癌症护理中的综合疗法:关于指南的更新
Krisstina Gowin1, Meri Muminovic2, Suzanna M Zick3
1Division of Hematology Oncology, Department of Medicine, University of Arizona, Tucson, AZ.
概括
综合性瘤学指南建议对与癌症相关的焦虑,抑郁和疲劳进行基于正念的干预. 在临床试验之外,不建议使用大麻治疗癌症.
科学领域:
- 综合性瘤学 综合性瘤学
- 基于证据的医学 基于证据的医学
- 癌症护理 癌症护理
背景情况:
- ASCO和综合性瘤学会为癌症护理的综合性方法制定了指导方针.
- 这些指导方针涉及焦虑,抑郁,疲劳以及癌症患者使用大麻素和大麻.
- 专注于通过整合方式加强传统治疗以改善生活质量.
研究的目的:
- 为整合性瘤学提供基于证据的建议.
- 引导应用综合方法来管理与癌症相关的症状.
- 通过补充方式来增强传统的癌症治疗.
主要方法:
- 专家小组审查了为指导方针建议提供信息的研究.
- 包括患者倡导者,方法学家,瘤学提供者和综合医学专家.
- 对每个干预措施的证据质量和建议的强度的评估.
主要成果:
- 强烈推基于正念的压力减轻,基于正念的认知疗法,太极拳和治疗癌症疲劳的青功.
- 基于正念的计划推用于癌症治疗后的疲劳.
- 强烈建议在癌症治疗期间和之后对抑郁和焦虑进行基于正念的干预 (MBI).
- 在临床试验之外,大麻和大麻素不建议作为针对癌症的治疗方法.
结论:
- 越来越多的证据支持综合性干预在癌症护理中的好处.
- 综合性干预措施在整个癌症护理连续过程中是有益的.
- 这些指导方针旨在通过基于证据的综合方法改善患者的治疗结果和生活质量.
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