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视网膜母细胞瘤:高级执业护士概述

Retinoblastoma: an overview for advanced practice nurses.

作者信息

Canty Caroline Anne

机构信息

School of Nursing, Columbia University, New York, New York, USA.

出版信息

J Am Acad Nurse Pract. 2009 Mar;21(3):149-55. doi: 10.1111/j.1745-7599.2008.00378.x.

Abstract

PURPOSE

To provide an overview of the current literature surrounding the detection and management of retinoblastoma as well as care for the long-term survivor to serve as a guide for advanced practice nurses.

DATA SOURCES

Comprehensive review of the literature on retinoblastoma including case studies, journal reviews, retrospective studies, and briefs.

CONCLUSIONS

Retinoblastoma is a pediatric intraocular malignancy usually detected in the primary care setting. Typically asymptomatic, primary care providers will often identify the presence of retinoblastoma upon routine eye exam. Prompt diagnosis and commencement of treatment are paramount as delay in diagnosis leads to higher morbidity and mortality. Treatment options vary depending on the extent of disease.

IMPLICATIONS FOR PRACTICE

Although current survival rates for retinoblastoma exceed 90%, individual visual outcome and survival are dependent upon early detection and prompt referral. In addition to research and education of survivors and families, advanced practice nurses play a key role in early detection and maintaining the current survival rate.

摘要

目的

概述目前有关视网膜母细胞瘤检测与管理以及长期幸存者护理的文献,为高级执业护士提供指导。

数据来源

对视网膜母细胞瘤相关文献进行全面综述,包括病例研究、期刊综述、回顾性研究和简报。

结论

视网膜母细胞瘤是一种儿科眼内恶性肿瘤,通常在初级保健机构中被发现。该病通常无症状,初级保健提供者常在常规眼部检查时发现视网膜母细胞瘤的存在。及时诊断和开始治疗至关重要,因为诊断延迟会导致更高的发病率和死亡率。治疗方案因疾病程度而异。

对实践的启示

尽管目前视网膜母细胞瘤的生存率超过90%,但个体视觉预后和生存情况取决于早期发现和及时转诊。除了对幸存者及其家庭进行研究和教育外,高级执业护士在早期发现和维持当前生存率方面发挥着关键作用。

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