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对患上胃肠道上部癌症的患者进行预康复的优先事项:一个名义组共识研究
Robyn J Stiger1, Mark A Williams2,3, Johnny Collett2
1Oxford Institute of Applied Health Research, Oxford Brookes University, Oxford, UK. robynstiger@brookes.ac.uk.
在上部胃肠道癌症手术中,关于预康复的重点优先事项达成共识. 结合运动,营养和心理支持的多式干预措施对于改善患者的治疗结果至关重要.
科学领域:
- 在瘤学瘤学.
- 手术护理 手术护理
- 康复医学 康复医学 康复医学
背景情况:
- 建议对手术患者进行预康复,但在英国并非常规提供.
- 上部胃肠道癌症手术患者需要优化手术前护理.
研究的目的:
- 在上部胃肠道癌症手术中建立关于预康复干预措施的重点优先事项的共识.
- 将现有证据与专家意见结合起来,以指导预康复策略.
主要方法:
- 用专家输入的修改名义组技术.
- 在线会议促进了讨论和匿名的想法排名.
- 用于数据收集和分析的GroupMapTM软件.
主要成果:
- 在预康复优先事项上达成高度共识 (35%的想法>70%的共识).
- 完全一致认为,预康复必须是多模式和多学科的.
- 确定了核心组件:运动,营养和心理支持.
结论:
- 研究结果与有关预康复的新兴证据一致.
- 确定了上胃肠道癌症手术预康复的核心方面.
- 洞察力将有助于开发综合,多学科的预康复服务.
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