White Kathryn J, Roydhouse Jessica K, Scott Kathleen
Cancer Institute of New South Wales, Sydney Nursing School, University of Sydney, Australia.
Clin J Oncol Nurs. 2011 Feb;15(1):88-96. doi: 10.1188/11.CJON.88-96.
Epidermal growth factor receptor inhibitors (EGFRIs) are an increasingly important class of anticancer agents. Cutaneous toxicities, the most common adverse effects of EGFRI therapy, require dose modification or treatment cessation when moderate or severe and may compromise treatment compliance. To date, assessment has focused on physical symptoms associated with cutaneous toxicities; however, the psychosocial impact of those effects requires greater consideration. This article reviews current knowledge of assessment of cutaneous toxicities and identifies gaps in evidence, with particular focus on the psychosocial impact of cutaneous toxicities. Promising new assessment tools and approaches including the use of electronic patient-reported outcome measures are discussed, as well as implications for research in evaluating psychosocial interventions.
表皮生长因子受体抑制剂(EGFRIs)是一类日益重要的抗癌药物。皮肤毒性是EGFRIs治疗最常见的不良反应,中度或重度时需要调整剂量或停止治疗,这可能会影响治疗依从性。迄今为止,评估主要集中在与皮肤毒性相关的身体症状;然而,这些影响的社会心理影响需要更多关注。本文回顾了目前关于皮肤毒性评估的知识,并指出证据方面的差距,特别关注皮肤毒性的社会心理影响。文中讨论了包括使用电子患者报告结局指标在内的有前景的新评估工具和方法,以及对评估社会心理干预措施研究的启示。