多模式预康复计划能否改善癌症结直肠切除术患者的睡眠质量和持续时间? 试点随机对照试验的试点随机对照试验
Sarah Atoui1, Francesco Carli2, Paquito Bernard3,4
1Division of Experimental Surgery, Department of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Journal of behavioral medicine
|July 18, 2023
概括
在家进行预康复可能会改善结肠直肠癌患者的睡眠时间,这些患者焦虑度很高. 这项试点研究发现,与标准护理相比,预疗是可行的,但没有改善整体睡眠质量.
科学领域:
- 在瘤学瘤学.
- 睡眠医学 睡眠医学
- 康复 康复 康复 康复
背景情况:
- 在癌症患者中,睡眠困难很普遍,影响了治疗和康复.
- 需要有效的癌症相关睡眠障碍管理策略.
研究的目的:
- 评估在接受手术的结肠直肠癌患者在睡眠质量上的家庭预康复疗法的有效性.
- 将预康复干预与睡眠参数标准护理进行比较.
主要方法:
- 一项试点随机对照试验 (RCT) 涉及102名接受选择性切除的结直肠癌患者.
- 参与者被随机分配到预康复 (prehab) 或标准护理 (SOC) 组.
- 睡眠质量和参数在基线,手术前,手术后4周和8周被评估.
主要成果:
- 在prehab和SOC组之间,总体主观或客观睡眠参数没有显著差异.
- 在prehab组中,在手术前观察到感知睡眠质量的小而非显著的改善.
- 在prehab组中,患有高焦虑症的患者在手术后的睡眠时间显著改善.
结论:
- 对于结直肠癌患者来说,在家进行预康复是可行的.
- 预康复可以改善睡眠时间,特别是在患有高焦虑症的患者中.
- 需要进行更大规模的试验来验证这些关于癌症护理中的睡眠改善的研究结果.
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