摘要
肿瘤康复已成为提升患者生存质量、减少治疗副作用和促进功能恢复的重要环节。本共识基于全球最新研究与实践经验,提出了肿瘤康复的系统评估标准和干预策略。共识制定采用德尔菲会议法,由多学科专家组基于国际指南、系统评价、随机对照临床实验等证据,结合专家意见,制定了科学、可行的康复策略。共识明确了肿瘤康复的适用人群及目标,强调康复应贯穿治疗全周期即包括治疗前的预康复、治疗期的康复干预及长期康复。在评估方面,推荐采用国际功能、残疾和健康分类框架,全面评估患者的身体结构与功能、活动能力和参与水平及环境因素,并提出标准化评估工具建议。在干预方面本共识提出了包括运动处方、营养处方、药物处方、心理处方和舒缓处方在内的肿瘤康复的五大处方。此外,共识强调多学科团队(MDT)在肿瘤康复中的核心作用,建议建立动态评估与沟通机制,以优化康复方案并提高康复效果。
Cancer rehabilitation has become a critical component in improving patients'quality of life,reducing treatment side effects,and promoting functional recovery.This consensus,grounded in the latest global research and clinical practices,establishes systematic assessment criteria and intervention strategies for cancer rehabilitation.The consensus was developed using the Delphi method,with a multidisciplinary expert panel integrating evidence from international guidelines,systematic reviews,randomized controlled trials,and expert opinions to formulate scientifically robust and clinically feasible rehabilitation strategies.The consensus defines the target population and objectives of cancer rehabilitation,emphasizing that rehabilitation should span the entire treatment continuum,including prehabilitation before treatment,rehabilitation interventions during therapy,and long-term recovery.For assessments,the consensus recommends adopting the International Classification of Functioning,Disability,and Health framework to comprehensively evaluate patients'body structure/function,activity and participation levels,and environmental factors,alongside proposing standardized assessment tools.For interventions,the consensus outlines“Five Core Prescriptions for Cancer Rehabilitation”:exercise,nutrition,medication,psychological support,and palliative care.Additionally,it highlights the pivotal role of multidisciplinary teams in cancer rehabilitation,advocating for dynamic assessment and communication mechanisms to optimize rehabilitation protocols and enhance outcomes.
出处
《中华临床医师杂志(电子版)》
2025年第3期165-179,共15页
Chinese Journal of Clinicians(Electronic Edition)
关键词
肿瘤康复
多学科团队治疗
功能评定
肿瘤康复五大处方
分阶段康复策略
Cancer rehabilitation
Multidisciplinary team approach
Functional assessment
Five Core Prescriptions for Cancer Rehabilitation
Phased rehabilitation strategies
