Department of Palliative, Rehabilitation, and Integrative Medicine, Section of Physical Medicine & Rehabilitation, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1414, Houston, TX, 77030, USA.
Department of Palliative, Rehabilitation, and Integrative Medicine, Section of Palliative Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Curr Oncol Rep. 2024 Nov;26(11):1283-1292. doi: 10.1007/s11912-024-01585-8. Epub 2024 Aug 5.
This review examines the literature on palliative rehabilitation for patients with advanced cancer, focusing on definitions, structures, processes, and outcomes.
Palliative cancer rehabilitation targets comfort and functional improvement for patients with limited rehabilitation potential across various settings. The palliative cancer rehabilitation team, typically led by a physician, coordinates symptom management and referrals to rehabilitation and other allied healthcare professionals as needed. The outcomes of palliative cancer rehabilitation varied widely by goals, settings, and interventions. Studies in hospice settings generally reported improved symptom control; inpatient rehabilitation had mixed functional outcomes; and outpatient palliative rehabilitation may contribute to enhanced functional and symptom outcomes, especially among patients with higher baseline function. Palliative cancer rehabilitation emphasizes a collaborative approach that integrates palliative care with rehabilitation interventions, aiming to enhance quality of life and address diverse patient needs. Further research and standardization are necessary to realize its full potential.
本文回顾了晚期癌症患者姑息康复的文献,重点关注定义、结构、过程和结果。
姑息癌症康复针对的是各环境下康复潜力有限的患者的舒适和功能改善。姑息癌症康复团队通常由医生领导,协调症状管理,并根据需要转介给康复和其他相关医疗保健专业人员。姑息癌症康复的结果因目标、环境和干预措施的不同而有很大差异。临终关怀环境中的研究通常报告症状控制得到改善;住院康复的功能结果好坏参半;而门诊姑息康复可能有助于改善功能和症状结果,特别是在基线功能较高的患者中。姑息癌症康复强调一种协作方法,将姑息治疗与康复干预相结合,旨在提高生活质量并满足患者的各种需求。需要进一步的研究和标准化来实现其全部潜力。