支持接受免疫检查点抑制剂治疗的人:探索瘤医疗保健专业人员经验的定性研究
Tessa Watts1, Stephen Jennings2, Sally Anstey3
1Reader, School of Healthcare Sciences, Cardiff University, Cardiff, Wales.
Seminars in oncology nursing
|October 31, 2024
概括
瘤专业人员发现免疫检查点抑制剂有益但具有挑战性. 持续的教育和积极的患者监测对于管理不良事件和优化免疫治疗期间的患者护理至关重要.
科学领域:
- 在瘤学瘤学.
- 免疫治疗是一种免疫疗法.
- 癌症治疗方法 癌症治疗方法
背景情况:
- 免疫检查点抑制剂 (ICI) 为晚期癌症提供了新的希望,但可能导致严重的免疫相关不良事件 (irAEs).
- 瘤医疗保健专业人员在管理ICI治疗安全性和患者结果方面发挥着关键作用.
- 了解医疗保健专业人员在ICI支持患者的经验,对于优化护理至关重要.
研究的目的:
- 探索高级瘤医疗保健专业人员支持接受免疫检查点抑制剂的患者的经验.
- 确定与ICI治疗相关的IRE管理的挑战和最佳实践.
- 了解管理ICI的医疗保健专业人员对教育和支持的感知需求.
主要方法:
- 使用半结构面试进行的定性探索性研究.
- 包括12名护士在内的18名高级瘤医疗保健专业人员参加了会议.
- 使用反射主题分析分析的数据.
主要成果:
- 专业人士承认ICI的好处,但面临的挑战是治疗的模两可和工作量.
- 积极的患者监测对于早期发现和报告irAEs至关重要.
- 医疗保健专业人员需要不断提高免疫疗法知识和正式教育.
结论:
- 虽然ICI可以改善疾病的结果,但不可预测的irrAEs带来了重大管理挑战.
- 护士在通过专家知识和护理协调来支持ICI患者的关键作用.
- 有效的ICI管理需要护士的专业免疫疗法知识和跨境护理协调技能.
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