为改善肺癌患者功能进行干预的建议:临床实践指南
Mary Vargo1, Lynn H Gerber2, Laura S Gilchrist3
1MetroHealth Rehabilitation Institute, Case Western Reserve University, Cleveland, Ohio, USA.
本临床实践指南提供了基于证据的建议,以改善肺癌患者的功能恢复. 综合运动干预措施在预康复和治疗后阶段对移动性和一般功能有好处.
科学领域:
- 在瘤学瘤学.
- 康复医学 康复医学 康复医学
- 临床实践指南 临床实践指南
背景情况:
- 肺癌患者经常面临影响恢复的功能限制.
- 在这个人群中缺乏功能恢复的最佳实践的综合.
- 本指南解决了基于证据的建议的需要.
研究的目的:
- 为改善肺癌患者的功能结果提供基于证据的建议.
- 综合最佳实践,在所有疾病阶段实现功能恢复.
- 引导临床医生优化患者的功能.
主要方法:
- 关于患者功能干预的系统性文献综述 (2010-2021年).
- 使用国家卫生质量评估研究所标准对偏见的评估.
- 用GRADE方法论为各种功能结果和疾病阶段生成的建议.
主要成果:
- 审查中包括了54项研究.
- 建议在康复前期和治疗后期为运动提供联合炼方法.
- 综合和多式联络干预措施在特定阶段对体力活动和一般功能有好处.
结论:
- 目前的证据强调了联合运动在康复前期和早期治疗后的流动性方面的好处.
- 需要进一步研究干预的可持续性,持久性和更广泛的背景.
- 建议适用于照顾肺癌患者的临床医生多学科团队.
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