准备进行瘤手术的患者的预康复计划的合理性:系统性审查
Emine Akdemir1,2, Wim G Groen3,4,5, Maike G Sweegers1,2
1Division of Psychosocial Research and Epidemiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Annals of surgical oncology
|January 9, 2026
概括
预康复计划主要集中在改善癌症手术前的身体健康. 然而,具体的练习细节和理由往往缺乏明确性,这表明需要更标准化和基于机制的方法来提高有效性.
科学领域:
- 在瘤学瘤学.
- 康复医学 康复医学 康复医学
- 基于证据的实践.
背景情况:
- 预康复旨在增强患者在手术后的性和恢复.
- 了解预康复内容背后的逻辑可以优化程序设计.
- 本系统性审查审查了瘤预康复研究中的理由,干预措施和结果.
研究的目的:
- 系统地审查癌症群体的预康复研究的理由,干预组件和结果.
- 根据当前的做法和报告的理由,确定优化预康复计划的机会.
主要方法:
- 在MEDLINE,Embase和Scopus数据库中进行系统搜索.
- 包括对瘤手术患者进行比较的预康复研究.
- 提取报告的理由,程序内容 (运动类型,频率,强度,持续时间) 和主要终点.
主要成果:
- 包括140项研究 (24,925名患者).
- 改善身体健康 (心肺) 是最常见的理由 (89%).
- 心理 (33%) 和代谢 (20%) 的理由较少. 运动主要受到监督 (41%),通常是每周3次,包括无氧成分. 课程的持续时间各不相同 (1-12周). 手术结果是报告最多的终点 (42%).
结论:
- 身体健康是主要的理由,但特定组件的理由往往是隐含的.
- 预康复的内容和持续时间因可行性和时间限制而有很大差异.
- 建议采用标准化结果和基于机制的方法来改善预康复的设计和有效性.
相关概念视频
01:21Cancer Survival Analysis
645
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
645
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
278
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
278
02:49Cancer Therapies
9.8K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
9.8K