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护士协调干预的可行性,以支持多种同时出现的癌症症状的自我管理
Kristine L Kwekkeboom1, Jennifer M Stevens, Rachel Hawn
1Authors' Affiliation: School of Nursing, University of Wisconsin - Madison.
Cancer nursing
|September 30, 2025
概括
多种癌症症状的护士协调管理是可行的和可以接受的. 这种使用患者自我报告的方法可以简化接受化疗的患者的自我管理.
科学领域:
- 瘤学 护理 护理专业
- 症状管理 症状管理
- 化疗的副作用 化疗的副作用
背景情况:
- 目前的癌症症状管理指南通常针对单个症状,而不是患者经历的多个同时出现的症状.
- 根据患者报告的症状集群协调建议可以提高多症状自我管理的效率.
研究的目的:
- 评估接受化疗的患者护士协调的多症状治疗策略的可行性.
- 评估这种干预在癌症患者中是否可接受.
主要方法:
- 一项试点随机对照试验,涉及41名接受化疗的成年患者,至少有两种症状.
- 参与者每周报告症状集群;在周期1中提供常规护理,在周期2中为半数参与者提供加强的护士协调护理.
- 护士使用患者的自我报告来指导针对多种症状的基于指南的自我管理策略的选择.
主要成果:
- 可行性标准达到85%的招聘率和83%的保留率.
- 护士成功地协调了管理计划,通常使用的策略比报告的症状少 (84%).
- 参与者对干预和研究程序的满意度很高 (≥72%).
结论:
- 对症状集群的管理策略的护士协调是可行的和可以接受的.
- 患者对症状集群的自我报告为制定有效的管理建议提供了宝贵的见解.
- 这种方法可以减少癌症患者症状和自我管理的负担.
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