Objective:
The purpose of this study was to determine if patients in a structured, monitored walking program experienced less symptom distress than patients receiving the usual standard of care during induction chemotherapy

Delengowski, RN, MSN, AOCN, Anne

Gilbride, RN, BSN, Lauren

McHenry, RN, BSN, OCN, Kate

Mostak, RN, BSN, Kaitlin

Muldoon, RN, BSN, OCN, Christine

O\u27Connor, RN, MSN, OCN, Justine

Silcox, RN, MSN, JoAnn

Stinsman, RN, BSN, OCN, Megan

Sweeney, RN, Colleen

Name not available

Exercise and Hospitalized Leukemia Patients

Jefferson Digital Commons

Thomas Jefferson UniversityJefferson Digital CommonsDepartment of Nursing papers and presentations Thomas Jefferson University Hospital9-29-2015Exercise and Hospitalized Leukemia PatientsAnne Delengowski, RN, MSN, AOCNDepartment of Nursing, Thomas Jefferson University Hospital, anne.delengowski@jefferson.eduJustine O'Connor, RN, MSN, OCNDepartment of Nursing, Thomas Jefferson University Hospital, justine.oconnor@jefferson.eduMegan Stinsman, RN, BSN, OCNDepartment of Nursing, Thomas Jefferson University Hospital, megan.stinsman@jefferson.eduKate McHenry, RN, BSN, OCNDepartment of Nursing, Thomas Jefferson University Hospital, kate.mchenry@jefferson.eduKaitlin Mostak, RN, BSNDepartment of Nursing, Thomas Jefferson University Hospital, kaitlin.mostak@jefferson.eduSee next page for additional authorsLet us know how access to this document benefits youFollow this and additional works at: http://jdc.jefferson.edu/dnppPart of the Nursing CommonsThis Article is brought to you for free and open access by the Jefferson Digital Commons. The Jefferson Digital Commons is a service of ThomasJefferson University's Center for Teaching and Learning (CTL). The Commons is a showcase for Jefferson books and journals, peer-reviewed scholarlypublications, unique historical collections from the University archives, and teaching tools. The Jefferson Digital Commons allows researchers andinterested readers anywhere in the world to learn about and keep up to date with Jefferson scholarship. This article has been accepted for inclusion inRecommended CitationDelengowski, RN, MSN, AOCN, Anne; O'Connor, RN, MSN, OCN, Justine; Stinsman, RN, BSN,OCN, Megan; McHenry, RN, BSN, OCN, Kate; Mostak, RN, BSN, Kaitlin; Silcox, RN, MSN,JoAnn; Sweeney, RN, Colleen; Muldoon, RN, BSN, OCN, Christine; and Gilbride, RN, BSN,Lauren, "Exercise and Hospitalized Leukemia Patients" (2015). Department of Nursing papers andpresentations. Paper 16.http://jdc.jefferson.edu/dnpp/16AuthorsAnne Delengowski, RN, MSN, AOCN; Justine O'Connor, RN, MSN, OCN; Megan Stinsman, RN, BSN,OCN; Kate McHenry, RN, BSN, OCN; Kaitlin Mostak, RN, BSN; JoAnn Silcox, RN, MSN; ColleenSweeney, RN; Christine Muldoon, RN, BSN, OCN; and Lauren Gilbride, RN, BSNThis poster is available at Jefferson Digital Commons: http://jdc.jefferson.edu/dnpp/16INTRODUCTION •  Acute leukemia patients experience numerous physical and emotional symptoms during induction chemotherapy. •  Exercise might relieve some symptom distress and has been shown to improve sleep patterns and quality of life. •  The National Comprehensive Cancer Network Distress Thermometer, a validated tool which measures psychological, social, and spiritual aspects of care was used. METHODS •  Prospective design. •  Thirty subjects were randomized into the intervention or control groups. •  Patients completed the NCCN Symptom Distress Thermometer. RESULTS CONCLUSION •  Improvement in distress in both the intervention and control groups. •  As a result, staff is encouraging patients to increase their ambulation. •  Study limitations include: limited sample size and placebo effect.  Patients enrolled in the study may have been more motivated to increase their ambulation. ACKNOWLEDGEMENTS The research reported here was supported by a grant from The Daisy Foundation.  A special thank you to all of the medical oncology nursing staff for their contributions. Exercise and Hospitalized Leukemia Patients Anne Delengowski RN MSN AOCN, Justine O’Connor RN MSN OCN, Megan Stinsman RN BSN OCN, Kate McHenry RN BSN OCN, Kaitlin Mostak RN BSN, JoAnn Silcox RN MSN, Colleen Sweeney RN, Christine Muldoon RN BSN OCN, Lauren Gilbride RN BSN Department of Nursing, Thomas Jefferson University Hospital, Philadelphia, PA 0 1 2 3 4 5 6 7 Initial Midpoint Final Mean Distress Score Intervention Group Control Group 0 1 2 3 4 5 6 7 8 9 Initial Midpoint Final Mean Motivation Score Intervention Group Control Group Intervention Walking Program •  Educational materials on the importance of exercise •  Presentation on benefits of exercise •  Provided a pedometer to measure distances walked •  Given a motivational calendar with “historical milestones” Control Standard of Care •  Ambulation as tolerated •  Independently performed by patient A repeated measures ANOVA revealed a significant decrease in distress scores over time, regardless of group (F = 10.76, p = 0.001).  However, distress scores were not significantly different between the two groups (F = 0.334, p = 0.714). OBJECTIVE The purpose of this study was to determine if patients in a structured, monitored walking program experienced less symptom distress than patients receiving the usual standard of care during induction chemotherapy. A repeated measures ANOVA revealed a significant change in motivation scores over time, regardless of group (F = 8.52, p = 0.003).  However, motivation scores were not significantly different between the two groups (F = 2.31, p = 0.13). REFERENCES •  Hacker, E., Larson, J. L., & Peace, D. (2011). Exercise in Patients Receiving Hematopoietic Stem Cell Transplantation: Lessons Learned and Results From a Feasibility Study. Oncology Nursing Forum, 38(2), 216-223.  •  Hanna, L., Avila, P., Meteer, J., Nicholas, D., & Kaminsky, L. (2008). The effects of a comprehensive exercise program on physical function, fatigue, and mood in patients with various types of cancer. Oncology Nursing Forum, 35(3), 461-469.  •  Holland, J. C.  & Bultz, B. D.  (2007).  The NNC Guideline for Distress Management:  A case for making distress the sixth vital sign.  Journal of National Comprehensive Cancer Network, 5, 3-7.   •  Mitchell, A. J.  (2010).  Short screening tools for cancer-related distress:  A review and diagnostic validity meta-analysis.  Journal of the National Comprehensive Cancer Network, 8, 487-494.   •  Young-McCaughan, S., Mays, M.Z., Arzola, S.M., Yoder, L.H., Dramiga, S.A., Leclerc, K.M., Nowlin, M.U. (2003). Change in exercise tolerance, activity, and sleep patterns, and quality of life in patients with cancer participating in a structured exercise program. Oncology Nursing Forum, 30, 441–454. NEXT STEPS •  Investigate causes of distress using the same NCCN Symptom Distress Thermometer Tool. •  Expand this study to include a larger population of cancer patients. 

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Exercise and Hospitalized Leukemia Patients

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