Fialka-Moser Veronika, Crevenna Richard, Korpan Marta, Quittan Michael
Department of Physical Medicine and Rehabilitation, University of Vienna, Austria.
J Rehabil Med. 2003 Jul;35(4):153-62. doi: 10.1080/16501970306129.
Cancer can cause multiple impairments, activity limitations and participation restrictions. According to individual case findings and needs, rehabilitation treatment is varied. The review mainly focuses on specific problems. Because of functional deficits cancer patients suffer from persistent emotional and social distress and a reduced quality of life (QOL). QOL encompasses at least the four dimensions of physical, emotional, social and cognitive function, which may be positively influenced by physical exercise. Physical exercise also has been shown to prevent or minimise inactivity/ disuse problems and to reduce fatigue. The management of sexuality dysfunction has to begin with a thorough history taking and a consequent sexuality counselling. The goals of rehabilitation procedures under palliative care are not only to control physical pain but also to help with mental, social and spiritual pain, together with other symptoms. Rehabilitation problems in head and neck cancer, sexuality, lung cancer, prostate cancer, breast cancer and lymphedema can be improved by rehabilitation. The review mainly focuses on impairment and activity limitation. Social, psychological and vocational aspects are left aside in this review.
癌症可导致多种损伤、活动受限和参与限制。根据个体病例的检查结果和需求，康复治疗方法各不相同。本综述主要关注特定问题。由于功能缺陷，癌症患者会遭受持续的情感和社会困扰，生活质量（QOL）下降。生活质量至少包括身体、情感、社会和认知功能这四个维度，体育锻炼可能会对其产生积极影响。体育锻炼还被证明可以预防或尽量减少不活动/废用问题，并减轻疲劳。性功能障碍的管理必须从全面的病史采集和随之而来的性咨询开始。姑息治疗下康复程序的目标不仅是控制身体疼痛，还包括帮助缓解精神、社会和心灵痛苦以及其他症状。头颈癌、性、肺癌、前列腺癌、乳腺癌和淋巴水肿方面的康复问题可通过康复得到改善。本综述主要关注损伤和活动受限。本综述暂不涉及社会、心理和职业方面。
