Background Patients with Inflammatory Bowel Disease (IBD) also suffer from a wide range of additional disorders, which may be caused by the disease, the side effect of the medication, or a lack of physical activity (PA). This results in reduced physical and psychological wellbeing. However, as known from other chronic diseases exercise could be utilized as supportive therapy for IBD patients. Main goals of this article are (a) collecting data of the effects structured physical activity interventions have on validated clinical parameters of IBD and health related symptoms, (b) developing activity recommendations for this clientele. Methods A scoping review was conducted, searching for relevant articles published until May 2018, which investigated the effects of structured exercise interventions in IBD patients. The heterogeneity of the outcomes and the interventions did not support a quantitative synthesis thus, a qualitative discussion of the studies is provided. Results After reviewing 353 records, 13 eligible articles were identified. Five studies investigated aerobic exercise, three studies resistance exercise, three studies mind-body therapies and two studies yoga. The quality of the studies is mixed, and the duration is rather short for exercise interventions. Only few studies assessed validated IBD activity markers or inflammatory biomarkers. Nevertheless, the patients showed an increase in fitness, bone mineral density (BMD), quality of life and a decrease of IBD induced stress and anxiety. No severe adversial events were reported. Conclusion Even though the evidence is limited the application of exercise interventions in IBD patients can be assumed to be safe and beneficial for the patients‘ overall-health, and IBD specific physical and psychosocial symptoms. But there is still a high demand for more thoroughly conducted studies, focussing on important clinical outcome parameters.

We developed a web-based question prompt sheet (QPS) to support information provision of health-related quality of life (HRQL) topics after oesophageal cancer surgery. The QPS was evaluated and updated in three consecutive studies. In Study 1, eight patients were guided in using the QPS. Feasibility was assessed by cognitive walkthrough, questionnaire and interview. We obtained 430 notes (217 negative, 213 positive) of patients' actions and or remarks, and 91 suggestions. With minor support, most patients were able to use the QPS. In Study 2, forty patients independently used and appraised a modified version of the QPS by questionnaire. All patients deemed the QPS to be usable and useful. In Study 3, 21 patients and three surgeons used the QPS in clinical practice. Clinical feasibility was assessed by the number of QPS sent to the researcher/surgeon. Patients and surgeons were surveyed and the follow-up consultation was audio-recorded. Surgeons were additionally interviewed. Twenty/ fourteen patients sent their QPS to the researcher/surgeon. Five QPSs were read by the consultation surgeon. Patients considered the QPS usable and useful. Surgeons considered the QPS of added value and helpful in informing patients, but currently not clinically feasible due to increased consultation time. K E Y W O R D S communication, health-related quality of life, information provision, oesophageal cancer, question prompt sheet, surgery

ZusammenfassungDurch den demografischen Wandel und die alternde Gesellschaft stehen die bereits jetzt schon durch Fachkräftemangel gezeichneten Pflegeberufe vor einer stetig wachsenden Herausforderung. Hinzu kommt, dass Pflegekräfte im Vergleich mit den Durchschnittswerten anderer Branchen geringere Verweildauern in ihrem Beruf, überdurchschnittlich viele Arbeitsunfähigkeitstage sowie einen um 40% höheren Krankenstand berichten. Dies sind alles Indikatoren dafür, dass Pflegekräfte einer hohen körperlichen wie psychischen Belastung ausgesetzt sind. Studiendaten bestätigen diese Schlussfolgerung, wonach Pflegekräfte mit 2,5 MET etwa den doppelten Energieverbrauch aufweisen wie Menschen in sitzenden Berufen (1,3 MET). Auch hinsichtlich der Bewegungsqualität sind die Pflegeberufe fordernd, so gibt die Mehrheit der Pflegekräfte an, regelmäßig Lasten von mehr als 20 kg heben zu müssen und derartigen Belastungen über Jahre ausgesetzt zu sein. Damit Pflegekräfte dem begegnen können, ohne sich selbst zu überbeanspruchen, sollte ihre Resilienz durch Maßnahmen zur betrieblichen Gesundheitsförderung gestärkt werden. Dank des Pflegepersonalstärkungsgesetzes liegt seit 2019 ein Statement seitens der Bundesregierung vor, wodurch dieser Forderung proaktiv begegnet werden kann.