癌症治疗后患者对预康复计划所需服务和支持的反思
Post-Cancer Treatment Reflections by Patients Concerning the Provisions and Support Required for a Prehabilitation Programme.
发表日期:2023 Sep 12
作者:
Amrita Kaur Jandu, Arpanun Nitayamekin, Josh Stevenson, Martin Beed, Ravinder S Vohra, Vincent G Wilson, Dileep N Lobo
来源:
ARTHRITIS RESEARCH & THERAPY
摘要:
证据表明,在癌症患者中,术前运动适应、心理健康支持和营养建议(术前锻炼)可能会减少住院时间,改善生活质量。在这项研究中,我们调查了一组在接受治疗后进行这些干预的癌症患者的观点,以了解术前康复计划应包括哪些内容。参与本次研究的患者来自诺丁汉的癌症康复运动(CARE)计划,他们参与了一个关于术前康复计划设计的26项在线问卷调查。该问卷于2021年12月的两周时间内由CARE计划的54名患者完成。他们的回答如下:44名(81.5%)参与者在可行的情况下愿意参与术前康复,28名(51.9%)将物理锻炼视为最重要的组成部分。40名(74.1%)参与者认为心理咨询是术前康复成功的重要组成部分,35名(64.8%)认为术前饮食建议会让他们受益。31名(57.4%)参与者更喜欢将计划安排在健身中心,而不是在家或医院进行,43名(79.6%)希望在诊断时从医生那里了解术前康复。患者对术前康复以提高手术前身体状况和心理准备感兴趣。他们表达了需要重点关注体育锻炼、心理咨询改善心理健康和个性化饮食建议的需求。根据患者的意见对术前康复计划进行个性化设计,可能有助于改善癌症治疗后的患者疗效。
Evidence suggests that physical fitness interventions, mental health support and nutritional advice before surgery (prehabilitation) could reduce hospital stay and improve quality of life of patients with cancer. In this study we captured the opinions of a group of patients with cancer undergoing these interventions after treatment to discover what a prehabilitation programme should encompass.Patients from the Cancer and Rehabilitation Exercise (CARE) programme based in Nottingham took part in a 26-point online questionnaire about the design of prehabilitation programmes.The questionnaire was completed over a 2-week period in December 2021 by 54 patients from the CARE programme. Their responses were as follows: 44 (81.5%) participants would have participated in prehabilitation had it been available to them and 28 (51.9%) ranked physical exercise as the most important component. Forty (74.1%) participants believed the counselling aspect of prehabilitation would have contributed to a successful outcome and 35 (64.8%) thought dietary advice would have benefitted them before surgery. Thirty-one (57.4%) participants preferred the programme to take place in a fitness centre, rather than at home or hospital and 43 (79.6%) would have liked to have known about prehabilitation from their doctor at the time of diagnosis.Patients are interested in prehabilitation to become more physically fit and mentally prepared for surgery. They expressed the need for a focus on physical exercise, counselling to improve mental health and personalised nutritional advice. Tailoring a prehabilitation programme, with input from patients, could contribute to improving patient outcomes following cancer treatments.© 2023. The Author(s).