Sekine Ryuichi, Ogata Masami, Uchiyama Ikuyo, Miyakoshi Koichi, Uruma Megumi, Miyashita Mitsunori, Morita Tatsuya
Department of Pain and Palliative Care, Kameda General Hospital, Kamogawa, Chiba, Japan.
Department of Rehabilitation Medicine, Seirei Mikatahara General Hospital, Hamamatsu, Shizuoka, Japan.
Am J Hosp Palliat Care. 2015 Nov;32(7):695-702. doi: 10.1177/1049909114537871. Epub 2014 Jun 5.
The primary aims were to clarify the changes in the functional status and quality of life of patients with metastatic/locally advanced cancer who received rehabilitation therapy. This is a cohort study, and all consecutive patients who received rehabilitation therapy were evaluated before and 2 weeks after. Outcome measures were the Functional Independence Measure (FIM), perceived independence, and overall quality of life (European Organization for Research and Treatment of Cancer C30). A total of 128 patients were included. Although the FIM score significantly decreased, the overall quality of life significantly increased. Even in the patients with deteriorated FIM scores, the overall quality of life was maintained despite a significantly decreased perceived independence. Terminally ill patients with cancer who received a rehabilitation program maintained their overall quality of life despite an objective decline in the physical functional status.
主要目的是阐明接受康复治疗的转移性/局部晚期癌症患者功能状态和生活质量的变化。这是一项队列研究，对所有连续接受康复治疗的患者在治疗前和治疗后2周进行评估。结果指标包括功能独立性测量（FIM）、自我感知的独立性和总体生活质量（欧洲癌症研究与治疗组织C30量表）。共纳入128例患者。尽管FIM评分显著降低，但总体生活质量显著提高。即使在FIM评分恶化的患者中，尽管自我感知的独立性显著下降，但总体生活质量仍得以维持。接受康复计划的晚期癌症患者尽管身体功能状态客观上有所下降，但仍维持了总体生活质量。
