老年癌症患者康复治疗中基本和仪式活动的日常生活优先顺序:一项横断面调查。
Priority of the basic and instrumental activities of daily living in older patients with cancer prescribed rehabilitation: a cross-sectional survey.
发表日期:2023 Aug 01
作者:
Tsuyoshi Harada, Tetsuya Tsuji, Motoki Tanaka, Nobuko Konishi, Takumi Yanagisawa, Yu Koishihara, Junya Ueno, Tomonori Mizutani, Nanako Nishiyama, Ryo Soeda, Nanako Hijikata, Aiko Ishikawa, Ryuichi Hayashi
来源:
Food & Function
摘要:
对于患有癌症的易受伤老年患者是否将基本日常生活活动(BADL)和工具性日常生活活动(IADL)视为重要的结局,目前还没有相关信息。我们的调查旨在调查易受伤老年患者对BADL和IADL在结局中的优先级。这是在一家日本癌症中心进行的单中心调查。符合条件的患者年龄≥65岁,并在接受癌症治疗期间被开具院内康复处方。通过自行填写的原始排名问卷,询问患者对结局和BADL、IADL的子领域的排名。将高优先领域定义为个体中第一、第二和第三优先级的领域。共分析了169名患者。平均年龄为74.0岁(标准差为5.1岁),男性数量为107名(63%)。高优先级结局的排名顺序为:BADL和IADL(n = 155),认知功能(n = 91),心理功能(n = 82),营养(n = 61),社交功能(n = 51),合并症(n = 39)和寿命(n = 28)。在BADL和IADL的高优先级独立子领域中,最重要的三个是如厕(n = 140),进食(n = 134)和活动能力(n = 69)(BADL)以及购物(n = 93),食物准备(n = 88)和财务处理能力(n = 85)(IADL)。BADL和IADL可被视为在临床试验和实践中对于患有癌症和身体脆弱老年患者最重要的健康结局。
© 2023年。由Springer-Verlag GmbH Germany独家许可,属于Springer Nature。
There is no information on whether vulnerable older patients with cancer consider basic activities of daily living (BADL) and instrumental activities of daily living (IADL) important outcomes. Our survey aimed to investigate the priority of BADL and IADL in outcomes among vulnerable older patients with cancer.This was a single-center survey in a Japanese cancer center. Eligible patients were ≥ 65 years of age and were prescribed in-hospital rehabilitation while under cancer treatment. Using original self-administered ranking questionnaires, patients were asked to rank outcomes and subdomain of BADL and IADL. High-priority domains were defined as the highest, second-highest, and third-highest priority domains in individuals.A total of 169 patients were analyzed. The mean age was 74.0 years (standard deviation, 5.1 years) and the number of males was 107 (63%). The order of ranking of high-priority outcomes was BADL and IADL (n = 155), cognitive function (n = 91), mental function (n = 82), nutrition (n = 61), social function (n = 51), comorbidity (n = 39), and life span (n = 28). The top three high-priority independence subdomains of BADL and IADL were toilet use (n = 140), feeding (n = 134), and mobility (n = 69) among the BADL and shopping (n = 93), food preparation (n = 88), and ability to handle finances (n = 85) among the IADL.BADL and IADL can be considered the most important health outcomes in clinical trials and in practice among older patients with cancer and physical vulnerabilities.© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.