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术前康复在癌症治疗中的作用和范围。

The Role and Scope of Prehabilitation in Cancer Care.

机构信息

University of Massachusetts Medical School, Worcester, MA.

University of Massachusetts Medical School, Worcester, MA.

出版信息

Semin Oncol Nurs. 2020 Feb;36(1):150976. doi: 10.1016/j.soncn.2019.150976. Epub 2020 Jan 25.

DOI:10.1016/j.soncn.2019.150976
PMID:31987643
Abstract

OBJECTIVES

To recognize cancer prehabilitation as a pretreatment regimen to increase functional status for patients requiring cancer treatment. This article presents current evidence addressing the efficacy and benefits of prehabilitation regimens in different cancer survivor populations.

DATA SOURCES

Studies and case reports in the PubMed database.

CONCLUSION

Cancer prehabilitation may improve outcomes. Prehabilitation may include targeted or whole-body exercise, nutrition, education, psychologic counseling, and smoking cessation. Opportunities exist to further improve access to and delivery of multimodal prehabilitation, and nurses play a critical role in connecting patients to these services.

IMPLICATIONS FOR NURSING PRACTICE

Oncology nurses who are knowledgeable of cancer treatment-related effects are poised to assess survivors for existing impairments, advocate for prehabilitation for existing and potential morbidities, and monitor functional status over time. As patient educators, they are key to informing cancer survivors about the role of prehabilitation.

摘要

目的

将癌症预康复作为一种预处理方案,以提高需要癌症治疗的患者的功能状态。本文介绍了当前针对不同癌症幸存者人群中预康复方案的疗效和益处的证据。

资料来源

PubMed 数据库中的研究和病例报告。

结论

癌症预康复可能改善结局。预康复可能包括有针对性或全身运动、营养、教育、心理辅导和戒烟。有机会进一步改善多模式预康复的可及性和实施,护士在将患者与这些服务联系起来方面发挥着关键作用。

对护理实践的意义

了解癌症治疗相关影响的肿瘤护士能够评估幸存者现有的障碍,倡导对现有和潜在的病态进行预康复,并随着时间的推移监测功能状态。作为患者教育者,他们是向癌症幸存者告知预康复作用的关键。

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