol 2016;111:1177–1186.CrossRefPubMed Wassef W, DeWitt J, McGreevy K et al. Pancreatitis quality of life instrument: A psychometric evaluation. Am J Gastroenterol 2016;111:1177–1186.CrossRefPubMed
17.
Zurück zum Zitat Lee IM, Shiroma EJ, Lobelo F et al. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet 2012;380:219–229.CrossRefPubMedPubMedCentral Lee IM, Shiroma EJ, Lobelo F et al. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet 2012;380:219–229.CrossRefPubMedPubMedCentral
18.
Zurück zum Zitat Sofi F, Valecchi D, Bacci D et al. Physical activity and risk of cognitive decline: A meta-analysis of prospective studies. J Intern Med 2011;269:107–117.CrossRefPubMed Sofi F, Valecchi D, Bacci D et al. Physical activity and risk of cognitive decline: A meta-analysis of prospective studies. J Intern Med 2011;269:107–117.CrossRefPubMed
19.
Zurück zum Zitat Grazioli E, Dimauro I, Mercatelli N et al. Physical activity in the prevention of human diseases: role of epigenetic modifications. BMC Genomics 2017;18:802.CrossRefPubMedPubMedCentral Grazioli E, Dimauro I, Mercatelli N et al. Physical activity in the prevention of human diseases: role of epigenetic modifications. BMC Genomics 2017;18:802.CrossRefPubMedPubMedCentral
Metadaten
Titel
Nurse Supervised at Institutes versus Nurse Counseling Home-Based Resistance Exercise Training for Acute Pancreatitis
verfasst von
Jing Huang
Hui Zhang
Publikationsdatum
08.01.2024
Verlag
Springer US
Erschienen in
Digestive Diseases and Sciences / Ausgabe 3/2024
Print ISSN: 0163-2116
Elektronische ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-023-08241-4

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