Hollender J, Gonnella C, Parker D
Arch Phys Med Rehabil. 1979 Feb;60(2):45-9.
Level of expected functional recovery from colostomy, laryngectomy and mastectomy was established by the Delphi technique. One hundred fifteen cancer rehabilitation experts responded to 2 rounds of questionnaires and provided their judgments regarding degrees and timing of recovery in 14 functional, physical and psychological areas. Feedback of first round judgments was provided in the second round and 85% agreement was set as the standard for consensus. The mastectomy patient is expected to have the quickest recovery with former level of functioning reached in most areas by 3 months postdischarge. The colostomy patient is expected to be functioning normally in most areas by 6 months postdischarge. The laryngectomy patient is expected to be functioning normally in most areas by 12 months postdischarge. Some functions were judged to have the same rate of recovery for all 3 patient types; for example, the experts agreed that for the 55-year-old patients described in the case abstracts, sexual activities would not reach the preoperative frequency until 12 months postdischarge.
通过德尔菲技术确定了结肠造口术、喉切除术和乳房切除术后预期的功能恢复水平。115名癌症康复专家对两轮问卷进行了回复，并就14个功能、身体和心理领域的恢复程度和时间提供了他们的判断。在第二轮问卷中提供了第一轮判断的反馈信息，并将85%的一致性作为达成共识的标准。乳房切除术后的患者预计恢复最快，大多数领域在出院后3个月就能达到以前的功能水平。结肠造口术患者预计在出院后6个月时大多数领域能正常发挥功能。喉切除术患者预计在出院后12个月时大多数领域能正常发挥功能。一些功能被判定在所有三种患者类型中的恢复率相同；例如，专家们一致认为，对于病例摘要中描述的55岁患者，性活动在出院后12个月之前不会达到术前频率。
