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基于治疗时机的晚期肺癌患者身体功能与生活质量的关系

Relationship between physical function and quality of life based on treatment timing in patients with advanced lung cancer.

作者信息

Muraoka Norihiko, Ro Takanori, Ota Tetsuo

机构信息

Rehabilitation Unit, Asahikawa Medical University Hospital: 2-1-1-1 Midorigaokahigashi, Asahikawa-shi, Hokkaido 078-8510, Japan.

出版信息

J Phys Ther Sci. 2025 Jan;37(1):12-20. doi: 10.1589/jpts.37.12. Epub 2025 Jan 1.

Abstract

[Purpose] Rehabilitation can improve physical function and quality of life in patients with advanced cancer. However, relevant studies on advanced lung cancers are limited. Differences in physical function and symptoms based on the treatment phase should be considered. This study investigated the relationship between physical function and quality of life during the treatment phase in patients with advanced lung cancer. [Participants and Methods] Patients with stage IV non-small-cell lung cancer and postoperative recurrence who were hospitalized between May 2018 and October 2021 were selected. Data, including age, histological type of lung cancer, treatment details, functional independence measures, and European Organization for Research and Treatment of Cancer QLQ-C30, were collected from medical records. Patients were categorized into groups based on the treatment phase: the initial, subsequent, and best supportive care (BSC) groups comprised patients admitted for initial treatment, receiving second or subsequent treatments, and receiving best supportive care, respectively. The relationship between physical function and quality of life during each treatment phase was examined. [Results] Physical function in the subsequent group was associated with physical functioning, role functioning, cognitive functioning, social functioning, and fatigue. Meanwhile, the BSC group had fewer associated items than the other groups. [Conclusion] Rehabilitation during the ongoing treatment phase improves physical function and quality of life.

摘要

[目的] 康复治疗可改善晚期癌症患者的身体功能和生活质量。然而,关于晚期肺癌的相关研究有限。应考虑基于治疗阶段的身体功能和症状差异。本研究调查了晚期肺癌患者治疗阶段身体功能与生活质量之间的关系。[参与者与方法] 选取2018年5月至2021年10月期间住院的IV期非小细胞肺癌及术后复发患者。从病历中收集包括年龄、肺癌组织学类型、治疗细节、功能独立性测量以及欧洲癌症研究与治疗组织QLQ-C30等数据。根据治疗阶段将患者分为几组:初始治疗组、后续治疗组和最佳支持治疗(BSC)组,分别包括接受初始治疗、接受第二次或后续治疗以及接受最佳支持治疗的患者。研究了每个治疗阶段身体功能与生活质量之间的关系。[结果] 后续治疗组的身体功能与身体机能、角色功能、认知功能、社会功能和疲劳相关。同时,BSC组的相关项目比其他组少。[结论] 在持续治疗阶段进行康复治疗可改善身体功能和生活质量。

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Exercise training for advanced lung cancer.晚期肺癌的运动训练
Cochrane Database Syst Rev. 2019 Feb 11;2(2):CD012685. doi: 10.1002/14651858.CD012685.pub2.

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