与癌症相关的白内障非药物管理:系统性审查
Cloconi Constantina1, Economou Mary2, Orphanos George3
1Radiation Oncology Department, German Oncology Center, Limassol, Cyprus; Nursing Department, Cyprus University of Technology, Limassol, Cyprus.
Seminars in oncology nursing
|January 7, 2025
概括
像运动和针这样的非药理策略可以帮助管理癌症缓解症,改善生活质量和减少症状. 早期干预和患者参与是癌症患者更好的治疗结果的关键.
科学领域:
- 在瘤学瘤学.
- 综合医学是一个整体的医学.
- 患者护理 患者护理
背景情况:
- 与癌症相关的缓冲症影响50-80%的癌症患者,导致显著的死亡率 (20%的癌症死亡).
- 它的特点是炎症,厌食症和增加的能量消耗,导致严重的体重减轻和肌肉衰竭.
- 目前的治疗主要集中在药理剂和营养补充剂上,需要寻找替代策略.
研究的目的:
- 系统地审查非药物,非补充剂和非肠道干预措施,以管理与癌症相关的缓存症.
- 在临床试验中识别和评估这些策略的有效性.
- 解决关于替代性缓解症管理方法的文献上的差距.
主要方法:
- 按照PRISMA 2020指南进行系统审查.
- 搜索了PubMed,CINAHL和Scopus在2014-2024年间发表的研究.
- 包括成人癌症患者的英语临床试验,这些患者有固体瘤,但不包括血液恶性瘤.
主要成果:
- 10项研究符合资格标准,检查了针,营养建议,教育和运动等干预措施.
- 在干预和样本大小中观察到显著的异质性;大多数参与者是门诊患者.
- 通常评估的结果包括体重,BMI,生活质量 (QoL) 和肌肉力量.
结论:
- 运动改善了肌肉质量,身体质量和疲劳;针对食欲和功能状况有很大的前景.
- 营养干预对体重有不确定的影响;早期干预和患者参与至关重要.
- 非药理学方法通过影响食物摄入量,身体组成,疲劳和患者满意度来提高QoL.
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