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癌症相关认知障碍的多因素模型
Kate R Oppegaard1, Samantha J Mayo2, Terri S Armstrong3
1University of California, San Francisco.
Oncology nursing forum
|September 7, 2023
概括
与癌症相关的认知障碍 (CRCI) 是一个常见的问题. 一个新的多因素模型整合了各种因素,以更好地理解和预测CRCI,帮助研究和临床实践.
科学领域:
- 在瘤学瘤学.
- 神经科学是一个神经科学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 与癌症相关的认知障碍 (CRCI) 是影响癌症患者的普遍和多因素状况.
- 现有的研究缺乏一个全面的概念模型来解释CRCI复杂的病因.
- 了解CRCI对于改善癌症治疗期间和之后的患者护理和生活质量至关重要.
研究的目的:
- 为癌症相关认知障碍 (CRCI) 开发和呈现一个全面的,多因素的概念模型.
- 综合现有证据,并确定CRCI的关键因素.
- 为未来的CRCI研究和临床评估提供一个框架.
主要方法:
- 我们对PubMed和谷歌学者进行了系统的文献搜索.
- 审查了130篇相关文章,以确定导致CRCI的因素.
- 基于既有和新出现的证据,合成了一个新的概念模型.
主要成果:
- 开发的模型包括健康的社会决定因素,患者特异性因素,同时出现的症状,与治疗相关的因素和生物机制.
- 这种全面的模型适用于所有癌症类型和治疗方法.
- 该模型为理解因果关系和产生关于CRCI的假设提供了一个框架.
结论:
- 新的多因素模型为理解和调查与癌症相关的认知障碍 (CRCI) 提供了一个强大的框架.
- 该模型可以指导设计以CRCI为重点的临床前和临床研究.
- 从这个模型中获得的知识将使护士能够评估和管理可修改和不可修改的CRCI风险因素.
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