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职业疗法与盆腔脏器切除术:我们如何进行?.pdf

上传人: 拾起 编号:1235474 2026-05-04 15页 1.41MB

1、Occupational Therapy&Pelvic Exenteration:How do we shape up?Nathalie Collins,Hayley Kirkbride&Dr Andrea McKittrickRoyal Brisbane&Womens Hospital|Occupational Therapy*Subtitle zone*Delete before submission*Subtitle zone*Delete before submissionAcknowledgements1.Sue Laracy,Director-Occupational Therap

2、y,RBWH2.Dr Erin Crofton,Trauma Team Leader,Occupational Therapy,RBWH3.Karina Lewis,Research Coordinator,Occupational Therapy,RBWH4.Kelcie Cole Clinical Nurse Consultant,Pelvic Exenteration Service,RBWH5.Collaborative for Allied Health Research,Learning and Innovation(CAHRLI)Metro North Hospital Heal

3、th Service*Subtitle zone*Delete before submissionBackgroundPelvic exenteration surgery is a complex surgical procedure performed on individuals with advanced primary or recurrent pelvic malignancy(PelvEx Collaborative,2022).It involves the complete or partial removal of multi visceral pelvic structu

4、res with the goal of establishing clear margins for curative or palliative treatment(Steffens et al.,2018).Figure 1:Posterior pelvic exenterationFigure 2:Total pelvic exenteration*Subtitle zone*Delete before submissionPatient Journey at RBWH*Subtitle zone*Delete before submissionAimsMap current OT i

5、nterventions at RBWH for pelvic exenteration(PE)patientsUnderstand RBWH OT confidence and knowledge when working with PE patientsMap current available literature regarding OT roleUnderstand what the OT role is at interstate services*Subtitle zone*Delete before submissionAudit Tool Ethics waiver obta

6、ined from Metro North Human Research Ethics Committee,audit submitted for review Audit developed by 2 x clinicians with experience working in the general surgery caseload Consideration of demographic and clinical information that was going to be collected and use*Subtitle zone*Delete before submissi

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1. **研究背景**:针对盆底廓清术(PE)患者, occupational therapy (OT) 角色尚无明确指南,多学科团队(MDT)模式被建议以改善患者预后。 2. **核心数据**: - 2018-2022年,169例患者被列为PE候选,80例接受手术。 - 患者平均年龄54岁,56%为男性,44%为女性;住院期间平均接受4次手术,100%术后入ICU,平均ICU停留4天,中位住院时间31天。 3. **OT干预现状**: - RBWH的OT干预时间点差异大(术后1-64天),64%患者在术后3天后首次评估。 - 其他PE中心OT角色未更明确,需更新临床优先级并进一步研究OT作用。
**OT如何介入?** **术后何时评估?** **角色如何优化?**
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