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患者在成功治疗食管胃结合部癌后接受物理治疗为主的多学科康复干预的体验。

Patient experiences of a physiotherapy-led multidisciplinary rehabilitative intervention after successful treatment for oesophago-gastric cancer.

机构信息

Department of Clinical Medicine, School of Medicine, Trinity Centre for Health Sciences, Dublin 8, Ireland.

Discipline of Physiotherapy, School of Medicine, Trinity Centre for Health Sciences, Dublin 8, Ireland.

出版信息

Support Care Cancer. 2018 Aug;26(8):2615-2623. doi: 10.1007/s00520-018-4112-6. Epub 2018 Feb 18.

Abstract

PURPOSE

To qualitatively explore the perceived impact of a 12-week rehabilitative intervention for oesophago-gastric cancer survivors on their physical, mental and social wellbeing.

METHODS

Of the 21 participants who completed the intervention, 19 took part in a semi-structured focus group interview. Four audio-taped focus groups were held, ranging in size from two to eight participants. Focus groups were transcribed and analysed using a descriptive qualitative approach.

RESULTS

At recruitment, participants were 23.5 ± 15.2 months post-surgery and all had suboptimal fitness levels. Participants reported improvements in their physical capacity and ability to carry out activities of daily living during the intervention. These improvements led to increased confidence and social connectivity. Other participants were a valuable source of information and reassurance, while support from family members was variable. Future interventions should educate participants on how to maintain gains achieved during the intervention.

CONCLUSIONS

Participating in an exercise-based multidisciplinary rehabilitative intervention reduces isolation and helps oesophago-gastric cancer survivors to safely negotiate their physical, emotional and social needs as they move further down the path of recovery.

摘要

目的

定性探讨为期 12 周的食管癌幸存者康复干预对其身心健康和社会福祉的感知影响。

方法

在完成干预的 21 名参与者中,有 19 名参加了半结构式焦点小组访谈。共进行了 4 次录音焦点小组访谈,每组参与者人数从 2 到 8 人不等。使用描述性定性方法对焦点小组的转录内容进行分析。

结果

在招募时,参与者在手术后的时间为 23.5±15.2 个月,且所有参与者的健康状况都不理想。参与者报告在干预期间其身体能力和日常生活活动能力得到了改善。这些改善增强了他们的信心和社交联系。其他参与者是信息和安慰的宝贵来源,而家庭成员的支持则有所不同。未来的干预措施应该教育参与者如何保持干预期间所取得的成果。

结论

参加基于运动的多学科康复干预可以减少孤立感,并帮助食管癌幸存者在康复过程中安全地满足其身体、情感和社会需求。

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