Henneghan Ashley M, Harrison Tracie
The University of Texas at Austin
The University of Texas at Austin.
J Holist Nurs. 2015 Mar;33(1):84-97. doi: 10.1177/0898010114539191. Epub 2014 Jun 16.
Advancements in breast cancer treatment continue to improve the likelihood of survival. The increase in survival has come at a cost, however; the late effects of breast cancer treatment have remained a constant reminder to women of what they have endured and require holistic nursing's attention. One area of nursing practice that might improve the condition of breast cancer survivors once their treatment has ended is complementary and alternative medicine (CAM) therapies. To provide guidance to nurses working with breast cancer survivors, a focused review of the literature exploring the symptomatology and prevalence of breast cancer's late effects as well as the use of CAM therapies to improve those effects is presented. Evidence suggests that CAM therapies have sometimes been incorporated into symptom management strategies currently employed; however, the evidential claims as a whole have been generally inconclusive, especially for complete resolution of the late effects. Regardless, a number of studies demonstrate a reduction of negative symptoms experienced with few to no side effects of CAM therapies.
乳腺癌治疗的进展持续提高了生存几率。然而,生存几率的提高是有代价的;乳腺癌治疗的晚期影响一直提醒着女性她们所承受的一切,需要整体护理的关注。在乳腺癌幸存者治疗结束后,护理实践中可能改善其状况的一个领域是补充和替代医学(CAM)疗法。为指导护理乳腺癌幸存者的护士,本文对相关文献进行了重点综述,探讨了乳腺癌晚期影响的症状学和患病率,以及使用CAM疗法改善这些影响的情况。有证据表明,CAM疗法有时已被纳入目前采用的症状管理策略中;然而,总体而言,证据性的说法尚无定论,尤其是对于晚期影响的完全消除。尽管如此,一些研究表明,CAM疗法能减少负面症状,且几乎没有副作用。