随着恶性肿瘤综合治疗技术的进步,恶性肿瘤患者生存期逐渐延长,居家康复需求增长凸显。 居家运动是一种重 要的非药物干预手段,因其经济性、可及性和多重健康效应,对促进恶性肿瘤患者康复具有重要意义。 最新证据表明,系统化 的居家运动可通过调控炎症因子、改善肌肉代谢等机制,降低心血管并发症风险,预防恶液质相关肌萎缩,增强免疫力,显著 改善恶性肿瘤患者生活质量。 但当前恶性肿瘤患者居家运动存在对运动处方执行依从性低的问题。 对运动存在错误认知及 癌因性疲乏、疼痛等症状是其居家运动依从性低的主要因素。 恶性肿瘤患者居家运动需突破认知壁垒,通过精准化运动处 方、智能化辅助及多维度资源整合,构建安全、有效且可持续的居家运动康复管理,有望显著提升患者的康复效果和生活质 量。 本文拟从恶性肿瘤患者居家运动风险评估、居家运动类型、居家运动依从性及居家运动随访四个方面进行综述,为居家 运动在恶性肿瘤患者中的进一步推广提供参考依据。

With the advancement of comprehensive treatment modalities for malignant neoplasm the survival duration of affected patients has progressively increased thereby amplifying the demand for home-based rehabilitation. Home-based exercise is recognized as a critical non-pharmacological intervention due to its cost-effectiveness accessibility and numerous health benefits playing a pivotal role in the recovery of patients with malignant neoplasms. Recent evidence suggests that structured home-based exercise can effectively reduce the risk of cardiovascular complications prevent oxalate-induced muscle atrophy enhance immune function and significantly improve patients' quality of life through mechanisms such as the regulation of inflammatory factors and the enhancement of muscle metabolism. Nevertheless current data indicates that patients with malignant neoplasms frequently exhibit low adherence to prescribed home exercise regimens. Misconceptions regarding exercise along with symptoms such as cancer-related fatigue and pain represent significant barriers that contribute to their reduced compliance with home - based exercise programs. Addressing these challenges requires a multifaceted approach including overcoming cognitive barriers by precision - tailored exercise prescriptions integrating intelligent assistive technologies and consolidating multidisciplinary resources to establish a safe evidence -based and sustainable home-based exercise rehabilitation framework. Such a model holds significant potential to improve clinical outcomes and enhance patients' quality of life. This article seeks to examine four critical dimensions of home exercise for patients with malignant neoplasms risk assessment types of home exercise adherence to home exercise regimens and follow-up. The findings aim to serve as a reference for the enhanced promotion of home exercise among this patient population.