Department of Family & Community Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Rm. A112, 2075 Bayview Avenue, Toronto, ON, M4N 3M5, Canada.
Department of Occupational Therapy, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada.
Support Care Cancer. 2018 Nov;26(11):3665-3667. doi: 10.1007/s00520-018-4300-4. Epub 2018 Jun 3.
Prehabilitation is the improvement of patient health in anticipation of a physiological stressor, such as major surgery. Prehabilitation optimizes health by taking a proactive approach to promoting exercise, nutrition, and lifestyle modifications. Engaging patients in the pre-operative phase provides an opportunity to positively impact their recovery and return to functional baseline by reducing post-operative deconditioning. At the Odette Cancer Centre at Sunnybrook Health Sciences Centre in Toronto, Canada, the Interprofessional Multidisciplinary Prehabilitation Assessment Consultation Team (IMPACT-Surgical Oncology) was developed. The program was initiated in January 2015 and assesses approximately 3-5 patients/week (with a total of over 250 patients so far). This program offers patients individualized pre-operative assessments, including medical optimization, functional, and nutritional assessments, as well as counseling for mood-related issues, smoking/alcohol cessation, and preparing for surgery (such as ensuring adequate home supports/functional equipment prior to surgery). By providing holistic, person-centered, individualized pre-operative optimization strategies, patients and families feel empowered, motivated, and in control of their own health.
康复预处理是指在预期的生理应激（如大手术）之前改善患者的健康状况。康复预处理通过积极促进运动、营养和生活方式的改变来优化健康。让患者参与术前阶段，通过减少术后失能，有机会积极影响他们的康复和恢复到功能基线。在加拿大多伦多桑尼布鲁克健康科学中心的奥黛特癌症中心，成立了多学科跨专业康复预处理评估咨询团队（IMPACT-外科肿瘤学）。该项目于 2015 年 1 月启动，每周评估约 3-5 名患者（迄今为止已有超过 250 名患者）。该项目为患者提供个性化的术前评估，包括医疗优化、功能和营养评估，以及针对情绪相关问题、戒烟/戒酒和手术准备（如确保手术前有足够的家庭支持/功能设备）的咨询。通过提供全面、以患者为中心、个性化的术前优化策略，患者及其家属感到更有力量、更有动力，并且能够掌控自己的健康。
