AlJohi Amani A, AlSaeed Safanah
Physical Therapy Department, King Fahad Medical City, Rehabilitation Hospital: Riyadh, 11525, Saudi Arabia.
J Phys Ther Sci. 2022 Mar;34(3):204-212. doi: 10.1589/jpts.34.204. Epub 2022 Mar 14.
[Purpose] Cancer survivors have functional impairments that adversely affect patients' quality of life (QoL). Acute rehabilitation helps to reduce disability and improves QoL in cancer survivors. This study investigated the potential improvement in mobility levels and QoL of cancer patients during acute inpatient physical therapy (PT) from admission to discharge. [Participants and Methods] This was a cross-sectional study conducted at King Fahad Medical City, Riyadh. Acute inpatient cancer survivors (n=99) were assessed at their admission and discharge. The primary outcome measure was the AM-PAC "6-Clicks" Basic Mobility, Functional Assessment of Cancer Therapy-General (FACT-G7) and the Karnofsky Performance Scale (KPS). [Results] Overall, 82.8% of cancer patients were discharged home. There were significant improvements in all the three outcome measures for all the patients from admission to discharge. Patients who were discharged home exhibited significantly better improvement in all the scales. Factors that predicted discharge mobility and quality of life were discharge destination, number of PT sessions, and baseline admission scores. [Conclusion] The study found that acute inpatient cancer rehabilitation helps to improve mobility and QoL. Rehabilitation programs available in Saudi Arabia are limited, and it is important to integrate the cancer rehabilitation model into the oncology services.
[目的]癌症幸存者存在功能障碍,对患者的生活质量(QoL)产生不利影响。急性康复有助于减少癌症幸存者的残疾并改善其生活质量。本研究调查了癌症患者在急性住院物理治疗(PT)期间从入院到出院时活动水平和生活质量的潜在改善情况。[参与者与方法]这是一项在利雅得法赫德国王医疗城进行的横断面研究。对急性住院癌症幸存者(n = 99)在入院和出院时进行评估。主要结局指标为AM - PAC“6 - 点击”基本活动能力、癌症治疗通用功能评估(FACT - G7)和卡诺夫斯基表现量表(KPS)。[结果]总体而言,82.8%的癌症患者出院回家。从入院到出院,所有患者的三项结局指标均有显著改善。出院回家的患者在所有量表上的改善明显更好。预测出院时活动能力和生活质量的因素为出院目的地、PT疗程数和基线入院评分。[结论]研究发现急性住院癌症康复有助于改善活动能力和生活质量。沙特阿拉伯现有的康复项目有限,将癌症康复模式纳入肿瘤服务很重要。