预热
医学
围手术期
生活质量(医疗保健)
焦虑
心理干预
结直肠癌
内科学
癌症
叙述性评论
物理疗法
重症监护医学
外科
护理部
精神科
作者
Enrico Maria Minnella,Francesco Carli
出处
期刊:Ejso
[Elsevier BV]
日期:2018-07-01
卷期号:44 (7): 919-926
被引量:98
标识
DOI:10.1016/j.ejso.2018.04.016
摘要
Cancer and its treatments are associated with functional decline that has impactful consequences on quality of life, and care continuum. Thus, optimizing perioperative functional capacity has been identified as a research and clinical priority in cancer care. The process of enhancing physical fitness before an operation to enable the patient to withstand the stress of surgery has been termed prehabilitation. Main elements are preoperative exercise, nutrition therapy, and anxiety-reduction techniques. Given the growing body of evidence on prehabilitation efficacy, this narrative review will summarize the rational underlying preoperative interventions, and propose a structured clinical pathway aimed at optimizing preoperative functional capacity.
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