Rehabilitation needs of patients with cancer Kanser hastalarinin rehabilitasyon gereksinimi
Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi, cilt.55, sa.1, ss.25-29, 2009 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 55 Sayı: 1
- Basım Tarihi: 2009
- Dergi Adı: Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.25-29
- Anahtar Kelimeler: Cancer, Rehabilitation
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: To identify the rehabilitation needs and functional status of patients with various cancer diagnosis and to identify the lack of rehabilitation referralls. Materials and Methods: Three hundred patients at a state oncology hospital in Ankara, Turkey were included in this study. All patients (155 female, 145 male, mean age: 49.8±16.8, mean disease duration: 445.97±228.2 day) were evaluated for the presence of various rehabilitation needs such as fatigue, deconditioning, problems of activities of daily living, ambulation and transfer difficulties, pain, lymphedema, sexual dysfunction, bladder-bowel dysfunction and cognitive problems. Functional assessments were performed using Barthel Index (BI) and Karnofsky Performance Status Scale (KPSS). Results: 81.7% (245/300) of the patients had various rehabilitation needs. The most frequent symptoms were fatigue, deconditioning, problems of daily living activities and pain. KPSS showed that 225 (75%) patients were able to carry on normal activities; no special care were needed, whereas 72 (24%) patients were unable to work; able to live at home and various amounts of assistance were needed for personal cares. Three (1%) patients were unable to care for self and required hospital care; disease were possibly progressing rapidly. BI assessments showed that 57% of the patients were independent in daily activities, 39.4% were mildly to moderately dependent and 3.6% were severely dependent or bed-bound. Only two patients were referred for rehabilitation consultation. Conclusion: Patients with cancer have many unmet rehabilitation needs. Awareness of these needs should be increased and rehabilitation interventions be integrated to the comprehensive care of these patients. A strong administrative commitment and a strong communication with both medical and surgical oncology departments are needed. © Turkish Journal of Physical Medicine and Rehabilitation, Published by Galenos Publishing. All rights reserved.