Division of Geriatrics, Department of Medicine, Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA.
J Palliat Med. 2011 May;14(5):638-48. doi: 10.1089/jpm.2010.0125.
Disability is a common problem among hospice and palliative care patients. It leads to depression, poor quality of life, increased caregiver needs, health care resource utilization, and need for institutionalization. There is a growing body of evidence that rehabilitation interventions improve functional status, quality of life, and symptoms such as pain and anxiety in this population. Having adequate knowledge about rehabilitation is essential for the provision of comprehensive end-of-life care. The goals of this article are to review the role and benefits of rehabilitation in hospice and palliative care; to discuss the elements of patient assessment for rehabilitation including the use of functional assessment tools; and to review the roles of physical, occupational, and speech therapy in hospice and palliative care patients.
残疾是临终关怀和姑息治疗患者中常见的问题。它会导致抑郁、生活质量下降、增加护理人员的需求、医疗资源的利用以及需要住院治疗。越来越多的证据表明，康复干预措施可以改善这一人群的功能状态、生活质量和疼痛、焦虑等症状。对于提供全面的临终关怀，充分了解康复知识是必不可少的。本文的目的是回顾康复在临终关怀和姑息治疗中的作用和益处；讨论康复评估的要素，包括功能评估工具的使用；并回顾物理治疗、职业治疗和言语治疗在临终关怀和姑息治疗患者中的作用。
