老年人腹部手术后的功能结果 - 我们对此有多担心?
Titus Hutch Jr Yi Zheng Yim1, Kok Yang Tan2
1National University of Singapore, Singapore 119077.
概括
对于接受癌症手术的老年人来说,功能恢复至关重要,但很少有研究报告术前功能. 与手术前相比,术后功能报告不足,这凸显了对老年人手术护理的更好评估的需要.
科学领域:
- 老年人手术是一门老年手术.
- 手术瘤学手术瘤学
- 患者的治疗结果.
背景情况:
- 全球人口正在老龄化,接受手术的老年人数也在增加.
- 改善老年患者的外科治疗结果需要超越死亡率和发病率的结果测量.
- 术后功能维护是老年人的主要优先事项,影响独立性和生存.
研究的目的:
- 检查经过癌症选择性腹部大手术的老年外科病人的术后功能报告的患病率.
- 评估在这个人口群体中报告功能结果的研究趋势和比例.
主要方法:
- 从研究开始到2023年12月的研究的系统审查.
- 纳入标准侧重于接受癌症选择性腹部重大手术的老年外科患者.
- 对引用,摘要和完整文章进行选.
主要成果:
- 包括103项研究;只有31项 (29%) 报告了术后功能,涉及20885名参与者.
- 虽然报告功能的研究数量正在增加,但该比例仍然很低.
- 术后功能报告的频率比术前功能少三倍.
结论:
- 在接受重大腹部癌症手术的老年人中,功能恢复的评估不足.
- 外科医生很少将功能恢复作为一个关键的结果指标.
- 需要加大努力来量化和支持功能恢复,以提高老年手术患者的护理质量和临床结果.
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