Knörzer J
Klinik Bergisch-Land der Landesversicherungsanstalt Rheinprovinz, Wuppertal, FRG.
Rehabilitation (Stuttg). 1993 Feb;32(1):48-54.
Many patients with urological carcinomas feel able, and indeed are able, to return to work after medical treatment. From a medical, psychological and socioeconomic point of view, routine pensioning must nowadays be rejected. Vocational reintegration is prepared in an individual and comprehensive manner in facilities for medical-vocational rehabilitation (phase II). The indication for vocational rehabilitation measures depends on the prognosis, on age and motivation, as well as on treatment aftereffects. The implications of operative, radiation and chemotherapy for the timing and course of the rehabilitation measures are set out, tumour- and treatment-related restrictions in future working life are discussed from an occupational medical view. Special emphasis is placed on carcinomas that should give rise to very early initiation of vocational rehabilitation services.
许多泌尿系统癌症患者觉得自己能够，而且实际上也确实能够在接受治疗后重返工作岗位。从医学、心理和社会经济角度来看，如今必须摒弃常规的养老金发放做法。在医疗职业康复机构（第二阶段）中，以个性化和全面的方式为职业再融入做准备。职业康复措施的适应症取决于预后、年龄和动机，以及治疗后的影响。阐述了手术、放疗和化疗对康复措施的时间安排和进程的影响，从职业医学角度讨论了未来工作生活中与肿瘤和治疗相关的限制。特别强调了那些应尽早启动职业康复服务的癌症。
