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骨髓增殖性肿瘤(MPNs)- 第1部分:“经典”MPNs的诊断与治疗概述

Myeloproliferative neoplasms (MPNs) - Part 1: An overview of the diagnosis and treatment of the "classical" MPNs.

作者信息

Fowlkes Sabrina, Murray Cindy, Fulford Adrienne, De Gelder Tammy, Siddiq Nancy

机构信息

Chronic Myelogenous Leukemia/Myeloproliferative Neoplasms, Jewish General Hospital, Montreal, Quebec.

Malignant Hematology, UHN Princess Margaret Cancer Centre, Toronto, Ontario.

出版信息

Can Oncol Nurs J. 2018 Oct 1;28(4):262-268. doi: 10.5737/23688076284262268. eCollection 2018 Fall.

Abstract

Myeloproliferative neoplasms (MPNs) are rare, yet potentially life-threatening, disorders caused by overproliferation of bone marrow stem cells. The symptom burden experienced by patients with the BCR-ABL1-negative MPNs (also referred to as the classical MPNs, i.e., essential thrombocythemia [ET], polycythemia vera [PV] and myelofibrosis [MF]) can be significant and can negatively impact quality of life (QOL). Since patients with these MPNs can live for several years, thereby requiring long-term treatment and follow-up, nurses play an essential role in communicating with these patients, assessing their symptoms, and educating them on treatments and self-management strategies that can reduce their symptom burden. This article, which is the first of a two-part series, was developed to provide nurses and other healthcare professionals with a review of the diagnosis and treatment of the most common classical MPNs. The second article in this series (also available in this issue) will provide nurses with practical guidance for managing the symptom burden associated with MPNs in order to help enhance the overall health and well-being of patients living with these disorders.

摘要

骨髓增殖性肿瘤(MPNs)是由骨髓干细胞过度增殖引起的罕见但可能危及生命的疾病。BCR-ABL1阴性MPNs患者(也称为经典MPNs,即原发性血小板增多症[ET]、真性红细胞增多症[PV]和骨髓纤维化[MF])所经历的症状负担可能很严重,并且会对生活质量(QOL)产生负面影响。由于这些MPNs患者可能存活数年,因此需要长期治疗和随访,护士在与这些患者沟通、评估他们的症状以及对他们进行有关可减轻症状负担的治疗和自我管理策略的教育方面发挥着重要作用。本文是一个两部分系列文章中的第一篇,旨在为护士和其他医疗保健专业人员提供对最常见经典MPNs的诊断和治疗的综述。本系列的第二篇文章(本期也有)将为护士提供管理与MPNs相关症状负担的实用指导,以帮助提高患有这些疾病的患者的整体健康和幸福感。

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