Wirtz Petra, Weber Rabea, Baumann Freerk T
Institut für Kreislaufforschung und Sportmedizin, Deutsche Sporthochschule Köln, Köln.
Klinik 1 für Innere Medizin, Centrum für Integrierte Onkologie Aachen Bonn Köln Düsseldorf, Universität zu Köln, Universitätsklinikum Köln, Köln.
Rehabilitation (Stuttg). 2020 Aug;59(4):214-222. doi: 10.1055/a-1125-6717. Epub 2020 Apr 6.
This study analyzes the transfer of knowledge and information of exercise and physical activity after cancer therapy in rehabilitation clinics and rehabilitative cancer sports groups in Germany. Moreover, the way of referral into rehabilitative cancer sports groups is evaluated. A possible cooperation between rehabilitation clinics and rehabilitative cancer sports groups is also examined.
A survey concept including 2 successive cross sectional analyses was applied using self-designed questionnaires. According to defined inclusion criteria oncological rehabilitation clinics were selected for the first survey (2015). Based on the results, the second survey (2018) was conducted within rehabilitative cancer sports groups using an online survey.
33 rehabilitation clinics with 44,828 patients treated (in 2014) as well as 126 cancer sports groups with 1,896 rehabilitative cancer sports group participants were included. 99% of patients in rehabilitation clinics had been informed about exercise and physical activity in the aftercare. 18% of the rehabilitative cancer sports groups were cooperating/in contact with oncological rehabilitation clinics, while 57% of the rehabilitation clinics provided contact information of the rehabilitation sports groups leaders at the patients' hometown. 78% of rehabilitation clinic patients received individual exercise recommendations for home-based exercise, while only 23% of the rehabilitative cancer sports groups participants' had received those recommendations prior to participation in this groups, according to the cancer sports group leaders.
The results are diverse: The rehabilitative cancer sports groups participants present a lower level of information and opposing prescriptions compared to the patients in rehabilitation clinics, according to the responding clinics and groups. This could be due to the fact that most patients are referred to rehabilitative cancer sports groups by specialists and general practitioners, and only few of them attended a rehabilitation clinic before, where comprehensive information is available. The implementation of a nationwide network including rehabilitative cancer sports groups, rehabilitation clinics and specialists/general practitioners could optimize cancer care in terms of quality as well as quantity.
本研究分析了德国康复诊所和癌症康复运动团体中癌症治疗后运动与身体活动方面的知识和信息传递情况。此外，还评估了转诊至癌症康复运动团体的方式。同时也探讨了康复诊所与癌症康复运动团体之间可能的合作。
采用自行设计的问卷进行一项包含两次连续横断面分析的调查。根据既定纳入标准，在首次调查（2015年）中选取肿瘤康复诊所。基于调查结果，在癌症康复运动团体中开展了第二次调查（2018年），采用在线调查方式。
纳入了33家康复诊所（2014年共治疗44,828名患者）以及126个癌症运动团体（1896名癌症康复运动团体参与者）。康复诊所中99%的患者在后续护理中被告知运动与身体活动相关信息。18%的癌症康复运动团体与肿瘤康复诊所合作/保持联系，而57%的康复诊所会向患者提供其家乡康复运动团体负责人的联系信息。据癌症运动团体负责人称，78%的康复诊所患者收到了居家锻炼的个性化运动建议，而癌症康复运动团体参与者中只有23%在参加该团体之前收到过此类建议。
结果呈现出多样性：根据参与调查的诊所和团体反馈，与康复诊所的患者相比，癌症康复运动团体参与者所获信息较少且处方相反。这可能是因为大多数患者是由专科医生和全科医生转诊至癌症康复运动团体的，他们中只有少数人之前去过能提供全面信息的康复诊所。建立一个涵盖癌症康复运动团体、康复诊所以及专科医生/全科医生的全国性网络，在质量和数量方面都可以优化癌症护理。
