基于"全周期"理念的乳腺癌患者睡眠障碍康复策略OA
Full-Cycle Rehabilitation Strategies for Breast Cancer Patients with Sleep Disorders
随着我国肿瘤患病率的增加及乳腺癌患者生存期明显延长,其治疗焦点已从单纯的疾病治疗转向提升整体生活质量和促进功能恢复,推动全周期、多功能康复模式成为必然趋势.在多功能康复需求中,乳腺癌患者睡眠障碍尤为突出且高发.睡眠障碍不仅加剧乳腺癌患者的焦虑、抑郁等心理困扰,还可能削弱免疫功能,影响治疗耐受性,严重制约生活质量和疾病预后.本研究立足于"全周期"康复理念,系统梳理了乳腺癌患者不同阶段睡眠障碍的复杂病因与潜在机制,并提出了其常规康复策略(包括认知行为疗法、正念与放松训练、运动疗法与物理治疗、睡眠卫生教育、药物干预、中医疗法和新兴康复技术);诊疗与围手术期、放化疗期、内分泌靶向治疗期、长期随访期和终末期分阶段康复策略,旨在提供连续性、个性化的睡眠支持,通过有效的全周期睡眠管理,全面提升乳腺癌患者的整体康复水平与长期生命质量.
With the rising prevalence of cancer in China and the significant prolongation of survival time for breast cancer patients,clinical therapeutic focus has shifted from mere disease treatment to improving overall quality of life and facilitating func-tional recovery.This shift renders the full-cycle,multifunctional rehabilitation model an inevitable development trend.Among the diverse rehabilitation needs of patients,sleep disorders in breast cancer patients are particularly prominent and common.Sleep disor-ders not only aggravate psychological distress such as anxiety and depression in breast cancer patients,but may also impair immune function,reduce treatment tolerance,and negatively affect quality of life and disease prognosis.Based on the concept of"full-cycle rehabilitation",this study systematically elaborates the complex etiology and underlying mechanisms of sleep disorders in breast can-cer patients across different disease stages.It proposes both conventional rehabilitation strategies,including cognitive behavioral therapy,mindfulness and relaxation training,exercise therapy,physical therapy,sleep hygiene education,pharmacological interven-tion,and traditional Chinese medicine;emerging rehabilitation technologies;as well as stage-specific rehabilitation strategies cover-ing the perioperative period,radiochemotherapy period,endocrine targeted therapy period,long-term follow-up period,and end-stage disease.These strategies aim to provide continuous and personalized sleep support,and are expected to comprehensively im-prove the overall rehabilitation outcome and long-term quality of life of breast cancer patients through effective full-cycle sleep man-agement.
贾杰
复旦大学附属华山医院,上海 200040
乳腺癌睡眠障碍全周期康复分阶段康复康复策略
breast cancersleep disorderfull-cycle rehabilitationstage-specific rehabilitationrehabilitation strategy
《康复学报》 2026 (8)
535-543,9
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