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合并症对老年癌症患者手术结局的影响。

The Impact of Comorbidity on Surgical Outcomes in Older Adults with Cancer.

作者信息

Sun Virginia, Burhenn Peggy S, Lai Lily, Hurria Arti

出版信息

Semin Oncol Nurs. 2017 Feb;33(1):80-86. doi: 10.1016/j.soncn.2016.11.008. Epub 2017 Jan 3.

DOI:10.1016/j.soncn.2016.11.008
PMID:28062326
Abstract

OBJECTIVES

To provide an overview of the impact of comorbidity on surgical outcomes and postoperative geriatric events in older adults with cancer, and review key components of quality perioperative nursing care of older adults with cancer.

DATA SOURCES

Journal articles, research reports, state of the science papers, position papers, and clinical guidelines from professional organizations.

CONCLUSION

The high prevalence of multiple comorbidities and the associated burden of geriatric events in older adults after cancer surgery have a substantial impact on surgical outcomes, quality of life, and health care costs. Practical and efficient models of comprehensive assessment, prevention, and management of postoperative geriatric events and comorbid conditions are needed to improve surgical outcomes for this vulnerable cancer population.

IMPLICATIONS FOR NURSING PRACTICE

Oncology nurses practicing in clinical and research settings have a responsibility to arm themselves with evidence-based knowledge and resources to improve the perioperative care of older adults with cancer.

摘要

目的

概述合并症对老年癌症患者手术结局和术后老年相关事件的影响,并综述老年癌症患者围手术期优质护理的关键要素。

数据来源

期刊文章、研究报告、科学现状论文、立场文件以及专业组织的临床指南。

结论

老年癌症患者术后多种合并症的高患病率及相关老年相关事件负担对手术结局、生活质量和医疗成本有重大影响。需要实用且高效的术后老年相关事件和合并症综合评估、预防及管理模式,以改善这一脆弱癌症人群的手术结局。

对护理实践的启示

在临床和研究环境中执业的肿瘤护士有责任用循证知识和资源武装自己,以改善老年癌症患者的围手术期护理。

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