The Need of Cancer Patients for Rehabilitation Services
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Objective To determine the type and prevalence of rehabilitation problems common among cancer patients and to survey the patients’ recognition of and need for rehabilitation services. Method The current study was conducted using a questionnaire developed by our rehabilitation team. Five hundred seven cancer patients participated in the survey. Results The percentage of patients with more than one problem from each physical, psychological, and socioeconomic categories were 87.1%, 48.2%, and 50.9% respectively. Cancer patients with needs of rehabilitation services related to physical, psychological, and socioeconomic problems comprised 77.1%, 84.6%, and 84.8%. However patients who had information about rehabilitation services related to physical, psychological, and socioeconomic problems were 22.7%, 44.7%, and 24.5%. The percentage of patients with actual rehabilitation problems needing rehabilitation services related to physical, psychological, and socioeconomic problems were 65.1%, 52.1%, and 63.6%, but only 18.2% of patients with physical problems and 5.3% of patients with psychological and socioeconomic problems received such services. The prevalence of rehabilitation problems and rehabilitation needs was very high not only in the group still receiving cancer treatment but also in the group which had completed cancer treatment. Conclusion The results of this study suggest that cancer patients have various kinds of physical, psychological, socioeconomic problems differing between cancer types and cancer treatment states with high levels of rehabilitation needs. We contend that the results of this study camay not only be able to aidin the development of appropriate cancer rehabilitation programs but also be used as a basis for policy studies.
Abstract
Objective To determine the type and prevalence of rehabilitation problems common among cancer patients and to survey the patients’ recognition of and need for rehabilitation services. Method The current study was conducted using a questionnaire developed by our rehabilitation team. Five hundred seven cancer patients participated in the survey. Results The percentage of patients with more than one problem from each physical, psychological, and socioeconomic categories were 87.1%, 48.2%, and 50.9% respectively. Cancer patients with needs of rehabilitation services related to physical, psychological, and socioeconomic problems comprised 77.1%, 84.6%, and 84.8%. However patients who had information about rehabilitation services related to physical, psychological, and socioeconomic problems were 22.7%, 44.7%, and 24.5%. The percentage of patients with actual rehabilitation problems needing rehabilitation services related to physical, psychological, and socioeconomic problems were 65.1%, 52.1%, and 63.6%, but only 18.2% of patients with physical problems and 5.3% of patients with psychological and socioeconomic problems received such services. The prevalence of rehabilitation problems and rehabilitation needs was very high not only in the group still receiving cancer treatment but also in the group which had completed cancer treatment. Conclusion The results of this study suggest that cancer patients have various kinds of physical, psychological, socioeconomic problems differing between cancer types and cancer treatment states with high levels of rehabilitation needs. We contend that the results of this study camay not only be able to aidin the development of appropriate cancer rehabilitation programs but also be used as a basis for policy studies.
참고문헌 (23)
- Ministry for Health, "Welfare and Family Affairs. Annual report of cancer incidence (2007), cancer prevalence (2007) and survival (1993-2007) in Korea", Ministry for Health, 14~24 (2009)
- Fialka-Moser V, "Cancer rehabilitation: particularly with aspects on physical impairments", J Rehabil Med, 35, pp.153~162 (2003)
- Cromes GJ, "Implementation of interdisciplinary cancer rehabilitation", Rehabil Counseling Bull, 21, pp.230~237 (1978)
- Dietz JH, "Rehabilitation of the cancer patient: its role in the scheme of comprehensive care", Clin Bull, 4, pp.104~107 (1974)
- Rusk HA, "Rehabilitation medicine", pp.621~642 (1977), Mosby
- Lehmann JF, "Cancer rehabilitation: assessment of need, development, and evaluation of a model of care", Arch Phys Med Rehabil, 59, pp.410~419 (1978)
- Cheville AL, "The detection and treatment of cancer-related functional problems in an outpatient setting", Support Care Cancer, 17, pp.61~67 (2009)
- Wallston KA, "Comparing the quality of death for hospice and non-hospice cancer patients", Med Care, 26, pp.177~182 (1988)
- Movsas SB, "Rehabilitation needs of an inpatient medical oncology unit", Arch Phys Med Rehabil, 84, pp.1642~1646 (2003)
- O'Toole DM, "Evaluating cancer patients for rehabilitation potential", West J Med, 155, pp.384~387 (1991)
- Sabers SR, "Evaluation of consultation-based rehabilitation for hospitalized cancer patients with functional impairment", Mayo Clin Proc, 74, pp.855~861 (1999)
- Marciniak CM, "Functional outcome following rehabilitation of the cancer patient", Arch Phys Med Rehabil, 77, pp.54~57 (1996)
- Yoshioka H, "Rehabilitation for the terminal cancer patient", Am J Phys Med Rehabil, 73, pp.199~206 (1994)
- Korea National Statistical Office, "Annual report on the causes of death statistics, 2008 in Korea", Korea National Statistical Office, ~ (2009)
- Ministry for Health, Welfare and Family Affairs, "Cancer control 2015: The 2nd cancer control planning for 10 years in Korea", Ministry for Health, Welfare and Family Affairs, 1~62 (2006)
- Landis JR, "The measurement of observer agreement for categorical data", Biometrics, 33, pp.159~174 (1977)
- Han TR, "Rehabilitation Medicine", pp.989~1001 (2008), Koonja Publisher Co
- Bae HS, "Rehabilitation of patients with breast cancer. In The Breast", pp.850~852 (2005), Ilchokak
- Terrell JE, "Health impact of head and neck cancer", Otolaryngol Head Neck Surg, 120, pp.852~859 (1999)
- van Wilgen CP, "Shoulder and neck morbidity in quality of life after surgery for head and neck cancer", Head Neck, 26, pp.839~844 (2004)
- Taillibert S, "Chemobrain: is systemic chemotherapy neurotoxic?", Curr Opin Oncol, 19, pp.623~627 (2007)
- Weiss B, "Chemobrain: a translational challenge for neurotoxicology", Neurotoxicology, 29, pp.891~898 (2008)
- Wefel JS, "Acute and late onset cognitive dysfunction associated with chemotherapy in women with breast cancer", Cancer, 116, pp.3348~3356 (2010)