Sachs S H, Davis J M, Reynolds S A, Spagnola M, Hall P, Bloch A
J Fam Pract. 1980 Sep;11(3):395-401.
The need for, operation, and outcomes of an in-hospital postmastectomy rehabilitation program are described as operating at a general community hospital, the Mt. Sinai Hospital of Cleveland. Patient outcomes in terms of range of motion (94 and 98 percent normal 90 days after discharge, right and left arm respectively); resumption of normal activities and return to work (94 percent had resumed normal activities within 90 days and 85 percent had returned to work); and emotional stress (fewer than one in ten reported moderate to severe emotional stress) are demonstrated to be indicative of good rehabilitation. These results are comparable to those reported achieved in a specialized oncology setting. This type of program can be successfully conducted in a community hospital with the limited use of regular hospital personnel, although problems related to physician resistance and assuring the regular availability of appropriate staff members for even a short time each day must be overcome.
本文描述了克利夫兰西奈山医院这一普通社区医院开展的院内乳房切除术后康复项目的必要性、运作情况及成果。患者在活动范围（出院90天后，右臂和左臂的活动范围分别有94%和98%恢复正常）、恢复正常活动及重返工作岗位（94%的患者在90天内恢复了正常活动，85%的患者重返工作岗位）以及情绪压力（不到十分之一的患者报告有中度至重度情绪压力）方面的结果表明康复效果良好。这些结果与在专门肿瘤治疗机构所报告的结果相当。这类项目在社区医院可以成功开展，只需有限地使用医院常规工作人员，不过必须克服与医生抵触情绪以及确保每天哪怕在短时间内都有合适工作人员随时可用相关的问题。
