从理论转向实践:在胃肠癌手术 (PREHAB-GI) 之前实施预康复计划
Kristy-Lee Raso1,2, Michael Suen2,3, Sam Egger4
1Department of Nutrition and Dietetics, Concord Repatriation General Hospital, Sydney, New South Wales, Australia.
概括
这项研究表明,对于胃肠道癌症患者,可以成功实施多模式预康复计划. 该计划改善了患者的功能,减少了住院时间,证明了其在现实世界中的有效性.
科学领域:
- 在瘤学瘤学.
- 外科胃肠道外科手术
- 康复医学 康复医学 康复医学
背景情况:
- 手术是早期结直肠和上胃肠道 (UGI) 癌症的首要治疗方法.
- 手术后的并发症和功能减少是胃肠癌手术后的常见挑战.
- 预康复计划旨在提高患者在手术前的功能能力,以减轻这些风险.
研究的目的:
- 评估在现实临床环境中为接受胃肠癌手术的患者实施多式预康复计划的实施情况.
- 评估预康复计划的可行性,采用和维护.
主要方法:
- 使用RE-AIM框架进行了一项实施研究.
- 该计划包括监督的运动,营养和护理支持,通过面对面或远程医疗模式提供.
- 数据是在基线,手术前和手术后30天收集的,并与历史对照进行比较.
主要成果:
- 在91名符合条件的患者中,有77名 (85%) 被招募,介入时间中位数为16天.
- 在生活质量,焦虑和功能能力 (6分钟步行测试和2分钟步行测试) 中观察到显著改善.
- 与历史对照组相比,住院时间减少了2.1天,坚持高 (94%) 和满意度高.
结论:
- 多模式预康复可以在胃肠道癌症患者的现实环境中实施.
- 该计划显示了改善功能和手术结果的趋势.
- 专门的资源对于成功实施和长期维持这些计划至关重要.
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