接受癌症手术的患者的预康复实践 - 一项国际调查
Daniel Steffens1,2,3, Scott Venter1,2, Preet Makker1
1Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Sydney, Australia.
World journal of surgery
|December 12, 2025
概括
癌症手术患者的预康复计划在全球范围内差异很大. 缺乏资金和资源是广泛采用的主要障碍,强调需要国际指导方针.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 老年人手术是一门老年人手术.
背景情况:
- 人口老龄化增加了对外科手术能力的需求.
- 可修改的风险因素,如降低条件和营养不良会使术后结果恶化.
- 多模式预康复 (运动,营养,心理支持) 对癌症手术患者来说是有前途的.
研究的目的:
- 描述国际癌症中心当前的预康复实践.
- 为了确定预康复实施的变化.
- 了解接受预康复的障碍.
主要方法:
- 跨部门在线调查于2023年11月至2024年2月进行.
- 调查了具有预康复专业知识的国际,多学科的参与者.
- 答案按世界银行地区和收入类别进行分析.
主要成果:
- 来自663家医院的1409名受访者参与了调查.
- 在21.1%的医院中,预康复是标准的护理;29.9%的医院为选择的患者提供预康复.
- 主要障碍:缺乏资金/资源 (39.4%) 和机构兴趣低 (10.6%).
- 最常见的干预措施:营养 (36.2%),体育炼 (29.7%),心理支持 (23.8%).
结论:
- 在预康复实践中存在显著的全球差异.
- 缺乏机构资金和资源阻碍了广泛的预康复.
- 未来的试验和国际指导方针可能会改善全球预康复的普及.
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