Rehabilitation following cancer treatment
Rehabilitation following cancer treatment
复制标题
DOI：
10.3109/09638288.2013.774441
复制
发表时间：
2013-01-01
影响因子：
2.2
通讯作者：
Eldred, Susan
中科院分区：
文献类型：
--
作者：
Egan, Mary Y.;McEwen, Sara;Eldred, Susan
目的：癌症存活率正在增加。然而，挽救生命的治疗往往会给人们留下身体、认知和情感上的后遗症，导致活动和参与受到限制。本综述的目的是总结目前的证据，康复干预，以解决生存期间的问题。方法：最佳证据综合法。该综述以癌症治疗后患者需求和支持性护理干预的系统性综述为起点。研究小组确定了可以通过康复解决的需求，并建议了最初没有包括在内的其他需求。然后，他们通过从随后的系统评价和随机对照试验中提取结果，建立了早期评价关于有效干预的结论。结果如下：关于潜在的康复干预措施的有效性的证据进行了审查的身体功能，疲劳，疼痛，性功能，认知功能，抑郁症，就业，营养和参与。除了乳腺癌后的身体康复干预外，这些文献往往侧重于心理教育干预，这些干预对康复结果的有效性有限。结论：大多数关于潜在康复干预的知识来自心理社会肿瘤学文献。虽然存在局限性，但该文献提供了一个很好的起点，以检查癌症生存计划中康复干预的潜在有效性。
Purpose: Cancer survivorship is increasing. However, life-saving treatments often leave people with physical, cognitive and emotional sequelae that contribute to activity and participation limitations. The purpose of this review is to summarize current evidence regarding rehabilitation interventions to address problems during survivorship. Method: Best evidence synthesis. The review took as its starting point a systematic review of patient needs and supportive care interventions following cancer treatment. The study team identified the needs which could be addressed by rehabilitation and suggested others not originally included. Then they built on the earlier review's conclusions regarding effective intervention through extraction of results from subsequent systematic reviews and randomized controlled trials. Results: Evidence regarding the effectiveness of potential rehabilitation interventions was reviewed for physical functioning, fatigue, pain, sexual functioning, cognitive functioning, depression, employment, nutrition and participation. With the exception of physical rehabilitation interventions following breast cancer, this literature tends to focus on psychoeducational interventions, which have demonstrated limited effectiveness for rehabilitation outcomes. Conclusions: Most of the knowledge available regarding potential rehabilitation interventions comes from psychosocial oncology literature. While there are limitations, this literature provides an excellent starting point to examine the potential effectiveness of rehabilitation interventions within cancer survivorship programs.