Ask an answerable question (PICO):
Build up a clinical question: explore whether doing exercise is able to reduce cancer-related fatigue in breast cancer patients with chemotherapy. PICO: P: 45 years old, female, diagnosed with breast cancer patients, chemotherapy; I: does exercise; C: no exercise; O: cancer-related fatigue score.
The Method and Analysis of Literature Review:
(1) The literature searching database includes : Cochrane, Embase, Airiti Library, and the Cochrane.
(2) Keywords are included as follows: P (breast cancer, Breast neoplasm, breast carcino*), I (Exercise, Sport), O (Cancer-related fatigue, fatigue); Using OR, AND in Boolean Logic to develop strategy to search, Based on meta-analysis, systematic review articles.
Critical Appraisal:
Qualified critical appraisal of literature-for searching results: there
are total 113 articles found in Chinese and English literature databases; by deducting and removing the literature of 108 articles measures of study design do not correspond with PICO, 1 articles were lower grade, 1 articles were repeat, a total of 3 articles of literature are being appraised, with the appraising tool of CASP in the version of 2018.
Clinical Application of Evidence:
Using 7 steps of empirical knowledge translation to improve the question. This research is designed as a true experimental research (random experimental control group before and after testing). During September 1, 2020 to November 1, 2020. Purposive sampling study, conducted for breast cancer patients with chemotherapy;
Performed in the ward of the Northern Medical Center in Taiwan. Intervention measures for the implementation of speed walking exercise program.
Evaluation of Effectiveness:
Evaluation with the use of statistical analysis, compare the effectiveness of cancer-related fatigue changes before and after doing exercise in breast cancer patients with chemotherapy. Since research intervention, by statistically verified the 10 cases of new patients received, the result is indicated as: The cancer-related fatigue score of the control group decreased from 5.82 points before intervention to 4.4 points, a total decrease of 1.42 points; the experimental group decreased from 5.66 points before intervention to 2 points, a total decrease of 3.66 points. The cancer-related fatigue degree of the experimental group was greater than that of the control group. It means that speed walking can significantly reduce cancer-related fatigue in breast cancer patients with chemotherapy.
Conclusions and Recommendations:
This article is aimed to whether doing exercise is able to reduce cancer-related fatigue in breast cancer patients with chemotherapy? The results found that: speed walking exercise can significantly reduce cancer-related fatigue in breast cancer patients with chemotherapy, which is consistent with the results mentioned in the literature. Effectiveness maintenance: The patients in this ward form a speed walking group by themselves, and meet in the corridor of the ward to exercise at a fixed time to promote friendship and maintain health. It is hoped that this will help us to encourage the oncology ward to incorporate exercise plans into routine treatment activities to reduce cancer-related fatigue of cancer patients.