Prehabilitation to enhance perioperative care.
Prehabilitation to enhance perioperative care.
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DOI：
10.1016/j.anclin.2014.11.002
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发表时间：
2015-03-01
影响因子：
--
通讯作者：
Scheede-Bergdahl, Celena
中科院分区：
文献类型：
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作者：
Carli, Francesco;Scheede-Bergdahl, Celena
老年、营养不良、焦虑和手术前身体功能低下的患者可能从癌症手术中恢复不佳。提出了一种多模式的术前准备方案，包括运动训练、营养和心理支持，以增加手术应激前的生理储备。这种介入方法似乎可以提高承受手术压力的能力，并加快恢复。整合运动，充足的营养和心理社会的组成部分，与医疗和药理学优化在术前阶段，值得得到更多的关注，由临床医生阐明最有效的干预措施。
Patients who are elderly, malnourished, anxious, and have a low physical function before surgery are likely to have suboptimal recovery from cancer surgery. A multimodal prehabilitation program is proposed, consisting of exercise training and nutritional and psychological support, which increases physiologic reserve before the stress of surgery. This interventional approach seems to improve ability to undergo the stress of surgery and faster recovery. The integration of exercise, adequate nutrition, and psychosocial components, with medical and pharmacologic optimization in the presurgical period, deserves to receive more attention by clinicians to elucidate the most effective interventions.