与手术肺癌患者功能能力恶化的相关因素:系统性审查
Xinyi Xu1, Xiaohang Liu, Mu-Hsing Ho
1Authors' Affiliation: School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
在肺癌手术后,功能能力通常会下降. 关键的风险因素包括年龄,术前肺功能和术后炎症,指导更好的患者护理和资源配置.
科学领域:
- 在瘤学瘤学.
- 肺部医学 肺部医学
- 康复科学 康复科学 康复科学
背景情况:
- 预计肺切除后的功能能力下降.
- 影响肺癌患者这一下降的因素尚未审查.
研究的目的:
- 确定与肺癌手术后功能能力恶化相关的因素.
- 为了绘制手术后功能能力的轨迹.
主要方法:
- 对PubMed,CINAHL,Scopus和SPORTDiscus (2010年1月至2022年7月) 的系统审查.
- 两个评审人的批判性评价.
- 包括21项研究.
主要成果:
- 确定的危险因素:患者年龄,手术前的生命能力,四头肌力,B型尿,手术,胸管排水时间,术后并发症和C反应蛋白.
- 显著的短期功能能力下降 (≤1个月).
- 中期 (1-6个月) 显著下降,但没有恢复到手术前的水平.
结论:
- 这是对肺癌患者功能能力因素的首次审查.
- 调查结果有助于识别有风险的患者,并优化资源分配.
- 常规的外科护理对风险因素的评估和有针对性的干预措施可以减轻衰退.
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