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首页> 外文期刊>Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer >An allied health rehabilitation program for patients following surgery for abdomino-pelvic cancer: a feasibility and pilot clinical study
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An allied health rehabilitation program for patients following surgery for abdomino-pelvic cancer: a feasibility and pilot clinical study

机译：腹部盆腔癌手术后患者的盟友康复计划：可行性和试验临床研究

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Purpose To investigate the feasibility of conducting a rehabilitation program for patients following surgery for abdomino-pelvic cancer. Methods A non-randomised controlled before-and-after study. Patients who had undergone surgery for stage I-III abdomino-pelvic cancer (colorectal, gynaecological or prostate cancer) were recruited. The rehabilitation group (n = 84) received an 8-week, bi-weekly education and exercise program conducted by a physiotherapist, exercise physiologist, health psychologist and dietician, supplemented by exercise diaries and telephone coaching sessions. The comparator group (n = 104) completed postal questionnaires only. Feasibility measures, functional exercise capacity, muscle strength, physical activity levels, pelvic floor symptoms, anxiety and depression, health-related quality of life (HRQoL) and self-efficacy were measured at baseline (time 1), immediately post-intervention (time 2) and at 6 months post-baseline (time 3) and compared within- and between-groups. Results The consent rate to the rehabilitation program was 24%. Eighty-one percent of the rehabilitation group attended 85-100% of 16 scheduled sessions. Overall satisfaction with the program was 96%. Functional exercise capacity, handgrip strength in males, bowel symptoms, physical activity levels, depression and HRQoL were significantly improved in the rehabilitation group (p < 0.05) at time 2. The improvements in all these outcomes were sustained at time 3. The rehabilitation group had significantly improved physical activity levels, depression and HRQoL compared with the comparator group at times 2 and 3 (p < 0.05). Conclusion Recruitment to this oncology rehabilitation program was more difficult than expected; however, attendance and patient satisfaction were high. This program had positive effects on several important clinical outcomes in patients following abdomino-pelvic cancer treatment.
机译：目的探讨为腹部盆腔癌手术进行患者进行康复程序的可行性。方法采用非随机化的控制前后研究。招募了患有阶段I-III型腹部盆肠癌（结直肠癌，妇科或前列腺癌）的手术的患者。康复组（N = 84）收到了物理治疗师，运动生理学家，健康心理学家和营养师进行的8周，双每周教育和运动方案，辅以运动日记和电话辅导课程。比较器组（n = 104）只完成了邮政问卷。可行性措施，功能运动能力，肌肉力量，身体活性水平，盆腔楼面症状，焦虑和抑郁，在基线（时间1）时测量了与生命的生命质量（HRQOL）和自我效能，立即进行干预后（时间2）和在3个月后基线（时间3）并在组内和组之间进行比较。结果康复计划的同意率为24％。八十一百年康复集团参加了16个预定会议的85-100％。与该计划的总体满意度为96％。在康复组的康复组（P <0.05）中，雄性锻炼能力，男性手术强度，肠道症状，身体活性水平，抑郁和HRQOL显着改善了2.所有这些结果的改善在3.康复组与时代2和3的比较剂组相比，对物理活性水平，抑郁和HRQOL进行了显着改善（P <0.05）。结论这种肿瘤康复计划的招募比预期更困难;然而，出席和患者满意度很高。该程序对腹部盆腔癌治疗后患者的几个重要临床结果具有积极影响。

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