甲状腺癌幸存者:挑战和机遇
Anupam Kotwal1, Abbey Fingeret2, Anne Knape1
1Division of Diabetes, Endocrinology, and Metabolism, Department of Medicine, University of Nebraska Medical Center, Omaha, Nebraska; Fred and Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, Nebraska.
概括
甲状腺癌幸存者往往由于复发恐惧和长期治疗效应而经历生活质量低下. 以团队为基础,以幸存者为中心的方法对于最佳的甲状腺癌幸存者护理至关重要.
科学领域:
- 在瘤学瘤学.
- 癌症生存率研究 癌症生存率研究
- 生活质量研究 生命质量研究
背景情况:
- 甲状腺癌通常有良好的预后.
- 然而,幸存者的健康相关生活质量 (HRQOL) 可能会显著受损.
研究的目的:
- 审查甲状腺癌幸存者护理中的挑战和机遇.
- 为了突出影响这个人群HRQOL的因素.
主要方法:
- 对现有文献进行了叙事审查.
- 该审查得到了专家临床经验的补充.
主要成果:
- 恐惧复发和长期治疗后果 (手术并发症,放射性影响,二次恶性瘤,与衰老相关的疾病) 负面影响HRQOL.
- 健康差异和经济困难加剧了HRQOL问题.
- 幸存者需要监测复发,甲状腺功能低下症和长期治疗效应.
结论:
- 幸存者护理模式应根据特定患者群体量身定制.
- 建议采用以团队为基础,以幸存者为中心的方法,以获得最佳的甲状腺癌幸存者护理.
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