在化疗期间老年患者的头和行走平衡受损
Katrine Storm Piper1, Katrine Kofoed Myhre2, Helle Elisabeth Jensen2
1Department of Occupational Therapy and Physiotherapy, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Journal of geriatric oncology
|September 6, 2024
概括
接受化疗的老年人经常感到头和行走平衡受损,往往没有向瘤学家报告这些问题. 这些与神经病变相关的症状需要系统的评估和有针对性的康复策略.
科学领域:
- 老年瘤学 老年瘤学
- 临床瘤学临床瘤学
- 神经瘤学神经瘤学
背景情况:
- 接受化疗的老年人容易受到恶心,疲劳,头和外围神经病变等不良影响.
- 这些症状可能导致平衡和行走障碍,增加跌倒风险,并对生活质量产生负面影响.
- 这些症状的不充分报告和医疗保健专业人员的不充分意识阻碍了有针对性的评估和康复.
研究的目的:
- 确定患有胃肠癌的老年人 (≥65岁) 接受化疗的头,行走平衡受损,神经病变和跌倒的患病率.
- 调查这些症状之间的关联.
- 评估患者向瘤学家报告这些不良影响的速度.
主要方法:
- 进行了一项横截面研究.
- 参与者包括65岁及以上的患有胃肠道癌症的患者,他们已经完成了至少三次化疗周期.
- 关于症状流行和报告的数据采用结构化问卷收集.
主要成果:
- 头影响了54%的患者,而48%的患者经历了步行平衡受损.
- 32%的患者出现神经病变症状,11%的患者报告在化疗期间跌倒.
- 神经病变与头 (OR 1.98) 和失衡 (OR 3.61) 有关. 只有48%的患者向瘤学家报告了这些症状.
结论:
- 在接受化疗的老年癌症患者中,头和行走平衡受损是常见的,报告不足的症状.
- 这些症状显著与神经病变有关.
- 在化疗期间对老年患者进行对头和平衡障碍的系统评估至关重要.
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