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Clinical Practice Guidelines: The Road Map to Better Care 临床实践指南:更好的护理路线图
IF 0.9 Q4 ONCOLOGY Pub Date : 2022-09-27 DOI: 10.1097/01.reo.0000000000000324
M. Fisher
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引用次数: 0
Balance Impairment in Survivors of Breast Cancer 乳腺癌幸存者的平衡障碍
IF 0.9 Q4 ONCOLOGY Pub Date : 2022-09-22 DOI: 10.1097/01.reo.0000000000000325
Shweta Subramani, Michael A. Foley
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引用次数: 0
Pediatric Oncology Rehabilitation: The Concerns With Falling 小儿肿瘤康复:对跌倒的关注
IF 0.9 Q4 ONCOLOGY Pub Date : 2022-09-12 DOI: 10.1097/01.reo.0000000000000320
R. Lee, Monica R. Olsen, Jill Richards, L. Tanner
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引用次数: 1
Beyond Measure 无可估量
IF 0.9 Q4 ONCOLOGY Pub Date : 2022-09-12 DOI: 10.1097/01.reo.0000000000000323
L. Sheridan
Elias Canetti’s 1956 play The numbered tells the story of a society in which everyone knows exactly when they will die. The people in this society are not given regular names, but instead go through life by their ‘proper name’: a number that signifies the amount of years they will live. While each character knows their own ‘moment’, i.e. their time of death, they do not know when anyone else will die because it is taboo to reveal one’s age. One’s date of birth and death are safely stored away in a locket, hung around their neck not long after they are born. This remains unopened until the day they die, at which point a mysterious character called ‘the Keeper’ opens the locket and takes it away.
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引用次数: 0
The Effects of Exercise Programs on Exercise Capacity and Quality of Life in Patients Who Have Undergone Non-Small Cell Lung Cancer Treatment: A Systematic Review 运动计划对非小细胞肺癌治疗患者运动能力和生活质量的影响:一项系统综述
IF 0.9 Q4 ONCOLOGY Pub Date : 2022-08-31 DOI: 10.1097/01.REO.0000000000000312
Michaela L. Pruchnicki, Susan Sullivan Glenney
Background: Research has shown that individuals diagnosed with lung cancer suffer from decreased exercise capacity and health-related quality of life. There is a need to determine the effect of specific exercise intervention on exercise capacity and health-related quality of life in the non–small cell lung cancer population in order for exercise to be incorporated into the standard of care. Purpose: The purpose of this systematic review was to determine the effects of exercise training on exercise capacity and quality of life in patients who have undergone treatment for non–small cell lung cancer. Methods: Three databases were searched for articles that met the inclusion criteria. The search resulted in a total of 332 articles with 16 that met the criteria for inclusion. Results: Eight of the 16 studies showed significant improvement in exercise capacity and 4 showed significant improvement in quality of life with exercise training. Discussion and Limitations: This review provided limited evidence that exercise training in addition to usual care will provide improvement in overall exercise capacity and quality of life in this population. Limitations included reports of small sample size in the articles included, few databases searched, and heterogeneity of exercise programs. Conclusions: This systematic review supports exercise training as a method for improving exercise capacity and health-related quality of life in patients who have been diagnosed with non–small cell lung cancer. Further research must be done with more subjects and exercise protocols to make specific recommendations for exercise training in this population.
背景:研究表明,被诊断为肺癌的个体运动能力下降,健康相关生活质量下降。有必要确定特定运动干预对非小细胞肺癌人群运动能力和健康相关生活质量的影响,以便将运动纳入护理标准。目的:本系统综述的目的是确定运动训练对接受非小细胞肺癌治疗的患者运动能力和生活质量的影响。方法:在三个数据库中检索符合纳入标准的文章。检索结果为332篇文章,其中16篇符合纳入标准。结果:16项研究中有8项研究表明运动训练显著改善了运动能力,4项研究表明运动训练显著改善了生活质量。讨论和局限性:本综述提供的有限证据表明,在常规护理之外进行运动训练将改善该人群的整体运动能力和生活质量。局限性包括纳入的文章样本量小,检索的数据库少,以及运动项目的异质性。结论:本系统综述支持运动训练作为一种提高非小细胞肺癌患者运动能力和健康相关生活质量的方法。必须对更多的受试者和运动方案进行进一步的研究,以对这一人群的运动训练提出具体的建议。
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引用次数: 0
Physical Activity and Nutrition-Related Beliefs, Behaviors, and Challenges in Individuals Living With Cancer and Their Caregivers 癌症患者及其照顾者的身体活动和营养相关的信念、行为和挑战
IF 0.9 Q4 ONCOLOGY Pub Date : 2022-08-15 DOI: 10.1097/01.REO.0000000000000318
Lora Packel, Dan K Dychtwald, L. Pontiggia, Jonathan Michael Deutsch, B. Milliron
Background and Purpose: This study explored physical activity and nutrition beliefs, behaviors, and challenges; examined dyadic interactions; and explored lifestyle programming preferences to inform future interventions to improve the physical and mental health of patients with cancer and their caregivers. Methods: A convergent mixed-methods design with structured surveys and interviews. Descriptive statistics and quantitative comparisons were performed using SAS. Interviews were analyzed using inductive and deductive thematic analysis. Setting: Hope Lodge Cheltenham, Pennsylvania. Participants: Caregivers (n = 52) and patients (n = 50). Intervention and Measurements: The Godin Leisure Time Questionnaire, theory of planned behavior, and the National Cancer Institute's Food Attitudes and Behaviors Survey were embedded in structured surveys. Results: The sample was physically active with no significant changes postdiagnosis. Physical activity was lower in patients with higher fatigue, while it was higher in those with stronger intention and perceived behavioral control. Most participants believed that dietary intake was linked to health; however, there was confusion toward national recommendations. Higher levels of nutrition self-efficacy were associated with lower perceived barriers to nutrition in both groups. Participants wanted information tailored to cancer type provided in a variety of mediums by health care providers, researchers, and cancer centers. Limitations: Physically active sample of convenience, recall bias with questionnaires. Conclusions: Perceived behavioral control, intention to exercise, and education about using exercise for fatigue management and mental health should be emphasized. Nutrition interventions should focus on addressing barriers, clarifying guidelines, and operationalizing recommendations. Information should be specific to cancer type and include support for caregivers.
背景与目的:本研究探讨了体育活动与营养的信念、行为和挑战;考察了二元相互作用;并探讨了生活方式的编程偏好,以告知未来的干预措施,以改善癌症患者及其护理人员的身心健康。方法:采用结构调查和访谈的融合混合方法设计。采用SAS进行描述性统计和定量比较。访谈采用归纳和演绎主题分析进行分析。环境:宾夕法尼亚州切尔滕纳姆的希望小屋。参与者:护理人员(n = 52)和患者(n = 50)。干预和测量:结构化调查中嵌入了Godin休闲时间问卷、计划行为理论和国家癌症研究所的食物态度和行为调查。结果:患者身体活跃,诊断后无明显变化。体力活动在疲劳程度较高的患者中较低,而在意图和感知行为控制较强的患者中较高。大多数参与者认为饮食摄入与健康有关;然而,对国家建议存在混淆。在两组中,较高水平的营养自我效能感与较低的营养感知障碍相关。参与者希望获得由卫生保健提供者、研究人员和癌症中心通过各种媒介提供的适合癌症类型的信息。局限性:体力活动的方便样本,问卷的回忆偏倚。结论:应重视自觉的行为控制、运动意愿以及利用运动进行疲劳管理和心理健康的教育。营养干预措施应侧重于解决障碍、阐明指导方针和实施建议。信息应针对癌症类型,并包括对护理人员的支持。
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引用次数: 2
Rehabilitation Course and Management of Intravascular Lymphoma Presenting as Recurrent Strokes: A Case Report 以卒中复发为表现的血管内淋巴瘤的康复过程和治疗:1例报告
IF 0.9 Q4 ONCOLOGY Pub Date : 2022-08-15 DOI: 10.1097/01.reo.0000000000000319
Jade Thomas, Amanda J Britton-Carpenter, Jason L Rucker
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引用次数: 0
Responsiveness and Minimally Important Differences of the Traditional Chinese Version of PROMIS Paediatric-25 Profile in Chinese Children With Cancer 中国癌症儿童传统版本PROMIS儿科-25档案的反应性和最小重要差异
IF 0.9 Q4 ONCOLOGY Pub Date : 2022-07-05 DOI: 10.1097/01.REO.0000000000000307
Stephen W. W. Chan, A. T. Y. Wong, C. Chien, M. Pang
Background: Although the Patient-Reported Outcomes Measurement Information System Paediatric-25 Profile version 2.0 (PROMIS-25) has shown good reliability and validity in assessing HRQOL in Chinese children with cancer, its responsiveness (ie, the ability of the instrument to identify temporal changes in the construct to be measured) in detecting clinically meaningful changes in these children remains unclear. Objective: To evaluate the responsiveness and minimally important difference (MID) of the traditional Chinese PROMIS-25 for Chinese children with cancer. Design: Prospective study. Methods: The responsiveness of traditional Chinese PROMIS-25 domains before and after cancer treatment was evaluated by testing 24 a priori hypotheses of the correlations between changes in the domain scores and the corresponding changes in domain/total scores of the traditional Chinese Patient Health Questionnaire-9, traditional Chinese Paediatric Quality of Life Inventory 4.0, and 11-point numeric pain rating scale. The MID for each domain was determined by anchored-based method (MID-A), receiver operating characteristic curve analysis method, and distribution-based method (MID-D). Results: A total of 103 children with cancer (13.1 ± 1.8 years) were recruited. The traditional Chinese PROMIS-25 demonstrated moderate to high responsiveness. As all MID-As were higher than the MID-Ds, MID-As were recommended to determine domain changes. The MID-As were Physical Function = 12.3; Anxiety = 17.2; Depression = 15.4; Fatigue = 13.6; Peer Relationships = 6.5; and Pain Interference = 13.0. Limitations: This study excluded children with cognitive or visual impairments, as well as those requiring end-of-life care. Conclusions: The traditional Chinese PROMIS-25 is a responsive instrument to detect health-related quality of life changes among Chinese children with cancer. Our results provided important references for using PROMIS-25 in clinical practice and research.
背景:尽管患者报告结果测量信息系统儿科-25概况2.0版(允诺-25)在评估中国癌症儿童的HRQOL方面显示出良好的信度和效度,但其在检测这些儿童临床有意义的变化方面的反应性(即仪器识别待测结构的时间变化的能力)尚不清楚。目的:评价传统中式promise -25对中国儿童肿瘤的反应性和最小重要差异(MID)。设计:前瞻性研究。方法:通过检验传统中国患者健康问卷-9、传统中国儿科生活质量量表4.0和11分数字疼痛评定量表领域得分变化与相应领域/总分变化的相关性的24个先验假设,评估癌症治疗前后传统中国承诺-25领域的反应性。采用锚定法(anchor -based method, MID- a)、受者工作特征曲线分析法(receiver operating characteristic curve analysis, MID- d)和分布法(distribution-based method, MID- d)确定各区域的MID。结果:共纳入103例癌症患儿(13.1±1.8岁)。传统的中国promise -25表现出中等到高的反应性。由于所有mid - a都高于mid - d,因此建议使用mid - a来确定域更改。中间值为:生理功能= 12.3;焦虑= 17.2;抑郁= 15.4;疲劳= 13.6;同伴关系= 6.5;疼痛干扰= 13.0。局限性:本研究排除了有认知或视觉障碍的儿童,以及那些需要临终关怀的儿童。结论:传统中式promise -25是检测中国癌症儿童健康相关生活质量变化的灵敏仪器。本研究结果为promise -25在临床实践和研究中的应用提供了重要参考。
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引用次数: 0
Thank You! 谢谢你!
IF 0.9 Q4 ONCOLOGY Pub Date : 2022-07-01 DOI: 10.1097/01.reo.0000000000000316
L. Sheridan
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引用次数: 0
Commentary: Compassionately Balancing Hope With Patients Who Have Stage IV Cancer in Inpatient Rehabilitation 评论:在住院康复中同情地平衡四期癌症患者的希望
IF 0.9 Q4 ONCOLOGY Pub Date : 2022-06-28 DOI: 10.1097/01.reo.0000000000000317
A. Fleischer, J. Struhár
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引用次数: 0
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Rehabilitation Oncology
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