Systematic Review of Occupational Therapy and Adult Cancer Rehabilitation: Part 1. Impact of Physical Activity and Symptom Management Interventions

Systematic Review of Occupational Therapy and Adult Cancer Rehabilitation: Part 1. Impact of Physical Activity and Symptom Management Interventions
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DOI:
10.5014/ajot.2017.023564
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发表时间:
2017-03-01
影响因子:
2.9
通讯作者:
D'Amico, Mariana
D'Amico, Mariana
中科院分区:
医学4区
文献类型:
--
作者:
Hunter, Elizabeth G.;Gibson, Robert W.;D'Amico, Mariana

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本文是对职业治疗范围内癌症康复干预措施有效性的证据进行系统审查的第一部分,这些干预措施解决了成年癌症幸存者的活动和参与需求。本文重点介绍了体力活动和症状管理的重要性。强有力的证据支持使用运动来治疗癌症相关的疲劳,并表明淋巴水肿不会因运动而加剧。适度的证据支持使用瑜伽来缓解焦虑和抑郁,并表明作为一个整体,锻炼可能有助于恢复到癌症前的性行为水平。这一综述的结果支持将职业治疗纳入癌症康复,并揭示了更多研究的必要性,以探索职业治疗如何对癌症幸存者的预后产生积极影响。评论的第二部分也出现在本期中。
This article is the first part of a systematic review of evidence for the effectiveness of cancer rehabilitation interventions within the scope of occupational therapy that address the activity and participation needs of adult cancer survivors. This article focuses on the importance of physical activity and symptom management. Strong evidence supports the use of exercise for cancer-related fatigue and indicates that lymphedema is not exacerbated by exercise. Moderate evidence supports the use of yoga to relieve anxiety and depression and indicates that exercise as a whole may contribute to a return to precancer levels of sexual activity. The results of this review support inclusion of occupational therapy in cancer rehabilitation and reveal a significant need for more research to explore ways occupational therapy can positively influence the outcomes of cancer survivors. Part 2 of the review also appears in this issue.