Abstract：
UNASSIGNED: Parastomal hernias are a common consequence of stoma surgery and can occur in up to 50% of patients. They are mangaged either conservatively, through support hosiery, or surgically. A patient feasibility study called the Hernia Active Living Trial (HALT) was designed to examine if a clinical pilates-based exercise programme offers an alternative approach to managing a parastomal hernia or bulge.
UNASSIGNED: Adults with an ileostomy or colostomy who perceived they had a bulge around their stoma were included in the study. The intervention included up to 12 online sessions of an exercise booklet and videos with an exercise specialist. Interviews were conducted to explore participants\' experiences of the intervention. The interview data were analysed systematically and thematically. Participants were also asked to complete patient diaries every week.
UNASSIGNED: Twelve of the 13 participants who completed the intervention agreed to be interviewed. Following analysis, three main themes emerged including managing a hernia/bulge, benefits and barriers. Participants talked about the benefits of this programme including: reduction of the size of their hernia, increased abdominal control, body confidence and posture, as well as increased physical activity levels. The barriers described were generally overcome allowing participants to engage in what was perceived to be a positive and potentially life-changing experience.
UNASSIGNED: A clinical pilates-based exercise programme for people with a parastomal hernia can bring both direct and indirect improvements to a patient\'s hernia management, sense of wellbeing and day-to-day life. Individuals with a hernia should be informed about the need for, and value of, exercise to strengthen core muscles, as part of their non-surgical options for self-management.
UNASSIGNED: Adults with an ileostomy or colostomy who perceived they had a bulge around their stoma were included in the study. The intervention included up to 12 online sessions of an exercise booklet and videos with an exercise specialist. Interviews were conducted to explore participants\' experiences of the intervention. The interview data were analysed systematically and thematically. Participants were also asked to complete patient diaries every week.
UNASSIGNED: Twelve of the 13 participants who completed the intervention agreed to be interviewed. Following analysis, three main themes emerged including managing a hernia/bulge, benefits and barriers. Participants talked about the benefits of this programme including: reduction of the size of their hernia, increased abdominal control, body confidence and posture, as well as increased physical activity levels. The barriers described were generally overcome allowing participants to engage in what was perceived to be a positive and potentially life-changing experience.
UNASSIGNED: A clinical pilates-based exercise programme for people with a parastomal hernia can bring both direct and indirect improvements to a patient\'s hernia management, sense of wellbeing and day-to-day life. Individuals with a hernia should be informed about the need for, and value of, exercise to strengthen core muscles, as part of their non-surgical options for self-management.
摘要：
■造口旁疝是造口手术的常见后果，可在多达50％的患者中发生。它们要么被保守地改造，通过支持袜子，或者手术。一项名为疝主动生活试验（HALT）的患者可行性研究旨在检查基于临床普拉提的锻炼计划是否为管理造口旁疝或隆起提供了替代方法。
■患有回肠造口术或结肠造口术的成年人被纳入研究。干预措施包括多达12次在线练习手册和与运动专家的视频。进行了访谈，以探讨参与者的干预经验。对访谈数据进行了系统和专题分析。参与者还被要求每周完成患者日记。
■完成干预的13名参与者中有12名同意接受采访。分析后,出现了三个主要主题，包括管理疝气/隆起，好处和障碍。与会者谈到了该计划的好处，包括：减少疝气的大小，加强腹部控制，身体自信和姿势，以及增加身体活动水平。所描述的障碍通常被克服，允许参与者参与被认为是积极的和可能改变生活的体验。
针对造口旁疝患者的基于普拉提的临床锻炼计划可以直接和间接改善患者的疝管理，幸福感和日常生活。患有疝气的人应该被告知需要，和价值，锻炼以加强核心肌肉，作为他们自我管理的非手术选择的一部分。
■患有回肠造口术或结肠造口术的成年人被纳入研究。干预措施包括多达12次在线练习手册和与运动专家的视频。进行了访谈，以探讨参与者的干预经验。对访谈数据进行了系统和专题分析。参与者还被要求每周完成患者日记。
■完成干预的13名参与者中有12名同意接受采访。分析后,出现了三个主要主题，包括管理疝气/隆起，好处和障碍。与会者谈到了该计划的好处，包括：减少疝气的大小，加强腹部控制，身体自信和姿势，以及增加身体活动水平。所描述的障碍通常被克服，允许参与者参与被认为是积极的和可能改变生活的体验。
针对造口旁疝患者的基于普拉提的临床锻炼计划可以直接和间接改善患者的疝管理，幸福感和日常生活。患有疝气的人应该被告知需要，和价值，锻炼以加强核心肌肉，作为他们自我管理的非手术选择的一部分。
