结直肠癌患者康复干预的有效性:系统综述。

IF 2.5 4区 医学 Q1 REHABILITATION
Mengzhe Yang, Bhasker Amatya, Sana Malik, Krystal Song, Stefanie Marcella, Catherine Voutier, Fary Khan
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引用次数: 0

摘要

目的:从已发表的系统综述中评估成年结直肠癌患者康复干预的有效性和安全性。方法:采用截至2024年10月的医学/卫生科学数据库进行全面的文献检索。检索相关文章、期刊和灰色文献的参考书目。三位审稿人独立选择潜在的综述,评估方法学质量,并使用经过验证的工具对结果的证据质量进行分级。结果:60篇系统综述(761项随机对照试验)评价了5类康复干预措施。超过一半的纳入评价(n = 31)为中高质量。研究结果表明:中等质量的证据表明运动干预可以改善身体健康和生活质量;营养干预减少术后感染的高质量证据;多模式康复提高术前功能能力的高质量证据;中等质量的营养干预改善体液免疫、减少炎症和延长住院时间的证据;针灸改善胃肠功能恢复的中等质量证据;改善短期生活质量和精神健康的社会心理干预,以及改善生活质量的生活方式干预。结论:康复干预在多个结局中均有积极效果。然而,仍然需要高质量的证据来确定结直肠癌患者最有效的康复方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of rehabilitation interventions in patients with colorectal cancer: an overview of systematic reviews.

Objective: To evaluate existing evidence from published systematic reviews for the effectiveness and safety of rehabilitation interventions in adult patients with colorectal cancer.

Methods: A comprehensive literature search was conducted using medical/health science databases up to October 2024. Bibliographies of pertinent articles, journals, and grey literature were searched. Three reviewers independently selected potential reviews, assessed methodological quality, and graded the quality of evidence for outcomes using validated tools.

Results: Sixty systematic reviews (761 randomized controlled trials) evaluated 5 categories of rehabilitation interventions. Over half of the included reviews (n = 31) were of moderate-high quality. The findings suggest: moderate-quality evidence for exercise interventions for improving physical fitness and quality of life; high-quality evidence for nutritional interventions in reducing postoperative infections; high-quality evidence for multimodal prehabilitation for improved preoperative functional capacity; moderate-quality evidence for nutritional interventions for improving humoral immunity, reducing inflammation, and length of stay; moderate-quality evidence for acupuncture in improving gastrointestinal functional recovery; psychosocial interventions in improving short-term quality of life and mental health, and lifestyle interventions for improved quality of life.

Conclusion: Rehabilitation interventions yielded positive effects across multiple outcomes. However, high-quality evidence is still needed to determine the most effective rehabilitation approaches for patients with colorectal cancer.

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来源期刊
CiteScore
5.60
自引率
5.70%
发文量
102
审稿时长
4-8 weeks
期刊介绍: Journal of Rehabilitation Medicine is an international peer-review journal published in English, with at least 10 issues published per year. Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics, including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.
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