在老年人中血造细胞移植后参与生活活动
Natalie von Oldenburg1, Noelle Pick1, Jessica N Semin1
1Division of Geriatrics, Gerontology, and Palliative Medicine, Department of Internal Medicine, University of Nebraska Medical Center, 986155 Nebraska Medical Center Omaha, NE 68198 - 6155, Omaha, NE, USA.
概括
血造干细胞移植 (HCT) 后的老年人恢复了大多数活动,但面临着疲劳和身体衰退等障碍. 有针对性的体育活动计划可以帮助恢复和参与.
科学领域:
- 老年学是一门学科.
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 康复医学 康复医学 康复医学
背景情况:
- 接受血造干细胞移植 (HCT) 的老年人经常经历功能储备的减少.
- 康复和参与HCT后的日常活动需要仔细考虑与年龄相关的因素.
研究的目的:
- 测量HCT后老年人活动参与水平.
- 确定影响参与这一群体的障碍和目标.
主要方法:
- 融合混合方法设计,结合定量评估 (修改活动卡排序) 和定性半结构面试.
- 验证的措施评估了认知,身体和心理社会功能.
- 评估了四个参与领域:工具性,低需求的休,高需求的休和社会.
主要成果:
- 参与者 (平均年龄66岁) 恢复了80%的活动,在低需求的休中保持最高,在高需求的休中保持最低.
- 疲劳和身体功能受损是所有活动类型中常见的障碍.
- 认知功能,移植副作用 (骨质疏松症,GVHD) 和免疫抑制也存在重大障碍.
结论:
- 在HCT后的老年人功能能力下降,需要延长恢复时间,特别是在能源密集型活动中.
- 促进体育活动的计划对于解决HCT后老年癌症幸存者的局限性和限制至关重要.
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