The application of prehabilitation in patients undergoing hepatocellular carcinoma surgery:a scoping review
10.3761/j.issn.0254-1769.2025.15.018
- VernacularTitle:预康复在肝癌手术患者中应用的范围综述
- Author:
Wanlu YOU
1
;
Yuping ZHANG
1
;
Jingfen JIN
1
Author Information
1. 杭州市 310000 浙江大学医学院附属第二医院护理部
- Publication Type:Journal Article
- Keywords:
Carcinoma,Hepatocellular;
Prehabilitation;
Nursing Care;
Scoping Review
- From:
Chinese Journal of Nursing
2025;60(15):1907-1913
- CountryChina
- Language:Chinese
-
Abstract:
Objective This scoping review systematically examines current evidence on prehabilitation interventions for patients undergoing hepatocellular carcinoma(HCC)surgery.The study aims to establish an evidence-based foundation for optimizing perioperative care in clinical nursing practice and inform the development of standardized prehabilitation protocols for future research.Methods According to the research method of scope review,Cochrane Library,PubMed,Embase,Web of Science,China Biomedical Literature Database,China Knowledge Network,Wanfang Database,and VIP Database were searched.The included literature was screened,summarized and analyzed.The literature search covered the period from the establishment of the database up to 30 November 2024.Totally 2 professionally trained researchers independently screened,extracted,and analyzed the included studies in accordance with the predefined inclusion and exclusion criteria.Results A total of 16 papers were included,including 11 randomized controlled studies(RCTs),4 retrospective studies and 1 class-experimental study.Prehabilitation is systematically implemented through 3 core modalities(nutritional optimization,structured exercise training,and psychological interventions)to enhance patients' physiological and psychological readiness for surgery,thereby improving operative outcomes and facilitating postoperative recovery.Conclusion Adopting a series of prehabilitation measures for patients with HCC undergoing elective surgery can improve the physical and psychological status of patients with HCC,enhance postoperative quality of life,and thus optimize clinical outcomes.Future studies should focus on exploring the optimal combination of prehabilitation strategies,formulating precise programmes based on individualized differences,strengthening patient compliance monitoring,and realizing efficient management with the help of digital technology.
