Too Sick Not To Exercise (NSCLC)

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Critique of the Introduction This paper critiques a nursing research study that evaluated the effects of home-based exercise on patient’s perceived self-efficacy (PSE) who underwent a thoracotomy for non-small cell lung cancer (NSCLC). The title of the paper is “Too Sick Not to Exercise: Using a 6-Week, Home-Based Exercise Intervention for Cancer-Related Fatigue Self-management for Postsurgical Non-Small Cell Lung Cancer Patients”. The authors of the paper are Amy J. Hoffman, PhD, RN, Ruth Ann Brintnall, PhD, AOCN, APRN-BC, Jean K. Brown, PhD, RN, FAAN, Alexander von Eye, PhD, Lee W. Jones, PhD, Gordon Alderink, PhD, PT, Debbie Ritz-Holland, BSN, RN, OCN, Mark Enter, RN, OCN, Lawrence H. Patzelt, MD, & Glenn M. VanOtteren, MD.
Research indicates that physical exercise and fatigue management are two key issues that remain among NSCLC patients (Hoffman et al., 2013). Ability to self-manage post-operatively at home is critical to patient’s overall
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This design is appropriate for the study conducted and research question. There was no control group in this study. The intervention group received 6 weeks of home-exercise utilizing the Wii with treatment beginning with patient’s first home-visit from a healthcare team member. Patient’s began with warm-up exercises and then performed walking and balance exercises for 5 minutes each day for the first 5 days of the first week of the intervention. At the end of each week, patient’s perceived self-efficacy was measured by the nurse. A PSE of 70% or greater would allow the patient to increase their exercise 5 minutes per day each week in order to reach their goal of 30 minutes of exercise per day during the last week of the intervention. The Wii utilizes activities including walking, skiing, golf and soccer (Hoffman et al., 2013). Patients were also required to wear a pedometer to measure their steps each day which were then recorded by the

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