St John's Rehab Hospital, 285 Cummer Avenue, Room S340, Toronto, ON M2M 2G1, Canada.
Support Care Cancer. 2012 Jul;20(7):1541-7. doi: 10.1007/s00520-011-1243-4. Epub 2011 Aug 5.
The purpose was twofold: (1) to develop a comprehensive profile of patients discharged from an inpatient oncology rehabilitation unit and (2) to explore the relationships between patient characteristics and functional status.
A retrospective review of electronic data from all patients discharged from oncology rehabilitation between November 1, 2008, and March 31, 2010, was conducted. Data elements included age, sex, primary language, living arrangements, cancer diagnosis, comorbidities, and admission and discharge Functional Independence Measure (FIM(™)) scores. Descriptive statistics were compiled for all data elements. General linear regression was conducted to determine the descriptors independently associated with FIM(™) discharge and FIM(™) change scores.
There were 153 eligible records. The patients' age ranged from 38 to 97 years (M = 72.6, SD = 12.9); 59.5% were women, and 39.3% lived alone prior to hospitalization. The most common diagnoses were colorectal cancer (n = 45, 28.8%), metastatic disease (n = 24, 15.7%), and cancer of the urinary organs (n = 14, 9.2%). Service goals were met for 77.1%. Patients improved an average of 17.1 (SD = 8.8) points on the FIM(™). Being older and having a diagnosis of brain or uterine cancer were associated with lower FIM™ change scores.
In this sample, the majority of patients were older women, and many lived alone. While the group as a whole made significant functional gains, those who were younger improved more. Having a diagnosis of uterine or brain cancer was associated with lower functional change scores. This study was limited by a small sample size and the retrospective design; however, the results provide a foundation for future prospective research.
本研究有两个目的：（1）全面描述从住院肿瘤康复病房出院的患者情况；（2）探讨患者特征与功能状态之间的关系。
对 2008 年 11 月 1 日至 2010 年 3 月 31 日期间所有从肿瘤康复病房出院的患者的电子病历进行回顾性分析。数据元素包括年龄、性别、主要语言、居住安排、癌症诊断、合并症以及入院和出院时的功能独立性测量（FIM(™)）评分。对所有数据元素进行描述性统计。采用一般线性回归确定与 FIM(™)出院评分和 FIM(™)变化评分独立相关的指标。
共有 153 份符合条件的记录。患者年龄为 38 至 97 岁（M = 72.6，SD = 12.9）；59.5%为女性，住院前 59.5%独居。最常见的诊断是结直肠癌（n = 45，28.8%）、转移性疾病（n = 24，15.7%）和泌尿系统癌症（n = 14，9.2%）。77.1%的患者达到了治疗目标。患者的 FIM(™)平均提高了 17.1（SD = 8.8）分。年龄较大和诊断为脑或子宫癌与 FIM™变化评分较低相关。
在本研究样本中，大多数患者为年龄较大的女性，许多人独居。尽管该群体整体功能有显著改善，但年轻患者的改善更为明显。诊断为子宫癌或脑癌与较低的功能变化评分相关。本研究受到样本量小和回顾性设计的限制；然而，研究结果为未来的前瞻性研究奠定了基础。
