Volume 20, Issue 6 (November - December 2021)                   Payesh 2021, 20(6): 731-742 | Back to browse issues page

Ethics code: IR.SSRI.REC.1399.766
Clinical trials code: IRCT20200421047158N1


XML Persian Abstract Print


1- Islamic Azad University, Tabriz Branch, Tabriz, Iran
2- Breast Cancer Research Center, Motamed Cancer Institute, ACECR, Tehran, Iran
3- Azarbaijan Shahid Madani University, Tabriz, Iran
Abstract:   (495 Views)
Objective (s): Lymphedema due to breast cancer is one of the most challenging complications of breast cancer treatments. This study aimed to evaluate the effects of Pilates combined with standard complete decongestive therapy (CDT) on heaviness and cardiorespiratory fitness in breast cancer patients with lymphedema.
Methods: Thirty breast cancer patients with lymphedema were included in this randomized double-blind study. Patients were randomly and equally assigned into two groups: Pilates plus CDT group (n=15) and control group (CDT only). All patients were treated with CDT for six weeks (acute phase for 3weeks and maintenance phase for 3 weeks). Heaviness and cardiorespiratory fitness were assessed by visual numerical scale and Rockport walking test respectively. Then, the changes and consequences were evaluated before and after treatment in both groups. Analysis of covariance was performed.
Results: The mean age (SD) of patients in the study was 56.3 (6.1) years. There were no significant differences between the two groups in terms of clinical and demographic variables. The results showed that the severity of heaviness was significantly reduced in both treatment groups, but there was no statistically significant difference between groups (p=0.37). Cardiopulmonary fitness (Vo2peak) increased before and after exercise intervention between control and experimental groups and a statistically significant difference was observed (p=0.038).
Conclusion: No adverse effect of Pilates exercise was observed among the participants in this study and the intervention improved the cardiorespiratory fitness. The results of current study suggest that Pilates can be considered as effective intervention along with CDT for treatment of lymphedema.
Full-Text [PDF 1171 kb]   (240 Downloads)    
type of study: Research | Subject: Public Health
Received: 2021/08/1 | Accepted: 2021/11/17 | ePublished ahead of print: 2021/11/24 | Published: 2021/12/20

References
1. Mosadeghrad AM. Essentials of healthcare organization and management. 1st Edition, Tehran: Dibagran; 2015
2. Mosadeghrad AM. Comments on Iran hospital accreditation System.Iranian Journal of Public Health 2016; 45: 837-842
3. Hema N, Viswanathan, BPharm, MS(CAND); andJ. Warren Salmon, PhD. Accrediting Organizations and Quality ImProvement. The American Journal of Managed Care 2000; 6: 1117-1130
4. Donahua K, Van O, Joint Commission international accreditation: RelationshiP to four models of evaluation. International Journal for Quality in Healthcare 2000; 12: 243-246 [DOI:10.1093/intqhc/12.3.243]
5. Emami Razavi H, Mohaghegh M. A Look at hospital Accreditation Standards Ministry of Health& Medical Education. 1st Edition, Tehran: seda; 2008 [In Pesian]
6. Mosadeghrad AM. Iran hospital accreditation: Future directions. 1st Edition in J. Braithwaite, et al., (Eds.) Health Care Systems: Future Predictions for Global Care, Taylor & Francis 2018: 285-291 [DOI:10.1201/b22185-43]
7. Phua J, Koh Y, Du B, Tang YQ, Divatia JV, Tan CC, et al. Management of severesepsis in patients admitted to Asian intensive care units: prospective cohortstudy. BMJ 2011;342:d3245 [DOI:10.1136/bmj.d3245]
8. Alkhenizan A, Shaw C. The attitude of health care professionals towardsaccreditation: a systematic review of the literature. Journal of Family Community Medcine 2012; 19:74 [DOI:10.4103/2230-8229.98281]
9. Alkhenizan A, Shaw C. Impact of accreditation on the quality of healthcare services: a systematic review of the literature. Annals of Saudi Medicine 2011; 31: 407-416 [DOI:10.4103/0256-4947.83204]
10. Gokenbach V, Drenkard K. The outcomes of magnet environments andnursing staff engagement: a case study. Nursing Clinic of North America 2011;46: 89-105 [DOI:10.1016/j.cnur.2010.10.008]
11. Sekimoto M, Imanaka Y, Kobayashi H,et al. Impact of hospital accredi-tation on infection control programs in teaching hospitals in Japan. American Journal of Infection Control 2008;36:212-9 [DOI:10.1016/j.ajic.2007.04.276]
12. Lutfiyya MN, Sikka A, Mehta S,et al. Comparison of US accreditedand non-accredited rural critical access hospitals.International Journal for Quality in Health Care 2009; 21:112-8 [DOI:10.1093/intqhc/mzp003]
13. Lichtman JH, Allen NB, Wang Y,et al. Stroke patient outcomesin US hospitals before the start of the Joint Commission Pri-mary Stroke Center certification program. Stroke 2009; 40:3574-9 [DOI:10.1161/STROKEAHA.109.561472]
14. Shaw C, Groene O, Mora N,et al. Accreditation and ISO certification: dothey explain differences in quality management in European hospitals? International Journal for Quality in Health Care 2010;22:445-51 [DOI:10.1093/intqhc/mzq054]
15. Kim YS, Jung SE, Choi BG,et al. Image quality improvement after imple-mentation of a CT accreditation program.Korean Journal of Radiology 2010;11:553-9 [DOI:10.3348/kjr.2010.11.5.553]
16. Devkaran S, O'Farrell PN. The impact of hospital accreditation on clini-cal documentation compliance: a life cycle explanation using interruptedtime series analysis. BMJ 2014;4:e005240 [DOI:10.1136/bmjopen-2014-005240]
17. Shaw CD, Groene O, Botje D,et al. The effect of certification andaccreditation on quality management in 4 clinical services in 73European hospitals. International Journal for Quality in Health Care 2014;26:100-7 [DOI:10.1093/intqhc/mzu023]
18. Chen J, Rathore SS, Radford MJ,et al. JCAHO accreditation and qual-ity of care for acute myocardial infarction.Health Affair 2003;22:243-54 [DOI:10.1377/hlthaff.22.2.243]
19. Lutfiyya MN, Sikka A, Mehta S,et al. Comparison of US accreditedand non-accredited rural critical access hospitals. . International Journal for Quality in Health Care 2009;21:112-8 [DOI:10.1093/intqhc/mzp003]
20. Lichtman JH, Allen NB, Wang Y,et al. Stroke patient outcomesin US hospitals before the start of the Joint Commission Pri-mary Stroke Center certification program.Stroke2009;40:3574-9 [DOI:10.1161/STROKEAHA.109.561472]
21. Schmaltz SP, Williams SC, Chassin MR,et al. Hospital performance trendson national quality measures and the association with Joint Commissionaccreditation. Journal of Hospital Medcine 2011;6:454-61 [DOI:10.1002/jhm.905]
22. Song P, Li W, Zhou Q. An outpatient antibacterial stewardship inter-vention during the journey to JCI accreditation. BMC Pharmacology and Toxicology 2014;15:8.10 [DOI:10.1186/2050-6511-15-8]
23. Halasa YA, Zeng W, Chappy E,et al. Value and impact of internationalhospital accreditation: a case study from Jordan.Eastern Mediterrian Health Journal 2015;21:90-9 [DOI:10.26719/2015.21.2.90]
24. Nomura ATG, Silva MB, Almeida MA. Quality of nursing documentationbefore and after the Hospital Accreditation in a university hospital. RevLat Am Enferm 2016;24:e2813 [DOI:10.1590/1518-8345.0686.2813]
25. Yıldız MS, Öztürk Z, Topal M,et al. Effect of accreditation and certifica-tion on the quality management system: analysis based on Turkish hospi-tals.International Journal of Health Planning and Management 2019;34:e1675-87 [DOI:10.1002/hpm.2880]
26. Hadley TR, McGurrin MC. Accreditation, certification, and thequality of care in state hospitals. Psychiatric Services1988;39:707-10 [DOI:10.1176/ps.39.7.739]
27. Schmaltz SP, Williams SC, Chassin MR,et al. Hospital performance trendson national quality measures and the association with Joint Commissionaccreditation.Journal of Hospital Medcine 2011;6:454-61 [DOI:10.1002/jhm.905]
28. Aboshaiqah AE, Alonazi WB, Patalagsa JG. Patients' assessment ofquality of care in public tertiary hospitals with and without accredita-tion: comparative cross-sectional study.Journal of Advanced Nursing 2016;72:2750-61 [DOI:10.1111/jan.13025]
29. Mosadeghrad A M, Akbari-sari A, Yousefinezhadi T. Evaluation of hospital accreditation standards. Razi Journal of Medical Sciences 2017; 23: 43-54 [In Pesian]
30. Iran Health Ministry, Implementation guideline of the 4th hospital accreditation survey. Ministry of Health. Available at: http://treatment.sbmu.ac.ir/uploads/etebarbakhshi_standard_book_98.pdf 2019 [In Pesian]
31. Reisi N, Raeissi P, Sokhanvar M, Kakemam E. The impact of accreditation on nurses' perceptions of quality of care in Iran and its barriers and facilitators. The International journal of Health Planning and Management 2019; 34: 230-40 [DOI:10.1002/hpm.2642]
32. Moradi R, Nemati A, Bahmanziari N, Shokri A, Mohammadi M. The impact of accreditation on services of Isfahan University hospitals. Health Care Management Journal 2015; 6: 67-76
33. Mosadeghrad A M, Ghazanfari F. Iran hospital accreditation governance: Challenges and solutions. Payavard 2020; 14:311-332 [In Pesian]
34. Ghazanfari F, Mosadeghrad A M, Jaafari Pooyan E, Mobaraki H. Iran Hospital Accreditation Standard: challenges and solution. International Journal of Health Planning and Management 2021; 36: 1-18 [DOI:10.1002/hpm.3144]
35. Pourreza A, Mosadeghrad AM, Zoleikani P. The impact of accreditation on the performance of hospital emergency departments. Journal of Health Based Research 2017; 3: 277-95
36. Jaafaripooyan E, Sharifi T, Yekani Nejad MS, Esmaeili S. Relationship between Accreditation Rank and Technical Efficiency of Hospitals Affiliated to Tehran University of Medical Sciences. Journal of Hospital 2018; 17: 49-57 [In Pesian]
37. Fotuhi MA, Khoshgoftar A, Bakhshande A, Karami Q, Rasti M. Evaluation of Viewpoint of Executive Management Team of Hospitals of Qom Province in Terms of the Third Generation of Hospital Accreditation Standards. Qom University Medical Sciences Journal 2018;12: 62-70 [In Pesian] [DOI:10.29252/qums.12.5.62]
38. Yarmohammadian M, Shokri A, Bahmanziari N, Kordi K. The blind spots on Accreditation program. Journal of Health System Research 2013; 9: 1158-66
39. Mohebbifar R, Rafiei S, Asl AM, Ranjbar M, Khodayvandi M. Association between hospital accreditation and patient satisfaction: a survey in the western province of Iran. Bangladesh Journal of Medical Science 2017; 16: 77-84. [In Pesian] [DOI:10.3329/bjms.v16i1.31137]
40. Yousefinezhadi T, Mosadeghrad AM, Hinchcliff R, Akbari-Sari A. Evaluation results of national hospital accreditation program in Iran: The view of hospital managers. Journal of Healthcare Quality Research 2020; 35: 12-18 [DOI:10.1016/j.jhqr.2019.08.008]
41. Mosadeghrad AM, Nabizade Z. Evaluation of Iranian hospital accreditation system. Payesh 2018; 17: 617-629 [In Pesian]
42. Guba EG, Lincoln YS. Competing paradigms in qualitative research. Handbook of Qualitative Research. 1st Edition, CA: Sage: Uk, 1994; 105-117
43. Husserl E. Phenomenology and the foundations of the sciences. Germany: Springer Science & Business Media 2001: 108
44. Maggs-Rapport F. Combining methodological approaches in research: Ethnography and interpretive phenomenology. Journal of Advanced Nursing 2000; 31: 219-25 [DOI:10.1046/j.1365-2648.2000.01243.x]
45. Braun V, Clarke V. Using thematic analysis in psychology. Qualitative research in psychology. Qualitative Research in Psychology 2006; 3: 77-101 [DOI:10.1191/1478088706qp063oa]
46. Mosadeghrad AM, Shakibaei E. Hospital accreditation implementation prerequisites. Journal of Hospital 2017;16: 43-56 [In Pesian]
47. Salehi Z, Peyrovi H. Challenges for the implementation of the accreditation process in hospitals: a narrative review, Nursing Care Research Center, Iran University of Medical Sciences. Iranian Journal of Nursing 2017; 30: 23-34 [In Pesian] [DOI:10.29252/ijn.30.106.23]
48. Mahmood Nekoei‐Moghadam, Mohammadreza Amiresmaili, Mohammadhosein Iranemansh, Mahla Iranmanesh. Hospital accreditation in Iran: A qualitative case study of Kerman hospitals, International Journal of Health Planning and Management 2018;33: 1-8 [DOI:10.1002/hpm.2480]
49. Bahrami M, Akbari M, Emami M, Falahzadeh H. Designing an administrative structure for Iranian hospitals" accreditation based on the stakeholder's viewpoints". Journal of Shahid Sadoughi University of Medical Sciences 2016; 15: 208-223 [In Pesian]
50. Mosadeghrad, A.M. Towards a theory of quality management: an integration of strategic management, quality management and project management. International Journal of Modelling in Operations Management 2012; 2: 89-118 [DOI:10.1504/IJMOM.2012.043962]
51. Bohigas L1, Brooks T,Donahue T, Donaldson B, Heidemann E, Shaw C,et al. A comparative analysis of surveyors from six hospital accreditation programmes and a consideration of the related management issues.International Journal for Quality in Health Care1998;10:7-13 [DOI:10.1093/intqhc/10.1.7]
52. Meireles VC, Labegalini CM, Baldissera VD. Tracer Methodology and the quality of care: integrative literature review. Revista Gaucha de Enfermagem 2019;40: e20180142 [DOI:10.1590/1983-1447.2019.20180142]
53. Joint Commission International Accreditation Hospital. Survey Process Guide, 4thEdition. Joint Commission International: USA, 2013
54. Canada accreditation, Health Care Accreditation Process. Available from: https://accreditation.ca/. Retrieved July 5, 202040
55. Australian Council on Healthcare Standards. Australian Council on Healthcare Standards International. Available at https://www.achs.org.au/Retrieved June 27, 2020
56. Introduction to DDKM. Available at :httPs://www.ikas.dk/den-danske-kvalitetsmodel/ddkm-in-english/introduction-to-ddkm.2021

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.