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Exergame-based rehabilitation for cancer patients undergoing abdominal surgery: Effects on pain, anxiety, depression, and fatigue - A pilot study

2024-10Journal article Open access
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datacite.subject.fosCiências Médicas::Ciências da Saúde
dc.contributor.authorAlves, Isabel
dc.contributor.authorMoreira, Ana Paula
dc.contributor.authorSousa, Teresa
dc.contributor.authorTeles, Paulo
dc.contributor.authorFernandes, Carla Sílvia
dc.contributor.authorGoncalves. Filipe
dc.contributor.authorMagalhães, Bruno
dc.date.accessioned2025-06-02T16:38:21Z
dc.date.available2025-06-02T16:38:21Z
dc.date.issued2024-10
dc.description.abstractPurpose: This study aimed to determine the efficacy of an exergame rehabilitation program on pain, anxiety or depression, and fatigue in oncology patients undergoing abdominal surgery. Methods: The randomized controlled trial evaluated the efficacy of exergame rehabilitation on Pain, Anxiety, Depression, and Fatigue in oncology patients undergoing abdominal surgery. Patients were recruited from October 2022–March 2023 and were randomly assigned to the intervention group (postoperative traditional rehabilitation plus an exergame rehabilitation program) or control group (postoperative traditional rehabilitation). Data were collected at three different times: on admission, in the first 48 h, and on the 7th day after surgery. Primary outcomes were evaluated and monitored with different validated instruments: numeric rating scale (NRS) for pain, Hospital Anxiety and Depression Scale (HADS) to assess the level of anxiety and depression, and the Fatigue Assessment Scale (FAS) to assess physical and psychological fatigue. The length of stay and program completion were secondary outcomes. Results: A total of 128 postoperative patients were recruited. Of these, 58 patients were excluded from the study due to clinical complications related to the surgical procedure (n = 53) or healthcare staff-related reasons (n = 5). Both the control and intervention groups were the same size (n = 35). Lower pain scores were observed on the 7th postoperative day in the group subject to the “exergame rehabilitation program” (p = 0.006). No statistically significant differences were observed for anxiety and depression between the 2 groups. Regarding fatigue, statistically significant differences were observed on admission (p = 0.03), which disappeared 48 h after surgery (p = 0.143). Differences between the groups were observed again on the 7th day after surgery (p = 0.005). Conclusions: The intervention using exergames was effective in reducing the postoperative pain of the patient undergoing major abdominal surgery and in restoring the levels of fatigue before surgical intervention. However, no differences were observed for anxiety or depression. Future studies with larger samples should be carried out.eng
dc.identifier.citation4. Alves, I., Moreira, A. P., Sousa, T., Teles, P., Fernandes, C. S., Goncalves, F., & Magalhães, B. (2024). Exergame-based rehabilitation for cancer patients undergoing abdominal surgery: Effects on pain, anxiety, depression, and fatigue - A pilot study. European Journal of Oncology Nursing, 72, 102665
dc.identifier.doi10.1016/j.ejon.2024.102665
dc.identifier.issn1462-3889
dc.identifier.urihttp://hdl.handle.net/10400.26/57929
dc.language.isoeng
dc.peerreviewedyes
dc.publisherElsevier
dc.relation.hasversionhttps://www.sciencedirect.com/science/article/pii/S1462388924001637
dc.relation.ispartofEuropean Journal of Oncology Nursing
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectGames
dc.subjectExergames
dc.subjectPain
dc.subjectAnxiety
dc.subjectDepression
dc.subjectFatigue neoplasms
dc.subjectRehabilitation
dc.titleExergame-based rehabilitation for cancer patients undergoing abdominal surgery: Effects on pain, anxiety, depression, and fatigue - A pilot studyeng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleEuropean Journal of Oncology Nursing
oaire.citation.volume72
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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