Innovative individualisierte Rehabilitationskonzepte in der Onkologie

 

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Zusammenfassung

Die onkologische Rehabilitation zielt auf die Verbesserung der körperlichen, psychischen und sozialen Fähigkeiten und Unterstützung bei der Bewältigung der Krankheit („Coping“) ab. Ein wichtiges Ziel ist dabei neben der psycho-onkologischen Therapie die Steigerung der körperlichen Aktivität zur Prävention und Therapie chronischer Krankheiten, insbesondere auch der mit steigender Überlebensrate an Bedeutung zunehmenden Folge- und Begleiterkrankungen. Immer mehr Beobachtungsstudien weisen außerdem darauf, dass körperliche Aktivität auch die Prognose der Krebserkrankung günstig beeinflussen kann. Die beste Evidenz besteht dabei bislang für das (Hormonrezeptor-positive) postmenopausale Mamma-Karzinom. Eine nachhaltige Lebensstilmodifikation ist bislang oft nur schwer erreichbar. Langfristig angelegte, interdisziplinäre Rehabilitationskonzepte, deren Ziel eine intensive und nachhaltige Steigerung der körperlichen Aktivität ist, scheinen bei Brustkrebspatientinnen ein erfolgversprechender Ansatz zu sein und werden durch das hier vorgestellte Studienkonzept exemplarisch erläutert.

Abstract

The prime objective of oncological rehabilitation is the improvement of physical, psychological and social abilities and of coping strategies. Besides psycho-oncological treatment one important goal of rehabilitation is the increase of physical activity for prevention and treatment of chronic diseases, in particular since with rising survival rates of cancer patients concomitant diseases get more important. In addition, there is growing evidence from several cohort studies that physical activity has a positive impact on the individual prognosis of disease. The best evidence exists so far for the (hormone-receptor positive) postmenopausal breast cancer patient. However, sustainable life style modifications are hard to achieve in daily life. Interdisciplinary rehabilitation concepts oriented towards the long term that aim at intensively and sustainably increasing physical activities in cancer patients seem to be a promising concept. Exemplary experiences in breast cancer patients are presented in this article.

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