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一个德尔菲的共识,护士领导的个性化炼干预在化疗期间乳腺癌患者的干预
Huijie Wei1,2, Wubin He3
1First Affiliated Hospital of Jinzhou Medical University, Jinzhou, China.
BMC nursing
|December 19, 2025
概括
这项研究建立了护士领导的运动计划的共识,以帮助乳腺癌患者管理化疗副作用,如神经病变和疲劳,改善他们的生活质量.
科学领域:
- 瘤科 护理 护理专业
- 癌症康复 癌症康复
- 临床途径发展发展
背景情况:
- 化疗诱导的周围神经病变 (CIPN) 和与癌症相关的疲劳 (CRF) 显著影响乳腺癌患者的生活质量和治疗坚持.
- 目前的临床途径缺乏标准化,由护士领导的运动干预措施,以管理化疗期间这些衰弱的副作用.
研究的目的:
- 为接受化疗的乳腺癌患者提供结构化,由护士领导的炼干预方案,建立专家共识.
- 制定实用指南,将运动纳入临床途径,以减轻与治疗相关的副作用.
主要方法:
- 进行了三轮修改后的Delphi研究,涉及22名多学科专家.
- 共识是由特定的利克特评分,响应率和统计协议来定义的.
- 肯德尔的W被用来评估专家排名的稳定性.
主要成果:
- 在42项多元组件运动方案 (有氧,阻力,平衡) 方面达成了强烈的共识.
- 关键协议包括早期评估,护士定义的角色,基于症状的个性化强度和数字工具集成.
- 在整个研究过程中,专家响应率 (100%,95%,100%) 保持在高水平.
结论:
- 一个强大的专家共识支持在化疗期间为乳腺癌患者提供结构化,护士领导的个性化运动干预措施.
- 该框架提供了实际指导,通过管理副作用来改善患者的治疗结果.
- 未来的研究应该验证这种干预在各种临床环境中的可行性和有效性.
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