接受辅助化疗的乳腺癌患者的症状集群:系统性审查
Yishu Qi1, Huiyuan Li1, Yao Guo2
1The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Sha Tin, New Territories, Hong Kong, SAR, China.
Journal of clinical nursing
|October 11, 2024
概括
接受化疗的乳腺癌患者通常会出现胃肠道,疲劳相关和心理症状集群. 了解这些症状集群及其随着时间的推移而发生的变化对于开发有针对性的干预措施来减少患者负担至关重要.
科学领域:
- 在瘤学瘤学.
- 症状科学 症状科学
- 基于证据的实践.
背景情况:
- 乳腺癌的辅助化疗经常导致不良症状.
- 这些症状往往聚合成症状集群,对患者的福祉产生负面影响.
研究的目的:
- 系统地审查和总结乳腺癌患者在辅助化疗期间的常见症状集群.
- 分析这些症状集群在不同维度上的纵向变化.
主要方法:
- 进行了系统审查,从2001年到2024年1月,搜索了10个电子数据库.
- 在两位审查员进行独立评估后,包括了9项涉及1454名参与者的研究.
- 数据以叙事形式合成,研究质量使用标准质量评估标准进行评估.
主要成果:
- 发现的常见症状集群包括胃肠道 (恶心-缺乏食欲),疲劳-疼痛-睡眠障碍,以及心理 (担忧-悲伤-紧张-烦躁-易怒-难以集中注意力).
- 严重程度维度最常用于定义症状集群.
- 随着时间的推移,观察到症状集群的数量和并发的变化.
结论:
- 本综述确定了在接受辅助化疗的乳腺癌患者中普遍存在的症状集群及其时间动态.
- 这些发现强调了对症状集群演变和潜在机制的进一步研究的需要.
- 在临床护理中可以制定有针对性的管理策略和干预措施,以减轻患者的症状负担.
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