Rome Sandra I, Jenkins Bonnie S, Lilleby Kathryn E
Blood and Marrow Transplant Program, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Clin J Oncol Nurs. 2011 Aug;15 Suppl:41-52. doi: 10.1188/11.S1.CJON.41-52.
As in many other cancers, survivorship of multiple myeloma involves handling treatment, recovery from therapeutic interventions, the effects of the disease, and ongoing therapies. Although mobility challenges vary among survivors of multiple myeloma, these patients have an increased risk of impaired mobility because of side effects of therapy and the pathology of the disease, as well as other factors (e.g., increasing age). Health maintenance increasingly is becoming a part of the cancer control continuum, and nurses have the opportunity to help survivors of multiple myeloma optimize their functional mobility and safety, thereby preserving quality of life. The purpose of these practice recommendations is to provide the healthcare professional with information on mobility, fall risk, and planned activity as an integral part of the plan of care for patients with multiple myeloma. Tools for nurses and physicians for assessing and evaluating the newly diagnosed patient, the patient undergoing treatment, and the long-term survivor of multiple myeloma will be provided.
与许多其他癌症一样,多发性骨髓瘤患者的生存涉及应对治疗、从治疗干预中恢复、疾病的影响以及持续治疗。尽管多发性骨髓瘤幸存者面临的行动能力挑战各不相同,但由于治疗副作用、疾病病理以及其他因素(如年龄增长),这些患者行动能力受损的风险增加。健康维护日益成为癌症控制连续统一体的一部分,护士有机会帮助多发性骨髓瘤幸存者优化其功能活动能力和安全性,从而维持生活质量。这些实践建议的目的是为医疗保健专业人员提供有关行动能力、跌倒风险和计划活动的信息,将其作为多发性骨髓瘤患者护理计划的一个组成部分。还将提供供护士和医生评估和评价新诊断患者、正在接受治疗的患者以及多发性骨髓瘤长期幸存者的工具。