Economou Denice, Hurria Arti, Grant Marcia
Department of Nursing Research and Education, City of Hope, Duarte, CA, USA.
Clin J Oncol Nurs. 2012 Jun 1;16(3):E78-85. doi: 10.1188/12.CJON.E78-E83.
Older adults constitute the greatest percentage of cancer survivors in the country, with 61% being aged 65 years and older. Assessing older adult cancer survivors beyond chronological age to include changes in functional status is an essential process to help nurses anticipate cancer treatment impact and aid in planning individualized survivorship care. The objective of this article is to identify a method to assess older adult cancer survivors to be used in tailoring survivorship care. A review of geriatric literature was conducted through MEDLINE(®) and PubMed from 1997-2011 and focused on the pathophysiology of aging, cancer impact, and comorbidities in this population. Results were combined with previous research to provide an evidence-based approach to assessing older cancer survivors. The resulting assessment provides valuable information on the functional status of older adult patients with cancer. This assessment can be used by nurses to develop treatment plans and tailor management strategies to improve quality of life.
老年人是该国癌症幸存者中占比最大的群体,65岁及以上的占61%。对老年癌症幸存者进行评估时,除了考虑实际年龄外,还应纳入功能状态的变化,这是一个重要过程,有助于护士预测癌症治疗的影响,并协助制定个性化的生存护理计划。本文的目的是确定一种评估老年癌症幸存者的方法,以用于定制生存护理。通过检索1997年至2011年的MEDLINE(®)和PubMed数据库,对老年医学文献进行了综述,重点关注该人群的衰老病理生理学、癌症影响和合并症。研究结果与之前的研究相结合,提供了一种基于证据的评估老年癌症幸存者的方法。所得评估结果提供了有关老年癌症患者功能状态的有价值信息。护士可利用该评估结果制定治疗计划,并调整管理策略以提高生活质量。