Woolery Myra, Bisanz Annette, Lyons Hannah F, Gaido Lindsay, Yenulevich Mary, Fulton Stephanie, McMillan Susan C
National Institutes of Health, Bethesda, MD, USA.
Clin J Oncol Nurs. 2008 Apr;12(2):317-37. doi: 10.1188/08.CJON.317-337.
Constipation is a major source of distress for patients with cancer, significantly affecting quality of life. It can be secondary to disease sequelae, side effects of treatment, or preexisting conditions. It often is unrecognized, underassessed, and ineffectively managed. Nurses play a key role in the prevention and management of constipation and need evidence-based interventions. This article summarizes the existing research evidence for constipation interventions and identifies gaps. Many of the strategies have been evaluated in nononcology populations; researchers should evaluate their effectiveness in oncology populations.
便秘是癌症患者痛苦的主要来源,严重影响生活质量。它可能继发于疾病后遗症、治疗副作用或既往存在的病症。便秘常常未被识别、评估不足且管理无效。护士在便秘的预防和管理中发挥关键作用,并且需要基于证据的干预措施。本文总结了现有的便秘干预研究证据并找出差距。许多策略已在非肿瘤人群中进行了评估;研究人员应评估其在肿瘤人群中的有效性。