在瘤治疗中整合健身训练:从大型远程医疗试验中吸取的教训
Karen S Schaepe1, Jeffrey R Basford2, Andrea L Cheville2
1Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN.
Archives of rehabilitation research and clinical translation
|January 17, 2025
概括
电话康复健身计划对晚期癌症患者有好处,改善功能和参与度. 成功取决于强有力的患者-提供者互动,尽管存在制度障碍.
科学领域:
- 在瘤学瘤学.
- 康复医学 康复医学 康复医学
- 数字健康数字健康
背景情况:
- 晚期癌症患者经常经历功能衰退.
- 远程康复为远程提供健身计划提供了一个潜在的解决方案.
- 将新项目整合到瘤护理中存在挑战.
研究的目的:
- 评估患者和临床医生对晚期癌症患者的远程康复健身计划的看法.
- 确定与实施该计划相关的好处和障碍.
主要方法:
- 在癌症试验中保持绩效的协作护理的定性评估.
- 涉及31名患者和5名瘤学家,物理治疗师,健身管理人员 (FCM) 和医生的采访和书面叙述.
- 干预包括一个为期6个月的远程医疗提供健身计划,有或没有疼痛管理.
主要成果:
- 87%的参与者发现电话康复健身计划有帮助.
- 关键的好处包括定期接触,功能改善和积极参与.
- 临床医生注意到有效的患者参与和目标设定,但对患者适应性和机构工作流程表示担忧.
结论:
- 患者和临床医生对电话康复健身计划的看法都是积极的.
- 有效的患者-FCM互动对于计划的成功至关重要.
- 为了更广泛的实施,需要解决包括工作流集成在内的制度障碍.
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