描述者和影响患者症状经历的因素,用于在晚期肺癌息性放射治疗期间的症状自我管理:系统性审查
Saengrawee Thanthong1, Grigorios Kotronoulas1, Bridget Johnston1,2
1School of Medicine, Dentistry and Nursing, College of Medical, Veterinary & Life Sciences, University of Glasgow, UK.
Asia-Pacific journal of oncology nursing
|October 11, 2024
概括
晚期肺癌的缓解性胸部放射治疗有助于控制症状,但经验各不相同. 持续监测对于有效控制症状和患者福祉至关重要.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 辐射疗法 辐射疗法
背景情况:
- 息胸部放射治疗对于晚期肺癌的症状管理至关重要.
- 持续的症状监测对于最佳的患者结果和福祉至关重要.
研究的目的:
- 系统地审查患者在晚期肺癌缓解性胸部放射治疗期间的症状经历.
主要方法:
- 在多个数据库 (MEDLINE,EMBASE,CINAHL,Cochrane,PsycINFO) 进行了全面的系统搜索,截至2023年8月31日,遵守PRISMA指南.
- 包括的研究集中在接受高级肺癌息胸部放射治疗的成年患者的症状患病率和严重程度.
- 使用QualSyst工具评估了方法质量,并以叙事方式综合数据.
主要成果:
- 八项研究符合纳入标准,确定了13种放射治疗前症状,最常见的是咳 (62%).
- 放射治疗后,疲劳 (69%),咳 (64%) 和呼吸障碍 (50%) 是最常见的.
- 咳,呼吸不全,胸痛和血液溶解的改善被观察到,这些改善受到表现状况和癌症阶段等因素的影响.
结论:
- 通过息性胸部放射治疗控制症状显示频率和严重程度的变化.
- 系统监测对于识别持续症状和指导支持性护理干预至关重要.
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