癌症相关的认知功能障碍:临床实践的叙述审查
Oliver Rick1, Alexandra Gerhardt1, Georgia Schilling2
1Klinik Reinhardshöhe, Bad Wildungen, Germany.
Oncology research and treatment
|March 12, 2024
概括
与癌症相关的认知功能障碍 (CRCD) 影响了许多患者的治疗后. 早期诊断和量身定制的干预措施,如认知训练,正念和炼,可以提高生活质量.
科学领域:
- 神经科学是一个神经科学.
- 在瘤学瘤学.
- 心理学 心理学 心理学
背景情况:
- 与癌症相关的认知功能障碍 (CRCD) 是一种严重的神经疾病,在癌症患者治疗后影响高达60%的癌症患者.
- 疾病严重影响患者的生活质量和参与工作的能力,需要有效的诊断和治疗策略.
研究的目的:
- 为临床实践提供CRCD诊断和治疗选择的全面概述.
- 强调在癌症患者护理中解决CRCD的重要性.
主要方法:
- 这篇叙事综述综合了关于CRCD的当前知识.
- 讨论诊断工具,包括查工具和验证的问卷,如主观经历注意力缺陷问卷 (FEDA).
- 审查基于证据的治疗干预措施,包括认知训练,正念和体育炼.
主要成果:
- 疾病的病理生理学是复杂的,涉及瘤疾病,治疗,心理因素 (焦虑,抑郁),睡眠障碍,年龄和遗传变化.
- 像FEDA这样的验证工具有助于诊断,指导进一步的神经和神经心理评估的转诊.
- 认知训练,特别是基于网络的程序,正念和体育炼,显示出显著的治疗益处,组合方法是最佳的.
结论:
- CRCD需要更多的临床关注;有诊断工具和基于证据的治疗方法.
- 建议使用CTCAE标准进行逐步诊断方法和严重程度评估.
- 未来的努力应集中在建立网络,以改善CRCD患者的护理.
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