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对与乳腺癌有关的认知障碍的康复计划进行系统审查:不同时间的不同计划?
Marianne Merceur1, Karen T Reilly2, Isabelle Bonan1
1Rehabilitation Medicine Unit, University Hospital of Rennes, 2 rue Henri Le Guilloux, 35000 Rennes, France.
Annals of physical and rehabilitation medicine
|March 27, 2024
概括
与癌症相关的认知障碍 (CRCI) 影响乳腺癌幸存者. 身体活动干预改善认知和生活质量,而其他疗法则针对情绪和记忆.
科学领域:
- 在瘤学瘤学.
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
背景情况:
- 与癌症相关的认知障碍 (CRCI) 影响20-30%的乳腺癌患者.
- 虽然CRCI带来了巨大的挑战,但仍然没有标准的护理.
- 了解干预的有效性对于幸存者来说至关重要.
研究的目的:
- 系统地审查乳腺癌幸存者CRCI干预的随机对照试验 (RCT).
- 分析癌症护理途径中的干预时间.
- 为CRCI管理提供基于证据的见解.
主要方法:
- 按照PRISMA指南进行系统性文献审查 (2019年1月 - 2023年7月).
- 包含具有 CRCI 后乳腺癌客观认知评估的 RCT.
- 分析了35项涉及2821名参与者的研究.
主要成果:
- 药理干预措施对CRCI没有显著影响.
- 早期的身体活动干预改善了生活质量和信息处理速度.
- 随后的干预措施 (认知康复,补充疗法) 改善了记忆力,注意力和情绪.
结论:
- CRCI是多因素的,通常与疲劳,疼痛和心理困扰一起发生.
- 建议采用整体的多模式康复方法.
- 未来的计划应该整合各种疗法,并利用创新的交付方法.
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