Delbrück H
Klinik Bergisch-Land, Wuppertal-Ronsdorf.
Strahlenther Onkol. 1992 Nov;168(11):628-32.
One of the main aims of oncological aftercare is to improve the transition from acute into chronic medicine, i.e. from curative into rehabilitative treatment. The somatic, psychic, social, professional, and family problems due to the tumour and its therapy have to be eliminated, improved or prevented. Up to now, oncological rehabilitation often was considered an isolated measure. The lack of cooperation between curative and rehabilitative medicine often resulted in the fact that patients in need of aftercare were not sent to appropriate rehabilitation clinics. There was no feed-back between pre- and after-treating doctors. The recommendations of the commission for further development of rehabilitation in the social insurance (VDR), elaborated together with the study-group for rehabilitation and aftercare and the study-group for the protection of the quality standard in oncology, aim at improving the above mentioned target. Active and forward-looking measures should improve the significance of clinical aftercare. The documentation of rehabilitation needs will allow more differentiated rehabilitation measures and long-term evaluation of their success. For a more effective integration of rehabilitative aspects into primary treatment, there is the demand for a closer cooperation between primary care and aftercare.
肿瘤病后续护理的主要目标之一是改善从急性医学到慢性病医学的过渡，即从根治性治疗到康复治疗的过渡。必须消除、改善或预防由肿瘤及其治疗引起的躯体、心理、社会、职业和家庭问题。到目前为止，肿瘤康复通常被视为一项孤立的措施。根治性医学与康复医学之间缺乏合作，常常导致需要后续护理的患者未被送往合适的康复诊所。治疗前后的医生之间没有反馈。与康复及后续护理研究小组以及肿瘤学质量标准保护研究小组共同制定的社会保险康复进一步发展委员会（VDR）的建议，旨在改善上述目标。积极且具有前瞻性的措施应提高临床后续护理的重要性。康复需求的记录将有助于采取更具针对性的康复措施，并对其成功进行长期评估。为了更有效地将康复方面融入初级治疗，需要初级护理和后续护理之间更紧密的合作。
