肺癌途径中的预康复:一个范围审查
Kelly Wade-Mcbane1,2, Alex King3,4, Catherine Urch3,4
1Department of Nutrition and Dietetics, Imperial College Healthcare NHS Trust, London, UK. k.wade-mcbane@nhs.net.
肺癌患者的预康复计划缺乏标准化,大多数专注于运动. 未来的计划应该根据患者的需求和价值观来个性化干预,以获得更好的参与和结果.
科学领域:
- 在瘤学瘤学.
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 肺癌是英国癌症死亡的主要原因之一.
- 预康复对于在身体和心理上为癌症治疗做好准备至关重要.
- 了解预康复对幸福感影响的背景和机制是有限的.
研究的目的:
- 审查和总结肺癌患者预康复的初级研究.
- 以现实主义的方法探索影响预康复有效性的背景和机制.
主要方法:
- 对实证初级研究进行了范围审查.
- 从2016年到2023年2月,搜索了五个医疗数据库.
- 用一个现实的框架 (上下文,机制,结果) 来解释.
主要成果:
- 包括31项研究;超过95%的研究包含了运动组成部分.
- 大多数研究集中在手术患者的预康复;很少有人使用理论框架.
- 存在显著的异质性,缺乏关于最佳方案设计和交付的最终临床试验.
结论:
- 目前没有针对肺癌患者的标准化预康复计划.
- 未来的计划必须考虑以患者为中心的价值观,需求和信仰,以加强干预交付和参与.
- 建议采用概念框架,为患有癌症和癌症后经历的人提供个性化预康复服务.
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