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评估和管理化疗引起的周围神经病理性疼痛的机制、预测因素和挑战。

Mechanisms, Predictors, and Challenges in Assessing and Managing Painful Chemotherapy-Induced Peripheral Neuropathy.

机构信息

School of Nursing, University of Michigan, Ann Arbor, MI.

Phyllis F. Cantor Center for Research in Nursing and Patient Care Services, Dana-Farber Cancer Institute, Boston, MA.

出版信息

Semin Oncol Nurs. 2019 Jun;35(3):253-260. doi: 10.1016/j.soncn.2019.04.006. Epub 2019 Apr 30.

Abstract

OBJECTIVE

To describe the known predictors and pathophysiological mechanisms of chronic painful chemotherapy-induced peripheral neuropathy (CIPN) in cancer survivors and the challenges in assessing and managing it.

DATA SOURCES

PubMed/Medline, CINAHL, Scopus, and PsycINFO.

CONCLUSION

The research on chronic painful CIPN is limited. Additional research is needed to identify the predictors and pathophysiological mechanisms of chronic painful CIPN to inform the development of assessment tools and management options for this painful and possibly debilitating condition.

IMPLICATIONS FOR NURSING PRACTICE

Recognition of the predictors of chronic painful CIPN and proactive CIPN assessment and palliative management are important steps in reducing its impact on physical function and quality of life.

摘要

目的

描述癌症幸存者慢性痛性化疗诱导周围神经病(CIPN)的已知预测因素和病理生理机制,以及评估和管理该疾病所面临的挑战。

资料来源

PubMed/Medline、CINAHL、Scopus 和 PsycINFO。

结论

慢性痛性 CIPN 的研究有限。需要开展更多研究以确定慢性痛性 CIPN 的预测因素和病理生理机制,为开发评估工具和管理方案提供信息,以改善这一痛苦且可能使人衰弱的病症。

意义

认识慢性痛性 CIPN 的预测因素,主动进行 CIPN 评估和姑息治疗管理,是减轻其对身体功能和生活质量影响的重要步骤。

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