Brucks J A
Brigham and Women's Hospital, Boston, Massachusetts.
Nurs Clin North Am. 1992 Dec;27(4):835-45.
The need for the early detection of ovarian cancer continues to be one of the most important issues in women's health care. The overall 5-year survival rate for epithelial ovarian cancer remains approximately 30% and has not improved over the last three decades. The failure to improve the prognosis for women with ovarian cancer is directly attributable to the lack of an effective screening test for early-stage disease. It is hoped that with the study of those women at high risk, an appropriate screening method will be discovered. Nurses should become knowledgeable about the nature of ovarian cancer, should be able to identify the woman at familial risk, and should look at a symptomatic woman with a high degree of suspicion. As health educators, nurses can provide up-to-date information about Ca 125 serum tests and vaginal ultrasonography used to screen high-risk populations. Nurses must educate women about the importance of the pelvic examination. Historically, nurses are trained to view the patient holistically. Such a viewpoint will help to put together all of the pieces of a difficult puzzle.
卵巢癌的早期检测需求仍然是女性医疗保健中最重要的问题之一。上皮性卵巢癌的总体5年生存率仍约为30%，在过去三十年中并未得到改善。卵巢癌患者预后未能改善直接归因于缺乏针对早期疾病的有效筛查测试。希望通过对高危女性的研究，能发现合适的筛查方法。护士应了解卵巢癌的本质，能够识别有家族风险的女性，并应对有症状的女性高度怀疑。作为健康教育者，护士可以提供有关用于筛查高危人群的Ca 125血清检测和阴道超声检查的最新信息。护士必须教育女性盆腔检查的重要性。从历史上看，护士接受的培训是从整体上看待患者。这样的观点将有助于拼凑起难题的所有碎片。
