住院癌症患者的失调。
Deconditioning in Hospitalized Patients with Cancer.
发表日期:2024 Jun 29
作者:
Savanna Gilson
来源:
Best Pract Res Cl Ob
摘要:
概述住院癌症患者的医院相关失调,包括危险因素和失调轨迹。讨论跨学科在预防功能失调、最佳实践和肿瘤护理影响方面的作用。在 PubMed 和 Google Scholar 上使用搜索词 Hospital*、Mobility、Immobility、Deconditioning、Cancer 和 Oncology 进行文献检索。我们回顾了同行评审的研究、评论文章和专业组织的网站,以概述住院癌症患者的行动问题。这份关于癌症患者医院相关功能失调 (HAD) 的概述中包含了 38 篇参考文献。 HAD 是一种普遍现象,后果严重。由于癌症诊断和治疗效果,癌症患者特别容易患 HAD。住院患者的体力活动是预防 HAD 最重要的做法之一,可通过标准化的活动能力评估和跨学科合作来实现。促进住院癌症患者的活动能力对于预防 HAD 并发症至关重要。护士是采用跨学科方法治疗 HAD 的领导者。增强住院病人的流动性。由于护士经常在床边工作,因此他们会评估患者的活动能力,识别 HAD 的危险因素,并实施安全的活动干预措施。护士在促进流动性方面遇到障碍,包括劳动力短缺、工作量大和优先事项相互竞争。版权所有 © 2024 Elsevier Inc. 保留所有权利。
Provide an overview of hospital-associated deconditioning in hospitalized patients with cancer, including risk factors and trajectory of deconditioning. Discuss interdisciplinary roles in preventing deconditioning, best practices, and oncology nursing implications.A literature search was conducted in PubMed and on Google Scholar using search terms Hospital*, Mobility, Immobility, Deconditioning, Cancer, and Oncology. Peer-reviewed research studies, review articles, and websites of professional organizations were reviewed to provide an overview on mobility concerns in hospitalized patients with cancer.Thirty-eight references were included in this overview of hospital-associated deconditioning (HAD) in patients with cancer. HAD is a widespread phenomenon with grave consequences. Patients with cancer are particularly vulnerable to HAD due to their cancer diagnosis and treatment effects. Physical activity in hospitalized patients is one of the most important practices to prevent HAD and is achieved through standardized mobility assessment and interdisciplinary collaboration.Promoting mobility in hospitalized patients with cancer is essential to prevent the complications of HAD.Nurses are leaders of the interdisciplinary approach to enhance inpatient mobility. As they are most often at the bedside, nurses assess patients' level of mobility, recognize risk factors for HAD, and implement safe mobility interventions. Nurses experience barriers to promoting mobility including workforce shortages, high workloads, and competing priorities.Copyright © 2024 Elsevier Inc. All rights reserved.