Cancer rehabilitation may improve function in survivors and decrease the economic burden of cancer to individuals and society
Cancer rehabilitation may improve function in survivors and decrease the economic burden of cancer to individuals and society
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DOI：
10.3233/wor-131755
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发表时间：
2013-01-01
影响因子：
2.3
通讯作者：
Shockney, Lillie D.
中科院分区：
文献类型：
--
作者：
Silver, Julie K.;Baima, Jennifer;Shockney, Lillie D.
背景：癌症及其治疗可能导致幸存者的身体损伤和心理困扰。康复是高质量癌症治疗的关键组成部分，使幸存者恢复到最高的功能潜力。目的：本综述侧重于多学科癌症康复的益处-包括改善身体功能，减少心理困扰，促进重返工作岗位，从而减少癌症及其治疗对个人和社会的经济负担。方法：通过检索PubMed数据库确定相关文献，并回顾其与癌症康复和本文主题的相关性。搜索词包括但不限于癌症康复、癌症预防、残疾、重返工作、就业和失业。结果：与没有癌症病史的工人相比，癌症幸存者被雇用的可能性更小，请病假的时间也更多。疼痛、肌肉骨骼问题、去适应、疲劳、平衡、社会心理问题和淋巴水肿是最适合康复的。结论：为了改善癌症幸存者重返工作岗位和随后的生产力，必须解决整体健康和工作住宿的需求。幸存者通常最好由一个多学科的护理小组提供服务，该小组的成员可以解决影响幸存者功能的无数障碍。
BACKGROUND: Cancer and its treatment may cause physical impairments and psychological distress in survivors. Rehabilitation is a critical component of quality cancer care, returning survivors to their highest functional potential.OBJECTIVE: This overview focuses on the benefits of multidisciplinary cancer rehabilitation - including improving physical function, reducing psychological distress, promoting return to work and, therefore, decreasing the economic burden of cancer and its treatment on individuals and society in general.METHODS: Relevant literature was identified through a search of the PubMed database and reviewed for its relevance to cancer rehabilitation and the topic of this article. Search terms included, but were not limited to, cancer rehabilitation, cancer prehabilitation, disability, return to work, employment, and unemployment.RESULTS: Cancer survivors are less likely to be employed and take more sick leave than workers without a history of cancer. Pain, musculoskeletal issues, deconditioning, fatigue, balance, psychosocial issues, and lymphedema are most amenable to rehabilitation.CONCLUSION: Overall health and the need for work accommodations must be addressed in order to improve return to work and subsequent productivity in cancer survivors. Survivors are usually best served by a multidisciplinary care team comprising members who can address the myriad impairments affecting survivor function.