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肺癌的筛查与早期检测

Screening and Early Detection of Lung Cancer.

作者信息

Eggert Julia A, Palavanzadeh Mahsa, Blanton Amanda

出版信息

Semin Oncol Nurs. 2017 May;33(2):129-140. doi: 10.1016/j.soncn.2017.03.001. Epub 2017 Apr 5.

Abstract

OBJECTIVE

To review current risk factors for lung cancer, identify screening and early detection guidelines while describing new approaches that use genomic technologies.

DATA SOURCES

Published scientific literature, clinical literature, and published lung cancer screening guidelines from the United States and Canada.

CONCLUSION

Nurses are caring for lung cancer patients who, historically, do not live for long periods after diagnosis. Research is revealing promising screening methodologies that can detect lung cancer 1 to 4 years earlier than the current approaches.

IMPLICATIONS FOR NURSING PRACTICE

Current knowledge about screening for lung cancer is a vital tool for nurses working with persons at high risk for this potentially aggressive and life-threatening malignancy. While old methods remain the standard of care, new detection methods use a variety of genomic-based technologies. These developing approaches emphasize the need for nurses at all levels of practice to have a working knowledge of genetics to educate patients and conference with colleagues.

摘要

目的

回顾当前肺癌的风险因素,确定筛查和早期检测指南,同时描述使用基因组技术的新方法。

数据来源

已发表的科学文献、临床文献以及美国和加拿大已发表的肺癌筛查指南。

结论

护士所护理的肺癌患者,从历史上看,在诊断后存活时间不长。研究正在揭示有前景的筛查方法,这些方法能比现有方法提前1至4年检测出肺癌。

对护理实践的启示

当前关于肺癌筛查的知识对于护理有患这种潜在侵袭性和危及生命的恶性肿瘤高风险人群的护士来说是至关重要的工具。虽然旧方法仍是护理标准,但新的检测方法使用了多种基于基因组的技术。这些不断发展的方法强调各级护理人员都需要具备遗传学实用知识,以便对患者进行教育并与同事进行交流。

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