对瘤病患有息需求的推物理治疗方法及其对患者报告结果措施的影响:系统性审查
Luna Gauchez1,2,3, Shannon Lauryn L Boyle1, Shinfu Selena Eekman1
1Physiotherapy Human Physiology and Anatomy Department (KIMA), Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels, Belgium.
Cancers
|October 16, 2024
概括
物理治疗干预措施在改善患者报告的瘤息护理 (PC) 结果方面表现有前途. 然而,低质量的证据需要进一步的严格研究来证实对疲劳,疼痛和生活质量的益处.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 康复医学 康复医学 康复医学
背景情况:
- 物理治疗在早期和传统息治疗 (PC) 中对瘤患者的作用正在调查中.
- 专注于对患者报告结果 (PROM) 的影响:疲劳,疼痛,缓解症,生活质量 (QoL),身体功能 (PHF) 和心理社会功能 (PSF).
研究的目的:
- 在瘤学中评估物理治疗干预措施的有效性PC.
- 识别研究缺口,以更好地了解潜在的好处.
主要方法:
- 在PubMed,Embase和Web of Science的系统文献搜索 (2023年12月21日结束).
- 包括9个随机对照试验 (RCT).
- 使用Cochrane风险偏差工具2评估偏差,使用GRADE评估证据确定性.
主要成果:
- 大多数RCT表现出高偏差风险,特别是在结果测量和缺失数据方面.
- 认知行为疗法 (CBT) 显著减少了疲劳,改善了PHF,QoL和情绪功能.
- 按摩改善了QOL并减少了疼痛;物理疗法减少了疼痛;正念呼吸练习 (MBE) 改善了QOL.
- 渐进式运动疗法 (GET) 和联合干预措施没有显著影响.
结论:
- 物理治疗可以积极影响瘤学中的PROM.PC.
- 当前研究的质量低和偏差风险高,需要更严格的研究.
- 需要进一步的研究来证实这些发现并指导临床实践.
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