Kagan Sarah H
School of Nursing, Department of Otorhinolaryngology-Head and Neck Surgery and Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania 19104-4217, USA.
Curr Opin Oncol. 2009 May;21(3):248-53. doi: 10.1097/CCO.0b013e328329b819.
Nurses can play an essential role in the treatment of head and neck cancer and the care of patients and their families. The role and influence of nursing is dependent on available evidence to fulfill that role and on the sociopolitical and organizational factors that shape the context for nursing and interdisciplinary practice.
Nurses influence treatment for head and neck cancer through symptom management and tobacco cessation to improve quality of life and patient-reported outcomes. Nurses and interdisciplinary teams in the United States and Europe report successful, novel nurse-led care models that optimize influence on management.
Current research suggests that nurses can influence head and neck cancer treatment through emphasis on symptom management, tobacco and alcohol cessation, and on patient and family education and care coordination. Nonetheless, evidence for practice remains scant. Only continued research, employing qualitative and quantitative approaches, conducted by nurse and interdisciplinary investigator teams will advance head and neck cancer management and optimize influence of nursing within it. Novel models for nursing care that are well fit into the organizations and society in which care is delivered may further improve care and patient outcomes. Evaluation of such models is further required to document improvements.
护士在头颈部癌症治疗以及患者及其家属护理方面可发挥重要作用。护理的作用和影响取决于履行该角色所需的现有证据，以及塑造护理和跨学科实践背景的社会政治和组织因素。
护士通过症状管理和戒烟来影响头颈部癌症治疗，以提高生活质量和患者报告的结果。美国和欧洲的护士及跨学科团队报告了成功的、新颖的由护士主导的护理模式，这些模式优化了对管理的影响。
当前研究表明，护士可通过强调症状管理、戒烟戒酒以及患者和家属教育与护理协调来影响头颈部癌症治疗。尽管如此，实践证据仍然不足。只有护士和跨学科研究团队采用定性和定量方法持续开展研究，才能推动头颈部癌症管理并优化护理在其中的影响。很好地融入提供护理的组织和社会的新型护理模式可能会进一步改善护理和患者结局。还需要对这些模式进行评估以记录改善情况。
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