癌の生存者が経験する一般的な臨床問題の管理
Jon Emery1, Phyllis Butow2, Julia Lai-Kwon3
1Centre for Cancer Research and Department of General Practice, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, VIC, Australia.
Lancet (London, England)
|April 17, 2022
まとめ
癌の生存者は 身体的・心理的・社会的ニーズに対応する 総合的なケアを必要とします このレビューは,遅い影響,一般的な問題,そして生存率の改善のための支援戦略を詳細に説明します.
科学分野:
- 腫瘍学
- 支援 する 介護
- 癌 の 生存 率
背景:
- 癌の生存者数の増加により 治療の改善が求められています
- 現在のモデルは 癌の生存者の多面的なニーズに 十分に対応していません
- 癌治療の長期的かつ遅い効果は 専門的な治療を必要とします
研究 の 目的:
- 大人の癌の生存者における一般的な臨床問題の管理に関する証拠を要約します.
- 相談の中で生存者のニーズに対処するためのガイドラインを提供すること.
- 監視とサポートケアの大切さを強調する
主な方法:
- 癌の生存に関する証拠の体系的なレビュー
- がん治療の一般的な身体的,心理的影響の特定
- ライフスタイルの変更と運動を 生存計画に組み込むこと
主要な成果:
- 主な身体的な問題には,心臓機能障害,代謝症候群,リンパ腫,神経病,骨粗鬆症が含まれます.
- 免疫療法は特定の胃腸,内分泌,皮膚,肝臓の毒性につながる可能性があります.
- 心理的社会的な懸念は 再発の恐怖,疲労,認知の変化,そして親密さ,財政,雇用への影響を含みます.
- ライフスタイルの要因 (喫煙,肥満,アルコール) と運動は,再発のリスクを軽減し,生活の質を改善するために不可欠です.
結論:
- 癌の生存者の効果的な管理には 身体的,心理的,生活習慣の要因を 扱う必要があります
- 支援ケアスクリーニングツールは 生存者のニーズを特定し優先させるのに役立ちます.
- 統合されたケアアプローチは 癌の生存者の長期的な健康と幸福を最適化するために不可欠です
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