Kenyon Megan, Mayer Deborah K, Owens Anna Kate
J Obstet Gynecol Neonatal Nurs. 2014 May-Jun;43(3):382-98. doi: 10.1111/1552-6909.12300. Epub 2014 Apr 1.
To examine the most common long-term and late effects of breast cancer treatment, the American Society of Clinical Oncology guidelines for surveillance, and recommendations for the primary care provider's role in delivering breast cancer survivorship care.
A comprehensive literature review was conducted using CINAHL, PubMed, Google Scholar, and hand searches using the search terms breast cancer, survivor, and long-term or late effects.
Articles published in English from 2002 to 2012 that addressed the long-term or late effects of adults with breast cancer were included.
Findings are discussed categorically, including the most common late and long-term psychosocial effects from relevant studies.
Topics relevant to survivors included challenges to psychosocial, emotional, and cognitive well-being; satisfaction with life; sexuality; body image; anxiety; fear of recurrence and post-traumatic stress disorder; depression; cognitive dysfunction challenges to physical well-being; adverse cardiovascular events; fatigue; lymphedema; musculoskeletal symptoms; accelerated bone loss and fractures; pain; skin changes due to radiation; disease recurrence; and new breast cancers.
With earlier detection methods and improvements in treatment options making breast cancer a highly survivable disease, there are more survivors of breast cancer than ever. The clinicians' role in survivorship care is more important than ever to manage the potential long-term and late effects of treatment, physical and emotional well-being, and recurrent disease surveillance. However, the clinician's role in cancer follow-up care is often poorly defined leading to a lack of awareness about the needs of survivors of breast cancer, suboptimal communication between providers and survivors, and an overall deficiency in quality care.
探讨乳腺癌治疗最常见的长期和晚期影响、美国临床肿瘤学会的监测指南，以及对初级保健提供者在提供乳腺癌生存护理中作用的建议。
使用CINAHL、PubMed、谷歌学术进行了全面的文献综述，并通过手工检索，检索词为乳腺癌、幸存者以及长期或晚期影响。
纳入2002年至2012年发表的英文文章，这些文章涉及成年乳腺癌患者的长期或晚期影响。
对研究结果进行分类讨论，包括相关研究中最常见的晚期和长期心理社会影响。
与幸存者相关的主题包括心理社会、情感和认知健康方面的挑战；生活满意度；性功能；身体形象；焦虑；对复发的恐惧和创伤后应激障碍；抑郁；认知功能障碍对身体健康的挑战；不良心血管事件；疲劳；淋巴水肿；肌肉骨骼症状；骨质加速流失和骨折；疼痛；放疗引起的皮肤变化；疾病复发；以及新发乳腺癌。
随着早期检测方法的出现和治疗选择的改善，乳腺癌已成为一种高生存率的疾病，乳腺癌幸存者比以往任何时候都更多。临床医生在生存护理中的作用比以往任何时候都更重要，以管理治疗的潜在长期和晚期影响、身体和情感健康以及疾病复发监测。然而，临床医生在癌症后续护理中的作用往往定义不明确，导致对乳腺癌幸存者的需求缺乏认识、提供者与幸存者之间沟通欠佳以及整体护理质量不足。
