Department of Surgical Oncology, Princess Margaret Hospital, Toronto, ON.
Curr Oncol. 2012 Jun;19(3):e136-44. doi: 10.3747/co.19.912.
A large and convincing body of evidence demonstrates the benefits of exercise for cancer survivors during and after treatment. Based on that literature, more cancer survivors should be offered exercise support and programming. Unfortunately, exercise programs remain an exception rather than the norm in cancer care. Not surprisingly, common barriers to the implementation of exercise programs in oncology include limited resources, expertise, and awareness of benefits on the part of patients and clinicians. To improve the accessibility and cost-effectiveness of cancer exercise programs, one proposed strategy is to combine the resources of hospital and community-based programs with home-based exercise instruction. The present paper highlights current literature regarding exercise programming for cancer survivors, describes the development of an exercise program for cancer patients in Toronto, Canada, and offers experiential insights into the integration of exercise into oncologic care.
大量确凿的证据表明,运动对癌症患者在治疗期间和治疗后的益处。基于这一文献,应该为更多的癌症幸存者提供运动支持和计划。不幸的是,运动计划仍然是癌症护理中的例外,而不是常态。毫不奇怪,实施肿瘤学运动计划的常见障碍包括患者和临床医生的资源有限、专业知识有限以及对益处的认识有限。为了提高癌症运动计划的可及性和成本效益,一种拟议的策略是将医院和基于社区的计划的资源与基于家庭的运动指导相结合。本文重点介绍了目前关于癌症幸存者运动计划的文献,描述了在加拿大多伦多为癌症患者开发运动计划的情况,并提供了将运动融入肿瘤学护理的经验见解。