Baumgartner Karen
M. D. Anderson Cancer Center, Houston, TX, USA.
Semin Oncol Nurs. 2004 Nov;20(4):284-90.
To review the neurocognitive changes in patients with cancer. This will include and overview of signs and symptoms, diagnostic tests, nursing interventions, and supportive pharmacologic measures for the treatment of acute and chronic changes in cognition.
Published articles and reference books.
The treatment modalities used for individuals with cancer can produce cognitive deficits that may negatively affect quality of life. The clinician's consistent assessment and evaluation of contributing factors such as co-morbidities, medications, age, and metabolic abnormalities assists in identifying the etiology for cognitive changes and guiding appropriate interventions.
Understanding the need for assessment of changes in cognition and the direct and indirect factors that contribute to these changes is critical for the oncology nurse caring for patients with cancer to provide an appropriate plan of care.
回顾癌症患者的神经认知变化。这将包括对认知急性和慢性变化的体征和症状、诊断测试、护理干预及支持性药物治疗措施的概述。
已发表的文章和参考书籍。
用于癌症患者的治疗方式可产生认知缺陷，可能对生活质量产生负面影响。临床医生对合并症、药物、年龄和代谢异常等促成因素进行持续评估和评价，有助于确定认知变化的病因并指导适当的干预措施。
了解评估认知变化的必要性以及导致这些变化的直接和间接因素，对于照顾癌症患者的肿瘤护士提供适当的护理计划至关重要。
