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康复医学对接受姑息治疗患者的价值。

The Value of Rehabilitation Medicine for Patients Receiving Palliative Care.

作者信息

Wittry Sarah A, Lam Ny-Ying, McNalley Thomas

机构信息

1 Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA.

2 Department of Palliative Care, University of Washington, Seattle, WA, USA.

出版信息

Am J Hosp Palliat Care. 2018 Jun;35(6):889-896. doi: 10.1177/1049909117742896. Epub 2017 Nov 27.

Abstract

BACKGROUND

Rehabilitation medicine is a multidisciplinary field aimed at improving patients' quality of life by improving function. Patients receiving palliative care frequently share common symptoms including fatigue, decreased functional independence, mood disorders, pain, and breathlessness. Many rehabilitation interventions can improve these symptoms.

OBJECTIVE

To evaluate the scope and effectiveness of rehabilitation interventions and exercise programs in improving quality of life and distressing symptoms in patients receiving palliative care.

METHODS

We conducted a literature review of cancer rehabilitation topics and techniques specifically applied to patients with life-limiting conditions. Exercise and other rehabilitation interventions were analyzed for their effects on common symptoms and disabilities experienced by this patient population.

CONCLUSION

Current available literature supports the use of exercise programs and rehabilitation interventions to improve fatigue, mood, functional independence, breathlessness, and pain. Rehabilitation and palliative care practitioners share many goals in their approach to patient care and augment one another well. Palliative care providers should consider referral to physiatry (physical medicine and rehabilitation) to help optimize patients' quality of life.

摘要

背景

康复医学是一个多学科领域,旨在通过改善功能来提高患者的生活质量。接受姑息治疗的患者经常有一些共同症状,包括疲劳、功能独立性下降、情绪障碍、疼痛和呼吸急促。许多康复干预措施可以改善这些症状。

目的

评估康复干预措施和运动计划在改善接受姑息治疗患者的生活质量和痛苦症状方面的范围和效果。

方法

我们对专门应用于患有危及生命疾病患者的癌症康复主题和技术进行了文献综述。分析了运动和其他康复干预措施对该患者群体常见症状和残疾的影响。

结论

现有文献支持使用运动计划和康复干预措施来改善疲劳、情绪、功能独立性、呼吸急促和疼痛。康复和姑息治疗从业者在患者护理方法上有许多共同目标,并且相互补充良好。姑息治疗提供者应考虑转诊至物理医学与康复科,以帮助优化患者的生活质量。

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