Rehabilitering og symptom belastning ved mundhulecancer Litteraturstudie
Overblik Review/oversigtsartikel Metode/litteratur Resultater
Review/oversigtsartikel Early and late physical and psychosocial effects of primary surgery in patients with oral and oropharyngeal cancers: a systematic review Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology (OOOO Journal) In Press 28. januar 2016
Søgestrategi Engelske artikler publiceret ml januar 2004 og januar 2014 Patienter med orale cancere Primært kirurgisk behandlede Artiklerne undersøger fysisk og psykisk velbefindende hos patienter
Søgeord Oral cancer Rehabilitation Surgery Anxiety Body image Depression Dysphagia Eating Psychosocial Speec Swallow Nurse
Litteratursøgning
Symptomer Smerter Ernæring/evne til at spise Dysphagi Trismus Stemme/tale Dysfiguration/udseende Socialt liv Psykisk påvirkning
Tidsfaktorer Pre-op Discharge 1mo 3 mo 6 mo 12 mo 18 mo 5 yrs 9 yrs Pain Nutrition/ inability to eat Dysphagia Trismus Voice/speech Disfigurement Social life Emotional distress
Gensidig/indbyrdes påvirkning (Interrelatedness) Smerter Dysfagi Emotionel påvirket
Symptombyrde Talrige symptomer Symptomernes alvorlighed Symptomernes påvirkning af patienten = symptom byrde Kilde: Cleeland CS. Symptom burden: multiple symptoms and their impact as patient-reported outcomes. J Natl Cancer Inst Monogr.
Konklusion Patienter med orale cancere er påvirket af deres sygdom og behandling både tidligt og sent i forløbet Mange forskellige faktorer har indflydelse på dette Har en stor symptombyrde Behov for rehabilitering for at lette og forebygge symptomer og sekvælæ
Fremtidig forskning Flere undersøgelser skal afdække hvordan man bedst kan støtte patienterne med deres komplekse fysiske, psykiske og sociale behov Skræddersyede programmer, baseret på systematiske reviews, der kan sørge for den bedste genoptræning i relation til f.eks. dysfagi, ernæring, trismus Studier der viser den bedste måde at undervise og inddrage patienter i fysisk genoptræning og psykosocial støtte, f.eks. individuel støtte, større eller mindre grupper, samtaler, klasseundervisning Udvikling af evidensbaserede guidelines for rehabilitering af patienter der er kirurgisk behandlet for oral cancere
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