接受癌症手术的患者的技术支持 (P) 康复:系统性审查和元分析
Tiffany R Tsoukalas1,2, Zirong Bai1,2, Claire Jeon2
1Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney, NSW 2050, Australia.
Cancers
|January 28, 2026
概括
技术支持的预康复显著减少了住院时间,并改善了癌症手术患者的疼痛和抑郁症等患者报告的结果. 需要进一步的大规模试验来证实这些有希望的发现.
科学领域:
- 在瘤学瘤学.
- 数字健康数字健康
- 手术护理 手术护理
背景情况:
- 前期康复改善了癌症手术的结果,但面临着访问限制.
- 技术支持的预康复提供了一个可扩展的解决方案,以提高护理公平.
- 本综述侧重于技术在胸部和腹腔皮层癌症手术预康复中的作用.
研究的目的:
- 系统地审查技术支持预康复的有效性.
- 评估其对术后和患者报告结果的影响.
- 评估接受胸部和/或腹部和骨盆癌症手术的患者的结果.
主要方法:
- 从开始到2024年10月的随机对照试验 (RCT) 的系统审查.
- 搜索了六个数据库的RCT,比较技术支持的预康复与常规护理.
- 使用元分析分析分析了包括并发症,LOS,QoL,疼痛,抑郁,疲劳和痛苦在内的结果.
主要成果:
- 包括17个RCT (n=1690),主要使用基于应用程序的平台.
- 技术支持的预康复显著减少了住院时间 (LOS).
- 与对照组相比,在疼痛,抑郁,疲劳和痛苦方面有所改善.
结论:
- 技术支持的预康复显示了改善LOS和癌症手术后患者报告结果的潜力.
- 由于研究异质性和样本规模小,证据有限.
- 大规模的动力试验是必要的,以证实有效性和指导实施.
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