晚期胰腺癌的最佳支持性护理:为确定患者护理捆绑的系统性审查
Bena Law1,2, John Windsor2,3, Saxon Connor4
1The Department of Surgery, North Shore Hospital, Private Bag 93503, Auckland, New Zealand.
ANZ journal of surgery
|February 17, 2024
概括
这项研究系统地审查了晚期胰腺腺癌 (PDAC) 的支持性护理. 它确定了疼痛,生活质量,营养不良和障碍等关键问题,为外科诊所创建了一个护理包.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 手术护理 手术护理
背景情况:
- 大多数胰腺腺癌 (PDAC) 患者患有晚期疾病,不能接受治愈治疗.
- 对于先进的PDAC缺乏管理策略,特别是在外科小组中.
- 进行了系统审查,以确定和解决高级PDAC中关键的支持性护理问题.
研究的目的:
- 系统地审查高级PDAC的最佳支持性护理干预措施.
- 为手术诊所管理高级PDAC患者制定护理包检查清单.
主要方法:
- 按照PRISMA指南进行了一次系统的文献审查.
- 研究重点是支持性护理干预,不包括治疗或预防性治疗.
- 采用叙事审查方法来综合发现.
主要成果:
- 从44项研究中出现了四个主要主题:治疗不足的疼痛,需要优化生活质量,减轻营养不良/减肥,以及对胆道/十二指肠阻塞的管理.
- 疼痛管理需要升级止痛药和潜在的侵入性方法.
- 营养不良可以通过早期评估,替代疗法和炼来解决;阻塞通常通过非手术方式进行管理.
结论:
- 这是第一个系统性审查,巩固了高级PDAC的支持性护理干预措施.
- 这些发现为外科医生的综合护理包提供了信息,在多学科环境中解决了患者常见的问题.
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