多模式预康复改善了晚期卵巢癌患者的功能能力,这些患者正在接受细胞削减手术
Raquel Sebio-Garcia1, Cristina Celada-Castro2, Maria J Arguis3,4
1Department of Rehabilitation, Hospital Clinic de Barcelona, Barcelona, Catalunya, Spain.
概括
在手术前,多模式预康复显著改善了晚期卵巢癌患者的身体功能,并减少了在手术前的情绪困扰. 这种预备性干预可以提高患者在细胞减小手术中的幸福感.
科学领域:
- 在瘤学瘤学.
- 手术准备 手术准备
- 康复医学 康复医学 康复医学
背景情况:
- 预康复,一个预备性干预,以提高手术患者的准备,已知可以减少术后并发症.
- 关于预康复在晚期卵巢癌手术中的益处的证据仍然有限.
- 这项研究调查了多式预康复对手术前晚期卵巢癌患者身体功能,身体组成和心理健康的影响.
研究的目的:
- 评估在晚期卵巢癌患者中多模式预康复计划的有效性.
- 在手术前期评估身体功能,身体组成和心理健康的改善.
主要方法:
- 一个单一中心的两样性研究包括接受初级或间隔细胞削减手术的晚期卵巢癌患者.
- 参与者从事多模式预康复计划:医疗优化,监督运动,营养支持和心理咨询.
- 在程序和手术前进行功能能力,营养状况和心理健康的评估.
主要成果:
- 62名患者被转诊;35人 (59%) 接受了手术前评估,75%的人遵守了培训计划.
- 在6分钟的步行测试 (平均33.1m) 和30秒的坐立测试 (+3.3次重复) 中观察到显著的改善,超过了临床重要差异的最小值.
- 患者报告说,抑郁,焦虑和医院焦虑和抑郁量表的整体得分显著减少.
结论:
- 多模式预康复有效地提高了手术前的身体功能,并减少了经过细胞减小手术的晚期卵巢癌患者的情绪困扰.
- 这些发现表明,预康复是为这种患者群体提供护理的重要组成部分.
- 建议对更大样本的大小进行进一步的受控研究,以确认这些益处并探索对身体组成的影响.
相关概念视频
02:56Treatment Resistant Cancers
3.3K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.3K
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
3
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
3
01:23Peripheral Artery Disease V: Postoperative Nursing Management
4
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
4
02:49Cancer Therapies
7.6K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.6K