消化器がん手術部位の違いが倦怠感および体格・運動耐容能に与える影響 腹腔鏡手術を受けた胃がん患者と大腸がん患者の比較
〔目的〕腹腔鏡手術を受けた消化器がん患者の手術部位の違いで倦怠感,体格,運動耐容能に影響があるかを調査した.〔対象と方法〕対象は胃がん患者12例,大腸がん患者30例とした.Body Mass Index(BMI),Cancer Fatigue Scale(CFS),6分間歩行距離(6-minute walk distance:6MWD)を手術前・手術後・退院後に評価し,胃がん患者と大腸がん患者で比較した.〔結果〕BMI,CFS,6MWDで有意な交互作用を認め,胃がん患者の方がどの時期においてもBMIは低値,CFSは高値であった.加えて退院後6MWDは手術前より低値だった.〔結語〕大腸がん患者よ...
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| Published in | 理学療法科学 Vol. 33; no. 5; pp. 757 - 760 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
理学療法科学学会
2018
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1341-1667 2434-2807 |
| DOI | 10.1589/rika.33.757 |
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| Abstract | 〔目的〕腹腔鏡手術を受けた消化器がん患者の手術部位の違いで倦怠感,体格,運動耐容能に影響があるかを調査した.〔対象と方法〕対象は胃がん患者12例,大腸がん患者30例とした.Body Mass Index(BMI),Cancer Fatigue Scale(CFS),6分間歩行距離(6-minute walk distance:6MWD)を手術前・手術後・退院後に評価し,胃がん患者と大腸がん患者で比較した.〔結果〕BMI,CFS,6MWDで有意な交互作用を認め,胃がん患者の方がどの時期においてもBMIは低値,CFSは高値であった.加えて退院後6MWDは手術前より低値だった.〔結語〕大腸がん患者より胃がん患者の方が,BMIや運動耐容能は低下しており,倦怠感が増強しやすい可能性が示唆された. |
|---|---|
| AbstractList | 要旨: 〔目的〕腹腔鏡手術を受けた消化器がん患者の手術部位の違いで倦怠感, 体格, 運動耐容能に影響があるかを調査した. 〔対象と方法〕対象は胃がん患者12例, 大腸がん患者30例とした. Body Mass Index (BMI), Cancer Fatigue Scale (CFS), 6分間歩行距離(6-minute walk distance: 6MWD)を手術前・手術後・退院後に評価し, 胃がん患者と大腸がん患者で比較した. 〔結果〕BMI, CFS, 6MWDで有意な交互作用を認め, 胃がん患者の方がどの時期においてもBMIは低値, CFSは高値であった. 加えて退院後6MWDは手術前より低値だった. 〔結語〕大腸がん患者より胃がん患者の方が, BMIや運動耐容能は低下しており, 倦怠感が増強しやすい可能性が示唆された. 〔目的〕腹腔鏡手術を受けた消化器がん患者の手術部位の違いで倦怠感,体格,運動耐容能に影響があるかを調査した.〔対象と方法〕対象は胃がん患者12例,大腸がん患者30例とした.Body Mass Index(BMI),Cancer Fatigue Scale(CFS),6分間歩行距離(6-minute walk distance:6MWD)を手術前・手術後・退院後に評価し,胃がん患者と大腸がん患者で比較した.〔結果〕BMI,CFS,6MWDで有意な交互作用を認め,胃がん患者の方がどの時期においてもBMIは低値,CFSは高値であった.加えて退院後6MWDは手術前より低値だった.〔結語〕大腸がん患者より胃がん患者の方が,BMIや運動耐容能は低下しており,倦怠感が増強しやすい可能性が示唆された. |
| Author | 石井, 貴弥 前田, 眞治 原, 毅 小暮, 英輔 今井, 正樹 |
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| References | 3) NCCN Guidelines Version 1, 2014: Cancer-Related-Fatigue. http://www.nccn.org/professionals/physician_gls/f_guidelines.asp(閲覧日2018年3月20日) 14) 吉川貴己,青山 徹,林 勉・他:胃癌術後の体重/体組成変動とその意義.外科と代謝・栄養,2015, 49: 205-211. 15) Yeo TP, Burrell SA, Sauter PK, et al.: A progressive postresection walking program significantly improves fatigue and health-related quality of life in pancreas and periampullary cancer patients. J Am Coll Surg, 2012, 214: 463-475, discussion 475-477. 12) ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories: ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med, 2002, 166: 111-117. 17) Cramp F, Daniel J: Exercise for the management of cancer-related fatigue in adults. Cochrane Database Syst Rev, 2008, 16: CD006145. 11) Okuyama T, Tanaka K, Akechi T, et al.: Fatigue in ambulatory patients with advanced lung cancer: prevalence, correlated factors, and screening. J Pain Symptom Manage, 2001, 22: 554-564. 13) 原 毅,佐野充広,四宮美穂・他:消化器がん患者の周術期から自宅復帰後までの身体運動機能とQuality of Lifeの追跡調査.理学療法学,2013, 40: 184-192. 7) 小暮英輔:周術期消化器がん患者の倦怠感の変化と運動機能,不安・うつの関連性について.Jpn J Rehabil Med, 2017, 54: 536-545. 9) 国立がん研究センターがん情報サービス:がん登録・統計.https://ganjoho.jp/reg_stat/statistics/stat/summary.html(閲覧日2018年3月20日) 10) Okuyama T, Akechi T, Kugaya A, et al.: Development and validation of the cancer fatigue scale: a brief, three-dimensional, self-rating scale for assessment of fatigue in cancer patients. J Pain Symptom Manage, 2000, 19: 5-14. 4) Dimeo F, Fetscher S, Lange W, et al.: Effects of aerobic exercise on the physical performance and incidence of treatment-related complications after high-dose chemotherapy. Blood, 1997, 90: 3390-3394. 2) Glaus A, Crow R, Hammond S: A qualitative study to explore the concept of fatigue/tiredness in cancer patients and in healthy individuals. Support Care Cancer, 1996, 4: 82-96. 6) Segal R, Evans W, Johnson D, et al.: Structured exercise improves physical functioning in women with stages I and II breast cancer: results of a randomized controlled trial. J Clin Oncol, 2001, 19: 657-665. 16) Courneya KS, Mackey JR, Bell GJ, et al.: Randomized controlled trial of exercise training in postmenopausal breast cancer survivors: cardiopulmonary and quality of life outcomes. J Clin Oncol, 2003, 21: 1660-1668. 18) Christensen T, Kehlet H: Postoperative fatigue. World J Surg, 1993, 17: 220-225. 19) Desnoo L, Faithfull S: A qualitative study of anterior resection syndrome: the experiences of cancer survivors who have undergone resection surgery. Eur J Cancer Care (Engl), 2006, 15: 244-251. 1) 足利幸乃:正しく知りたいナースのための消化器がん化学療法と看護.メディカ出版,大阪,2002,pp142-151 5) Segal RJ, Reid RD, Courneya KS, et al.: Resistance exercise in men receiving androgen deprivation therapy for prostate cancer. J Clin Oncol, 2003, 21: 1653-1659. 8) Hara T, Kubo A, Kogure E, et al.: Impact of the difference in surgical site on the physique in gastrointestinal tract cancer patients. J Phys Ther Sci, 2016, 28: 67-71. |
| References_xml | – reference: 19) Desnoo L, Faithfull S: A qualitative study of anterior resection syndrome: the experiences of cancer survivors who have undergone resection surgery. Eur J Cancer Care (Engl), 2006, 15: 244-251. – reference: 18) Christensen T, Kehlet H: Postoperative fatigue. World J Surg, 1993, 17: 220-225. – reference: 17) Cramp F, Daniel J: Exercise for the management of cancer-related fatigue in adults. Cochrane Database Syst Rev, 2008, 16: CD006145. – reference: 10) Okuyama T, Akechi T, Kugaya A, et al.: Development and validation of the cancer fatigue scale: a brief, three-dimensional, self-rating scale for assessment of fatigue in cancer patients. J Pain Symptom Manage, 2000, 19: 5-14. – reference: 8) Hara T, Kubo A, Kogure E, et al.: Impact of the difference in surgical site on the physique in gastrointestinal tract cancer patients. J Phys Ther Sci, 2016, 28: 67-71. – reference: 15) Yeo TP, Burrell SA, Sauter PK, et al.: A progressive postresection walking program significantly improves fatigue and health-related quality of life in pancreas and periampullary cancer patients. J Am Coll Surg, 2012, 214: 463-475, discussion 475-477. – reference: 5) Segal RJ, Reid RD, Courneya KS, et al.: Resistance exercise in men receiving androgen deprivation therapy for prostate cancer. J Clin Oncol, 2003, 21: 1653-1659. – reference: 9) 国立がん研究センターがん情報サービス:がん登録・統計.https://ganjoho.jp/reg_stat/statistics/stat/summary.html(閲覧日2018年3月20日). – reference: 1) 足利幸乃:正しく知りたいナースのための消化器がん化学療法と看護.メディカ出版,大阪,2002,pp142-151. – reference: 3) NCCN Guidelines Version 1, 2014: Cancer-Related-Fatigue. http://www.nccn.org/professionals/physician_gls/f_guidelines.asp(閲覧日2018年3月20日). – reference: 11) Okuyama T, Tanaka K, Akechi T, et al.: Fatigue in ambulatory patients with advanced lung cancer: prevalence, correlated factors, and screening. J Pain Symptom Manage, 2001, 22: 554-564. – reference: 16) Courneya KS, Mackey JR, Bell GJ, et al.: Randomized controlled trial of exercise training in postmenopausal breast cancer survivors: cardiopulmonary and quality of life outcomes. J Clin Oncol, 2003, 21: 1660-1668. – reference: 2) Glaus A, Crow R, Hammond S: A qualitative study to explore the concept of fatigue/tiredness in cancer patients and in healthy individuals. Support Care Cancer, 1996, 4: 82-96. – reference: 4) Dimeo F, Fetscher S, Lange W, et al.: Effects of aerobic exercise on the physical performance and incidence of treatment-related complications after high-dose chemotherapy. Blood, 1997, 90: 3390-3394. – reference: 6) Segal R, Evans W, Johnson D, et al.: Structured exercise improves physical functioning in women with stages I and II breast cancer: results of a randomized controlled trial. J Clin Oncol, 2001, 19: 657-665. – reference: 7) 小暮英輔:周術期消化器がん患者の倦怠感の変化と運動機能,不安・うつの関連性について.Jpn J Rehabil Med, 2017, 54: 536-545. – reference: 13) 原 毅,佐野充広,四宮美穂・他:消化器がん患者の周術期から自宅復帰後までの身体運動機能とQuality of Lifeの追跡調査.理学療法学,2013, 40: 184-192. – reference: 14) 吉川貴己,青山 徹,林 勉・他:胃癌術後の体重/体組成変動とその意義.外科と代謝・栄養,2015, 49: 205-211. – reference: 12) ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories: ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med, 2002, 166: 111-117. |
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| Snippet | 〔目的〕腹腔鏡手術を受けた消化器がん患者の手術部位の違いで倦怠感,体格,運動耐容能に影響があるかを調査した.〔対象と方法〕対象は胃がん患者12例,大腸がん患者30... 要旨: 〔目的〕腹腔鏡手術を受けた消化器がん患者の手術部位の違いで倦怠感, 体格, 運動耐容能に影響があるかを調査した. 〔対象と方法〕対象は胃がん患者12例, 大腸がん患... |
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| Subtitle | 腹腔鏡手術を受けた胃がん患者と大腸がん患者の比較 |
| Title | 消化器がん手術部位の違いが倦怠感および体格・運動耐容能に与える影響 |
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