优化通过预康复进行瘤外科手术的患者:叙述性综述
John Moore1,2, Alec Beaney1, Liam Humphreys3
1Department of Anaesthesia, Manchester University Hospitals NHS Foundation Trust, Manchester, UK.
Anaesthesia
|January 8, 2025
概括
预康复,包括运动,营养和心理支持,可以增强癌症手术患者的康复. 需要进一步的研究来优化干预措施,并利用数字工具提供个性化,公平的护理.
科学领域:
- 在瘤学瘤学.
- 手术护理 手术护理
- 康复医学 康复医学 康复医学
背景情况:
- 预康复增强了患者对手术压力的弹性,旨在减少并发症和改善结果.
- 本综述更新了专门针对接受癌症手术的患者的预康复策略的开发和应用.
研究的目的:
- 审查癌症手术预康复的当前证据和挑战.
- 探索瘤护理中预康复的组成部分,实施和未来方向.
主要方法:
- 对同行评审数据库进行了全面的文献搜索.
- 关键词包括"预康复"",癌症手术"和相关术语,并补充了参考检查和灰色文献审查.
主要成果:
- 预康复整合了运动,营养和心理支持,为癌症手术患者量身定制.
- 行为改变对于患者的坚持至关重要;预康复被定位为手术途径的组成部分,与医疗优化不同.
- 确定了实施预康复的促进者和障碍.
结论:
- 前期康复显示出改善癌症患者手术结果的潜力.
- 最佳的预康复干预措施 (运动,营养,心理支持) 需要进一步的证据,以及有效的行为改变策略,以改善长期的生活方式.
- 数字技术可以个性化和扩展预康复,但必须确保公平的准入.
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