Moriyama Takeshi, Takami Akiyoshi, Makino Misato
Department of Rehabilitation, Hakodate Municipal Hospital, Japan.
Hirosaki University Graduate School of Health Sciences: 66-1 Hontyou, Hirosaki-shi, Aomori 036-8564, Japan.
J Phys Ther Sci. 2023 Feb;35(2):133-138. doi: 10.1589/jpts.35.133. Epub 2023 Feb 1.
[Purpose] We established criteria for patients with malignant lymphoma with low blood counts, who did not meet the criteria to discontinue rehabilitation or the blood transfusion criteria even though they were borderline for discontinuing rehabilitation. We investigated physical symptoms, activities of daily living, and adverse events in patients who were permitted to undergo rehabilitation intervention using the new criteria. [Participants and Methods] Forty-two patients met the criteria to discontinue rehabilitation based on blood data, and the new-criteria group included 153 patients who received permission for rehabilitation from a hematologist despite not meeting the criteria to discontinue rehabilitation. The survey items were Barthel index at the time of admission and discharge and the length of hospital stay. A two-group comparison was performed, and the occurrence of adverse events associated with exercise intervention were investigated. [Results] The length of hospital stay was shortened in the new-criteria group, and the rehabilitation intervention rate improved. [Conclusion] For patients with malignant lymphoma with low blood cell counts, continuing rehabilitation intervention with physician permission may prevent a decline in activities of daily living as well as maintain and improve motor function.
[目的] 我们为恶性淋巴瘤且血细胞计数低的患者制定了标准,这些患者即使处于康复终止的临界状态,也不符合康复终止标准或输血标准。我们使用新的标准对允许进行康复干预的患者的身体症状、日常生活活动能力和不良事件进行了调查。[参与者与方法] 42例患者根据血液数据符合康复终止标准,新标准组包括153例尽管不符合康复终止标准但获得血液科医生康复许可的患者。调查项目为入院和出院时的巴氏指数以及住院时间。进行了两组比较,并调查了与运动干预相关的不良事件的发生情况。[结果] 新标准组的住院时间缩短,康复干预率提高。[结论] 对于血细胞计数低的恶性淋巴瘤患者,经医生许可继续进行康复干预可能会防止日常生活活动能力下降,并维持和改善运动功能。