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前列腺癌康复前准备和多模式干预对以患者为中心的护理和康复的重要性。

Prostate Cancer Prehabilitation and the Importance of Multimodal Interventions for Person-centred Care and Recovery.

机构信息

School of Nursing, Midwifery, and Public Health, University of Canberra, Canberra, ACT, Australia; ACT Health and the Canberra Health Services, Canberra ACT, Australia; Prehabilitation, Activity, Cancer, Exercise and Survivorship (PACES) Research group, University of Canberra, Canberra ACT, Australia.

School of Nursing, Midwifery, and Public Health, University of Canberra, Canberra, ACT, Australia; Prehabilitation, Activity, Cancer, Exercise and Survivorship (PACES) Research group, University of Canberra, Canberra ACT, Australia.

出版信息

Semin Oncol Nurs. 2020 Aug;36(4):151048. doi: 10.1016/j.soncn.2020.151048. Epub 2020 Jul 21.

Abstract

BACKGROUND

Prostate cancer is the second most commonly diagnosed cancer globally. Cancer prehabilitation is defined as a process on the continuum of care that occurs between the time of a cancer diagnosis and the beginning of acute treatment. This article will discuss the importance of prostate cancer prehabilitation interventions in optimising physical and psychological recovery to enhance person-centred care.

DATA SOURCES

Electronic databases including CINAHL, MEDLINE, PsychINFO, Scopus, professional websites, and grey literature were searched using Google Scholar.

CONCLUSION

Prehabilitation in cancer care aims to enhance perioperative care and recovery. An emerging field of research suggests that the preoperative period may be physically and psychologically salient to introduce modifiable self-management behaviours to optimise overall recovery.

IMPLICATIONS FOR NURSING PRACTICE

Prostate cancer specialist nurses provide the hub of person-centred care across the entire cancer care continuum embedded within the multidisciplinary team. Individually tailored interventions such as exercise and pelvic floor muscle training programmes, nutritional advice, anxiety and depression reduction, and sexual well-being interventions should be considered in the prehabilitation phase of the cancer care continuum.

摘要

背景

前列腺癌是全球第二大常见癌症。癌症预康复被定义为在癌症诊断和开始急性治疗之间的连续护理过程中的一个过程。本文将讨论前列腺癌预康复干预措施在优化身体和心理恢复以增强以患者为中心的护理方面的重要性。

资料来源

使用 Google Scholar 搜索了包括 CINAHL、MEDLINE、PsychINFO、Scopus、专业网站和灰色文献在内的电子数据库。

结论

癌症护理中的预康复旨在增强围手术期护理和恢复。一个新兴的研究领域表明,术前阶段在身体和心理上可能很重要,可以引入可改变的自我管理行为,以优化整体恢复。

对护理实践的影响

前列腺癌专科护士在多学科团队中提供贯穿整个癌症护理连续体的以患者为中心的护理中心。在癌症护理连续体的预康复阶段,应考虑个体化的干预措施,如运动和盆底肌肉训练计划、营养建议、焦虑和抑郁减轻以及性健康干预。

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