综合性瘤学:为患有胃肠道癌症的患者采用基于证据的方法
Chloe E Atreya1,2,3, Heather Leach4, Edgar Asiimwe1,5
1Department of Medicine, University of California, San Francisco, CA.
概括
综合性瘤学,包括基于正念的干预和炼,现在得到了临床指导方针的支持,用于管理焦虑,抑郁和疲劳等癌症症状. 本综述侧重于将这些方法整合到胃肠癌护理中.
科学领域:
- 综合性瘤学 综合性瘤学
- 基于证据的癌症护理
- 胃肠道 (GI) 癌症 胃肠道 (GI) 癌症
背景情况:
- 综合性瘤学模式的临床实践指南最近由ASCO和综合性瘤学会 (SIO) 发表.
- 这些指南涵盖了成人癌症患者的饮食,运动,大麻,疼痛,焦虑,抑郁和疲劳.
- 建议基于正念的干预措施 (MBI) 和运动来控制焦虑,抑郁和疲劳等特定症状.
研究的目的:
- 在胃肠道癌的背景下,审查支持综合性瘤学建议的证据.
- 探索心身方法,运动,营养,针/针和天然产品的应用,用于胃肠道癌症患者.
- 解决实际实施细节和研究缺口,特别是在结直肠癌 (CRC) 以外的胃肠道恶性瘤.
主要方法:
- 审查最近发表的ASCO和SIO临床实践指南.
- 对GI癌症护理中的各种综合模式的证据综合.
- 讨论实施策略和研究需求.
主要成果:
- 在癌症患者中,ASCO-SIO指南支持MBI治疗焦虑/抑郁和MBI/运动治疗疲劳.
- 优化体育活动和饮食与改善结直肠癌 (CRC) 的生存率和症状管理有关.
- 目前的研究主要集中在CRC,对其他胃肠道恶性瘤的数据有限.
结论:
- 综合性瘤学模式越来越多地得到证据和全面癌症护理指南的支持.
- 需要关于将这些方法安全和公平地纳入常规肠道癌症治疗的实际指导.
- 需要进一步的研究来解决特定的胃肠道癌症类型和非药物干预措施的实施细节.
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