物理治疗是癌症儿童未充分利用的健康资源:一项回顾性研究确定了改善的促进者
Victoria Marchese1, Lauren Savage1, Kai Sun1
1Department of Physical Therapy and Rehabilitation Sciences, School of Medicine, University of Maryland, Baltimore, MD 21201, USA.
Healthcare (Basel, Switzerland)
|January 10, 2026
概括
物理治疗在儿童癌症治疗中未得到充分利用,尽管它有好处. 疼痛和特定的化疗药物,如伊福斯法米德或达乌诺鲁比辛,有助于在患有癌症的儿童中使用它.
科学领域:
- 儿科瘤学 儿科瘤学
- 康复医学 康复医学 康复医学
- 癌症的生存率 癌症的生存率
背景情况:
- 儿童癌症导致与治疗相关的重大疾病,影响移动性和生活质量.
- 物理治疗 (PT) 被认为对健康和福祉有积极的影响,但在儿科瘤学中未得到充分利用.
- 了解影响PT利用的因素对于改善癌症儿童的护理至关重要.
研究的目的:
- 评估那些有利于在癌症诊断的儿童中使用物理治疗的变量.
- 检查PT在儿童癌症患者的护理连续性中的使用.
主要方法:
- 追溯观察性研究,分析大型医疗系统内接受护理的儿童的医疗记录.
- 进行了描述性统计和多重后勤回归分析.
- 数据包括对693名儿童的16975次护理,其中有240例转诊和178例PT使用.
主要成果:
- 在儿童癌症患者的240例转诊中,只有178例 (74.2%) 使用物理治疗.
- 疼痛的存在显著增加了PT利用的可能性 (OR 20.026,p < 0.001).
- 处方伊福斯法米德 (OR 28.213,p < 0.001) 或达乌诺鲁比辛 (OR 15.439,p < 0.001) 也促进了PT的使用.
结论:
- 物理治疗在照顾患有癌症的儿童方面仍未得到充分利用.
- 临床因素,如疼痛和特定的化疗剂 (伊福斯法米德,达努鲁比辛) 被确定为PT利用的促进因素.
- 对社会经济变量的进一步研究可能会揭示额外的促进者,以提高这一群体的PT访问.
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