癌症病人復健之臨床護理實務

The Clinical Practice of Cancer Rehabilitation

癌症疾病與治療過程可能影響病患的身體功能狀態，隨著醫療照護品質上升，存活五年以上的患者超過50%，然而在延長的生命中，如何維持或改善病患的體能，促進生活品質，是醫療照護的一大挑戰。研究指出癌症復健可改善患者的身體功能，並提高生活品質，主要是針對癌症患者因疾病及治療所導致的功能限制，提供物理治療、職能治療、運動、心理社會復健等復健措施，協助病患恢復達到最佳的物理、社會、心理及職業功能。雖然癌症復健在歐美已蓬勃發展，但在台灣仍處於新生領域，因此本文將介紹癌症復健源起、目標設立、癌症各階段的復健，並以研究佐證復健措施成效及護理角色與功能，期望讓護理人員了解癌症復健的概念與實務，運用於臨床照護，進而提升護理品質。

Due to the improvement in the quality of medical care, more than 50% of cancer patients have survived more than five years. The disease process and related treatment may impact patient’s functional status. It is a big challenge for clinical professionals to maintain or improve patients’ physical function and to promote life quality in their extended life. Study evidences pointed out that rehabilitation may assist cancer patients to achieve the best function. It includes occupational therapy, exercise training, and psychosocial rehabilitation. Although cancer rehabilitation has been booming development in Europe and the United States, but in Taiwan, it is still new. This article focuses on the goal setting of the cancer rehabilitation, the various stages, the evidence of effectiveness, and nursing roles and functions in cancer rehabilitation. We hope that medical care workers understand the concept and practice of cancer rehabilitation and use in clinical care to enhance the quality of care.