Stricker Carrie Tompkins, Jacobs Linda A
LIVESTRONG Survivorship Center of Excellence, Abramson Cancer Center, Philadelphia, Pennsylvania, USA.
Oncology (Williston Park). 2008 Jul;22(8 Suppl Nurse Ed):33-41.
There are nearly 12 million cancer survivors living in the US today, and these individuals are at risk for long-term physical complications of treatment. Although development of less toxic treatments such as targeted therapies is helping to decrease the risk of physical effects in individual survivors, the absolute burden of physical complications in cancer survivors is increasing owing to growing numbers of cancer survivors combined with demographic and health trends such as population aging. In cancer survivors, direct effects of cancer and treatment exposures converge with pre-existing risk factors such as age, comorbidities, heredity, and lifestyle factors to elevate the risk of physical complications. Oncology nurses have a pivotal role to play in cancer survivorship. This article will provide an overview of physical effects of cancer and its treatment in cancer survivors, identify resources to help guide management, and highlight strategies for integrating cancer survivorship care and education into clinical practice.
如今，美国有近1200万癌症幸存者，这些人面临着治疗带来的长期身体并发症风险。尽管诸如靶向治疗等毒性较小的治疗方法的发展有助于降低个体幸存者出现身体影响的风险，但由于癌症幸存者数量的增加，再加上人口老龄化等人口统计学和健康趋势，癌症幸存者身体并发症的绝对负担正在上升。在癌症幸存者中，癌症和治疗暴露的直接影响与年龄、合并症、遗传和生活方式因素等预先存在的风险因素共同作用，增加了身体并发症的风险。肿瘤学护士在癌症生存护理中起着关键作用。本文将概述癌症及其治疗对癌症幸存者的身体影响，确定有助于指导管理的资源，并强调将癌症生存护理和教育纳入临床实践的策略。
