癌症治療期間與治療後運動介入之效益

Effects of Exercise Intervention in Cancer Survivors during and after Treatments

莊瑞焜(Jui-Kun Chuang) ； 謝錦城(City Chin-Cheng Hsieh)

《物理治療》 34卷2期 (2009/04) Pp. 119-124

摘要

目前的臨床治療已能明顯提升癌症患者之存活率，然而治療期間或治療後追蹤期間引發之癌因性疲勞(cancer-related fatigue, CRF)等相關症狀，仍使患者在生理與心理面臨數月甚至更長期之副作用衝擊。相關研究證實運動可以改善部份癌症症候群與增加患者之生活品質(quality of life, QOL)，本文整理分析近幾年的研究結果，提出運動訓練促進癌症患者之效益及可能機轉，而介入方式仍需視病患之整體健康狀況與適應運動負荷情形加以適當調整；同時更明確的相關機轉需要未來進一步的研究確認，藉以鼓勵並維持病患參與運動的意願與動機，並獲得較好的效益。

關鍵字

癌症 ； 運動訓練 ； 疲勞

並列摘要

Advances in technology and the effectiveness of clinical cancer treatments significantly increased cancer survival rates. However, these treatments have induced cancer-related fatigue and other complications that result in long-term deleterious physiological and psychological conditions in cancer survivors. Researchers have indicated that exercise intervention could reduce some cancer related syndromes and increase quality of life during and after treatments in cancer survivors. In this review, we indicated the possible mechanisms of the effectiveness of exercise intervention during and after cancer treatments, and compared outcomes from these intervention. The results revealed that effectiveness of exercise intervention would be different. Exercise workload should be mild to moderate according to the health of cancer survivors. Further research should explore the possible interactive mechanism between exercise intervention improvements and cancer treatments, so as to encourage the cancer survivors and to maintain their motivation to participate in exercise interventions to obtain better rehabilitative effectiveness.

並列關鍵字

Cancer ； Exercise training ； Fatigue