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老年人的衰弱:癌症患者的评估、支持及治疗意义

Frailty in Older Adults: Assessment, Support, and Treatment Implications in Patients With Cancer.

作者信息

Overcash Janine, Cope Diane G, Van Cleave Janet H

机构信息

Ohio State University.

Florida Cancer Specialists and Research Institute.

出版信息

Clin J Oncol Nurs. 2018 Dec 1;22(6):8-18. doi: 10.1188/18.CJON.S2.8-18.

Abstract

BACKGROUND

Frailty is defined as a disability in those of advanced age, often with comorbidities, poor nutritional status, cognitive decline, and reduced functional status.

OBJECTIVES

The purpose of this article is to discuss the concept of frailty, assess the use of a comprehensive geriatric assessment (CGA), and understand the implications for treatment to maintain or enhance physical, functional, and cognitive health of older adult patients with cancer.

METHODS

Literature about frailty in older adult patients diagnosed with cancer was reviewed to determine evidence-based assessment and treatment options.

FINDINGS

About half of all older adult patients with cancer experience some degree of frailty. CGA is a useful way to evaluate frailty and the extent of limitations. Many frailty-specific tools have been developed. Evidence-based strategies are available to address limitations associated with frailty in older adult patients with cancer.

摘要

背景

衰弱被定义为老年人群中的一种残疾状态,常伴有合并症、营养状况差、认知功能减退和功能状态下降。

目的

本文旨在讨论衰弱的概念,评估综合老年评估(CGA)的应用,并了解其对维持或增强老年癌症患者身体、功能和认知健康的治疗意义。

方法

回顾了关于老年癌症患者衰弱的文献,以确定基于证据的评估和治疗方案。

结果

所有老年癌症患者中约有一半经历某种程度的衰弱。综合老年评估是评估衰弱及其受限程度的有用方法。已经开发了许多针对衰弱的工具。有基于证据的策略可用于解决老年癌症患者与衰弱相关的受限问题。

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