住院癌症康复指南：聚焦患者选择与循证结果
A Guide to Inpatient Cancer Rehabilitation: Focusing on Patient Selection and Evidence-Based Outcomes.
作者信息
Fu Jack B, Raj Vishwa S, Guo Ying
机构信息
Department of Palliative, Rehabilitation & Integrative Medicine, University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1414, Houston, TX 77030(∗).
Department of Physical Medicine & Rehabilitation, Carolinas Rehabilitation and Levine Cancer Institute, Charlotte, NC(†).
出版信息
PM R. 2017 Sep;9(9S2):S324-S334. doi: 10.1016/j.pmrj.2017.04.017.
Abstract
Cancer inpatients commonly suffer from impairments that can prohibit safe discharge home from the acute care inpatient medical service and thus require transfer to a postacute inpatient rehabilitation facility. It has been demonstrated in multiple studies that cancer rehabilitation inpatients are able to make statistically significant functional improvements and at a similar pace as their noncancer counterparts. Medical fragility and reimbursement regulations are concerns that affect acceptance and triage of cancer rehabilitation inpatients. Strategies to rehabilitate these challenging patients include considering risk factors for medical complications, consult-based inpatient rehabilitation, and improved communication and coordination with oncology teams.
摘要
癌症住院患者通常存在功能障碍，这可能会妨碍他们从急性护理住院医疗服务中安全出院回家，因此需要转至急性后期住院康复机构。多项研究表明，癌症康复住院患者在功能上能够取得具有统计学意义的显著改善，且改善速度与非癌症患者相当。医疗脆弱性和报销规定是影响癌症康复住院患者收治和分诊的问题。针对这些具有挑战性的患者的康复策略包括考虑医疗并发症的风险因素、基于会诊的住院康复，以及改善与肿瘤学团队的沟通和协调。
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