Cancer rehabilitation: experience, symptoms, and needs

Yong Mi Kim, Dae-Yul Kim, Min Ho Chun, Jae-Yong Jeon, Gi Jeong Yun, Moo Song Lee, Yong Mi Kim, Dae-Yul Kim, Min Ho Chun, Jae-Yong Jeon, Gi Jeong Yun, Moo Song Lee

Abstract

The aim of this study was to examine the experience of cancer patients undergoing rehabilitation, to identify symptoms associated with rehabilitation from cancer, and to assess the need for rehabilitation services for cancer patients. Cancer patients (n = 402) at the Asan Medical Center (Seoul, Korea) were enrolled from June to September 2008. A chart review was used to collect demographic and clinical data, including type of cancer, current treatment, time from initial diagnosis to screening, and cancer stage. Each participant provided informed consent and was then given a questionnaire that asked about experience with rehabilitation, symptoms associated with rehabilitation, and the need for different types of rehabilitation services. Clinicians recommended rehabilitation for 8.5% of patients, and 6.7% underwent rehabilitation. Among study patients, 83.8% had one or more symptoms associated with rehabilitation, and 71.6% of patients with symptoms wanted rehabilitation management. The need for rehabilitation was associated with the presence of metastasis, advanced cancer stage, time to diagnosis, and type of current treatment. Our results provide specific information about particular functional symptoms and the rehabilitative needs of subgroups of cancer patients. It is suggested to develop and implement rehabilitation programs for cancer patients.

Keywords: Need; Neoplasms; Rehabilitation; Symptom.

Figures

Fig. 1
Fig. 1
Rehabilitation management of studied cancer patients. ROM, range of motion; ADL, activity of daily living.
Fig. 2
Fig. 2
Symptoms associated with rehabilitation and the need of rehabilitation for each symptom. LROM, limited range of motion; ADL, activity of daily living.
Fig. 3
Fig. 3
Need for rehabilitation as a function of current status of cancer treatment. The ordinate indicates estimated β from the multivariate linear regression analysis, with a high estimated β indicating strong need for rehabilitation. Dx, diagnosis; Op, operation; Tx, treatment; F.U. on NED, follow up on no evidence of disease.

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