Optimizing post-acute care in breast cancer survivors: a rehabilitation perspective.
Optimizing post-acute care in breast cancer survivors: a rehabilitation perspective.
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DOI：
10.2147/jmdh.s117362
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发表时间：
2017
影响因子：
3.3
通讯作者：
Galea MP
中科院分区：
文献类型：
--
作者：
Amatya B;Khan F;Galea MP
乳腺癌（BC）是最常见的恶性肿瘤，也是全世界妇女发病率和死亡率的主要原因。治疗的进步和提高生存率的妇女与BC的残疾，心理功能和生活质量（QoL），这可能是适合康复的长期影响的影响。康复的重点是管理残疾，减少后遗症和症状，加强参与和重返社会，以实现尽可能高的独立性和最佳生活质量。应尽早考虑康复干预，以维持功能能力，降低丧失重要能力或独立性的风险，并应根据疾病阶段、功能缺陷、个人要求和具体目标进行个性化治疗。已经试行了一些干预措施，以支持对患有BC的妇女的康复投入，其中包括物理治疗、心理干预（心理治疗、认知行为训练）等。多学科康复和单学科干预，如物理治疗已被证明是有益的，在减少残疾，提高参与和生活质量。有必要使用国际功能、残疾和健康分类核心集，采用标准化框架和共同语言，对不列颠哥伦比亚患者的健康领域进行全面评估，以描述疾病在不同层面的影响。这将提供有关这些患者需求的更详细信息，从而可以提供更有效和有针对性的康复干预措施。
Breast cancer (BC) is the most common malignancy and a leading cause of morbidity and mortality in women worldwide. Therapeutic advances and improved survival rates of women with BC have implications for long-term impact on disability, psychological function and quality of life (QoL), which may be amenable to rehabilitation. The focus of rehabilitation is on managing disability, reducing sequelae and symptoms, and enhancing participation and societal reintegration, to achieve the highest possible independence and the best QoL. Rehabilitation interventions should be considered early for maintaining functional capacity and reducing the risk of losing important abilities or independence and should be individualized depending on disease phase, functional deficits, personal requirements and specific goals. A number of interventions have been trialled to support rehabilitation input for women with BC, which include physical therapy, psychological interventions (psychotherapy, cognitive behavioral training) and others. Multidisciplinary rehabilitation and uni-disciplinary interventions such as physical therapy have been shown to be beneficial in reducing disability, and improving participation and QoL. There is a need for comprehensive assessment of health domains in BC patients using a standardized framework and a common language for describing the impact of disease at different levels, using the International Classification of Functioning, Disability and Health core sets. This will provide more detailed information on the needs of these patients, so more efficient and targeted rehabilitation interventions can be provided.