青少年和年轻成年癌症患者的息护理
Emily E Johnston1,2, Abby R Rosenberg3,4,5
1Institute for Cancer Outcomes and Survivorship, University of Alabama at Birmingham, Birmingham, AL.
概括
息治疗 (PC) 通过解决痛苦,显著改善了患有癌症的青少年和年轻成年人 (AYA) 的生活质量. 将PC整合到瘤治疗中对于更好的患者结果和公平的支持至关重要.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 青少年和年轻人的医学 (AYA)
背景情况:
- 患有癌症的青少年和年轻人 (AYA) 在多个领域经历了显著的痛苦,影响了他们的生活质量 (QOL).
- 在癌症治疗期间和之后,痛苦和未满足的需求很普遍,生命终点护理往往与患者价值观不一致.
- 伦理和发育因素使AYA及其护理人员的沟通和决策变得复杂.
研究的目的:
- 审查患有癌症的青少年和年轻人 (AYA) 息护理 (PC) 的证据.
- 确定提供PC给这一群体的差距,机会和影响.
- 强调PC在改善癌症AYA患者以患者为中心的治疗结果方面的重要性.
主要方法:
- 对癌症AYA的息治疗现有证据的文献综述.
- 分析PC干预措施,包括初级PC,分专科护理,症状跟踪,预先护理规划和心理社会计划.
- 检查护理交付模式和获得PC服务的公平性.
主要成果:
- 近90%的癌症AYA在治疗期间报告了痛苦的症状.
- 幸存者经常有持续的未满足的心理社会和身体健康需求.
- 息护理干预与改善以患者为中心的结果有关,但整合到AYA瘤护理中是不一致的.
- 获得PC程序是不公平的,边缘化群体经历较差的结果.
结论:
- 息护理对于改善癌症患者AYA的生活质量是非常相关和有益的.
- 持续的整合和公平的PC接入对于优化AYA瘤学的结果至关重要.
- 未来的研究和临床举措应专注于弥合癌症AYA的PC交付现有的差距.
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