与长期功能结果和结直肠癌患者参与相关的因素
Bhasker Amatya1, Helen Mohan2, Krystal Song3
1Department of Rehabilitation Medicine, Peter MacCallum Cancer Centre and Royal Melbourne Hospital, Parkville, Victoria, Australia; Department of Medicine (Royal Melbourne Hospital), University of Melbourne, Parkville, Victoria, Australia; Australian Rehabilitation Research Centre, Royal Melbourne Hospital, Parkville, Victoria, Australia. bhasker.amatya@mh.org.au.
Journal of rehabilitation medicine
|January 7, 2026
概括
结肠直肠癌幸存者经历持续的疲劳,肠道功能障碍,以及恐惧复发,影响他们的生活质量. 个性化,跨学科的护理对于解决这些长期的生存挑战至关重要.
科学领域:
- 在瘤学瘤学.
- 康复医学 康复医学 康复医学
- 心理社会瘤学
背景情况:
- 结肠直肠癌 (CRC) 的生存率带来了复杂的长期挑战.
- 了解功能性,心理社会和参与结果对于改善幸存者护理至关重要.
研究的目的:
- 评估结直肠癌幸存者的长期功能,心理和参与结果.
- 为了确定该人口中较差结果的预测因素.
主要方法:
- 100名成年CRC幸存者填写了经过验证的问卷.
- 使用了描述性统计和多变量回归分析.
- 确定了功能性,心理社会和生活质量结果的预测因素.
主要成果:
- 幸存者报告持续疲劳 (77%),肠道功能障碍 (50%) 和恐惧复发 (48%).
- 功能恢复一般良好,对心理健康的影响最小,但CRC特定的生活质量很差.
- 年龄>60岁,女性性别,疲劳,疼痛,放射治疗和诊断后的时间>3年预测了较差的结果.
结论:
- 在CRC幸存者的持续挑战需要定制,跨学科的康复和幸存者护理.
- 解决持续的残疾和心理社会问题对于未得到满足的需求至关重要.
- 个性化护理计划可以改善结直肠癌幸存者的长期结果.
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