与乳腺癌治疗相关的骨脆弱性:护士在骨健康计划开发,实施和测试中的关键作用
Garnet J Lau1, Marize Ibrahim2, Suzanne O'Brien3
1Clinical Research Program, Lady Davis Institute, Segal Cancer Centre, Jewish General Hospital, CIUSSS du Centre-Ouest-de-l'Île-de-Montréal.
概括
乳腺癌治疗可能会导致骨质损失. 一个由护士领导的新计划显著改善了乳腺癌妇女的骨健康知识和管理.
科学领域:
- 在瘤学瘤学.
- 骨的新陈代谢 骨的新陈代谢
- 公共卫生 公共卫生
背景情况:
- 乳腺癌治疗方法,特别是那些影响雌激素的治疗方法,可以导致显著的骨质损失,骨质疏松症和骨折风险增加.
- 已出版的骨护理指南存在,但骨健康干预措施并不总是为危险患者提供.
- 乳腺癌幸存者在常规,可访问的骨健康支持方面存在差距.
研究的目的:
- 描述一个由护士领导的双语乳腺和骨健康计划 (BBHP) 的开发和实施.
- 评估BBHP在改善乳腺癌患者骨健康知识和自我管理方面的初步有效性.
- 为提供一个模型,在瘤学环境中提供综合性骨健康干预措施.
主要方法:
- 开发和实施双语,面对面和在线的乳腺和骨健康计划 (BBHP).
- 该计划的组成部分包括风险查,教育,康复,运动处方,营养咨询和生活方式支持.
- 评估包括在两年内调查430名为乳腺癌治疗的妇女,重点关注初步知识和干预后的变化.
主要成果:
- 40%的受访者最初不知道乳腺癌治疗与骨健康之间的联系.
- 在BBHP信息会议之后,自我报告的骨健康知识显著增加.
- 96%的参与者报告说,他们有足够的信息来管理他们的骨健康干预后.
结论:
- 护士领导的乳腺和骨健康计划 (BBHP) 有效地提高了乳腺癌治疗妇女的骨健康知识.
- BBHP提供了一个可扩展的模型,用于在线和面对面提供必要的骨健康干预措施.
- 整合这些计划对于改善乳腺癌幸存者的长期健康结果至关重要.
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