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提高肿瘤患者的活动能力:整个护理连续过程中的循证实践。

Enhancing Mobility in Oncology: Evidence-Based Practices Across the Care Continuum.

作者信息

Bauder Nimian, Cabrera Chien Leana

机构信息

Surgical Oncology Clinical Nurse Specialist, City of Hope National Medical Center, Duarte, CA.

Nurse Practitioner, City of Hope National Medical Center, Duarte, CA.

出版信息

Semin Oncol Nurs. 2024 Aug;40(4):151677. doi: 10.1016/j.soncn.2024.151677. Epub 2024 Jul 15.

Abstract

OBJECTIVES

Provide an overview of research-derived insights aimed at elucidating best practices for enhancing mobility in patients with cancer throughout the entirety of the care continuum. Highlighting the value of a multidisciplinary approach involving various healthcare professionals to optimize mobility outcomes for patients with cancer and the benefits of different approaches.

METHODS

A literature search was conducted in PubMed/Medline, CINAHL, Scopus, Embase, and on Google Scholar using search terms, mobility, exercise, cancer, nurs*, physical activity, pre-habilitation, rehabilitation, best practices. Systematic reviews, meta-analyses, peer reviewed research studies, exercise, and physical activity recommendations were reviewed to provide a comprehensive overview of strategies aimed at enhancing mobility in patients with cancer.

RESULTS

Twenty-nine references were included in this overview of enhancing mobility in patients with cancer across the care continuum.

CONCLUSIONS

Evidence-based strategies prioritize enhancing mobility for patients with cancer, aiming to boost physical functioning and overall quality of life. Healthcare providers should consider each patient's unique needs and limitations when implementing these evidence-based approaches, emphasizing a multidisciplinary approach involving oncologists, surgeons, nurses, physical therapists, occupational therapists, and other professionals to ensure comprehensive and personalized care focused on improving mobility.

IMPLICATIONS FOR NURSING PRACTICE

Nurses advocate for incorporating exercise into cancer care plans throughout the entire treatment journey, collaborating with healthcare team members to tailor programs to individual patient needs. Working together as an interdisciplinary team, nurses help develop an overall care plan that emphasizes exercise as an important aspect of cancer care, using their expertise to create customized exercise routines to encourage and motivate patients to participate in physical activity.

摘要

目的

概述基于研究得出的见解,旨在阐明在整个护理连续过程中提高癌症患者活动能力的最佳实践。强调多学科方法的价值,该方法涉及各类医疗保健专业人员,以优化癌症患者的活动能力结果以及不同方法的益处。

方法

在PubMed/Medline、CINAHL、Scopus、Embase以及谷歌学术上进行文献检索,使用的检索词为:活动能力、运动、癌症、护理、身体活动、预康复、康复、最佳实践。对系统评价、荟萃分析、同行评审的研究、运动及身体活动建议进行了综述,以全面概述旨在提高癌症患者活动能力的策略。

结果

本综述纳入了29篇关于在整个护理连续过程中提高癌症患者活动能力的参考文献。

结论

基于证据的策略将提高癌症患者的活动能力作为优先事项,旨在增强身体机能和整体生活质量。医疗保健提供者在实施这些基于证据的方法时应考虑每个患者的独特需求和限制,强调采用多学科方法,涉及肿瘤学家、外科医生、护士、物理治疗师、职业治疗师和其他专业人员,以确保提供以改善活动能力为重点的全面且个性化的护理。

对护理实践的启示

护士倡导在整个治疗过程中将运动纳入癌症护理计划,与医疗团队成员合作,根据患者个体需求调整方案。护士作为跨学科团队共同努力,帮助制定整体护理计划,强调运动是癌症护理的一个重要方面,利用其专业知识制定定制化的运动常规,鼓励并激励患者参与身体活动。

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