参与和遵守结肠直肠癌预康计划
Misha A T Sier1,2, Eva Godina3, Omar Mollema3
1Department of Surgery, Zuyderland Medical Centre, 6162 BG Sittard, The Netherlands.
Nutrients
|June 13, 2025
概括
患者的动力和遵守结肠直肠癌 (CRC) 手术的预康复计划是关键的挑战. 通过灵活,以患者为中心的方法解决物流障碍和患者关切,可以改善参与和坚持.
科学领域:
- 在瘤学瘤学.
- 外科手术 医疗外科手术
- 康复医学 康复医学 康复医学
背景情况:
- 预康复,提高手术前的功能能力,正在为结直肠癌 (CRC) 患者获得吸引力.
- 患者的动力和坚持预康复计划带来了重大挑战,影响了计划的有效性.
- 报道了较低的招聘和坚持率,需要更深入地了解患者的观点.
研究的目的:
- 系统地审查和分析患者参与和遵守结直肠癌手术预康复计划的动机.
- 确定影响患者参与预康复的关键障碍和动机.
主要方法:
- 在主要数据库 (PubMed,Embase,Cochrane,CINAHL,Web of Science) 进行了全面的系统搜索.
- 包括的研究是到2024年12月出版的临床试验,以英语或荷兰语出版,重点关注预康复障碍和激励因素.
- 分析了89项研究的数据,其中包括34项随机对照试验,涉及13,383名患者.
主要成果:
- 参与率差异很大 (0-99.4%),坚持率也差异很大 (15-100%).
- 后勤问题和繁忙的日程安排限制了参与.
- 专业的指导,同行支持和控制感增强了坚持,而医疗原因,相互矛盾的义务和密集的炼带来了挑战.
结论:
- 灵活,以患者为中心的策略对于克服后勤障碍和患者担忧至关重要,以改善预康复参与和CRC手术的坚持.
- 未来的研究应该优先考虑各种环境中的大规模随机对照试验,以制定有效的参与策略.
更多相关视频
09:42Using Continuous Data Tracking Technology to Study Exercise Adherence in Pulmonary Rehabilitation
Published on: November 8, 2013
13.5K
06:46Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
Published on: September 27, 2024
233
相关概念视频
Preventive Healthcare Services
977
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
977
Endoscopic Procedures II: Colonoscopy
66
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
66
Levels of Health Promotion and Illness Prevention
12.5K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
12.5K
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
66
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
66
Restorative Care
1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K
Inflammatory Bowel Disease V: Surgical Management
134
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
134
