针对接受结直肠癌选择性手术的患者的多式预康复计划:一个范围审查
Shilin Gao1, Yuhua He1, Lili Jiang1
1Colorectal Cancer Center, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.
Frontiers in oncology
|May 19, 2025
概括
多模式预康复,包括运动,营养和心理支持,改善了结直肠癌手术患者的结果. 需要进一步的研究来规范最佳的预康复计划.
科学领域:
- 在瘤学瘤学.
- 康复医学 康复医学 康复医学
- 基于证据的实践.
背景情况:
- 多模式预康复越来越多地用于结直肠癌手术.
- 这些计划旨在增强患者的康复和临床结果.
研究的目的:
- 对结直肠癌手术患者的多式预康复计划进行范围审查.
- 检查当前预康复实践的内容,实施和评估.
主要方法:
- 在用于范围审查的PRISMA扩展后,系统的文献审查.
- 搜索了主要的数据库 (PubMed,科学网,SCOPUS,EMBASE,科克兰图书馆).
- 包括12项研究 (RCT,试点,队列,模拟目标设计).
主要成果:
- 项目在持续时间 (2-8周) 和设置 (医疗保健,社区,家庭) 方面有所不同.
- 坚持率从50%到近100%不等.
- 常见的结果措施包括6分钟步行测试,并发症,住院时间,生活质量和焦虑度量表.
结论:
- 多模式预康复对选择性结直肠癌手术的临床预后产生积极影响.
- 协议和指标的异质性需要高质量的标准化研究.
- 最佳的多式联络预康复模型需要进一步探索.
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