Weis Joachim, Giesler Jürgen M
Universitätsklinikum Freiburg Medizinische Fakultät, Klinik Für Onkologische Rehabilitation UKF Reha GGmbH, Albert-Ludwigs-Universität Freiburg, Breisacher Str. 117, Freiburg, 79106, Deutschland, Germany.
Sektion Versorgungsforschung und Rehabilitationsforschung, Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Hugstetter Str. 49, Freiburg, 79106, Deutschland, Germany.
Recent Results Cancer Res. 2018;210:105-122. doi: 10.1007/978-3-319-64310-6_7.
Rehabilitation for cancer patients aims at reducing the impact of disabling and limiting conditions resulting from cancer and its treatment in order to enable patients to regain social integration and participation. Given current trends in cancer incidence and survival along with progress in medical treatment, cancer rehabilitation is becoming increasingly important in contemporary health care. Although not without limitations, the International Classification of Functioning, Disability and Health (ICF) provides a valuable perspective for cancer rehabilitation in understanding impairments in functioning and activity as the result of an interaction between a health condition and contextual factors. The structure of cancer rehabilitation varies across countries as a function of their healthcare systems and social security legislations, although there is a broad consensus with respect to its principal goals. Cancer rehabilitation requires a careful assessment of the individual patient's rehabilitation needs and a multidisciplinary team of health professionals. A variety of rehabilitation interventions exist, including psycho-oncological and psycho-educational approaches. Research on the effectiveness of cancer rehabilitation provides evidence of improvements in relevant outcome parameters, but faces some methodological challenges as well.
癌症患者康复的目的是减轻癌症及其治疗所导致的致残和限制状况的影响，以使患者能够重新融入社会并参与社会活动。鉴于当前癌症发病率和生存率的趋势以及医疗治疗的进展，癌症康复在当代医疗保健中变得越来越重要。尽管并非没有局限性，但《国际功能、残疾和健康分类》（ICF）为癌症康复提供了一个有价值的视角，有助于理解健康状况与背景因素相互作用导致的功能和活动障碍。癌症康复的结构因国家的医疗保健系统和社会保障立法而异，尽管在其主要目标方面存在广泛共识。癌症康复需要仔细评估个体患者的康复需求，并需要一个由健康专业人员组成的多学科团队。存在多种康复干预措施，包括心理肿瘤学和心理教育方法。关于癌症康复有效性的研究提供了相关结果参数改善的证据，但也面临一些方法学挑战。
