霍珀:为接受结肠直肠癌手术的患者实施家庭预康复计划,并支持应用程序 - - 一项研究协议
Anne Pannekoek1,2,3, Thomas Timmers4, Rudolf Bertijn Kool5
1Department of Surgery, Amsterdam UMC Location VUmc, Amsterdam, The Netherlands a.pannekoek1@amsterdamumc.nl.
BMJ open
|November 10, 2025
概括
这项多中心研究探讨了在全国范围内为结直肠癌患者实施家庭预康复应用程序. 结果将指导这些有效,可访问的计划的扩展策略.
科学领域:
- 在瘤学瘤学.
- 数字健康数字健康
- 实施科学 实施科学
背景情况:
- 对于结直肠癌 (CRC) 患者的手术前预康复计划可以减少并发症和住院时间.
- 监督物理治疗是资源密集型的,阻碍了广泛的预康复计划实施.
- 之前的单一中心研究表明,基于家庭的应用程序预康复是可行的和有效的.
研究的目的:
- 确定用于全国范围内扩大CRC患者家庭预康复应用程序的关键实施决定因素.
- 从多个医院的多样化,异构的患者群体收集见解.
- 为更广泛采用数字预康复的策略提供信息.
主要方法:
- 未来的多中心队列研究,在12个月内招募约300名CRC患者.
- 混合型3设计,将临床结果报告与实施因素探索相结合.
- 来自五个不同医院的利益相关方的定性 (采访) 和定量 (用户统计,问卷) 数据.
主要成果:
- 主要终点:识别基于应用程序的预康复实施障碍和促进因素.
- 二级终点:评估健康水平和临床结果 (并发症,死亡率).
- 从学术,非学术,城市,农村和各种社会经济环境收集数据.
结论:
- 这项研究将为在国内和国际范围内扩大数字预康复计划提供关键数据.
- 了解实施决定因素对于优化患者获得有效预康复的机会至关重要.
- 这些发现将支持将基于应用程序的预康复整合到标准的CRC护理途径中.
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