Troke Rebecca, Andrewes Tanya
Registered Nurse, at time of writing BSc Hons Adult Nursing student, Bournemouth University.
Lecturer (Academic) Adult Nursing, Bournemouth University, Bournemouth.
Br J Nurs. 2019 Sep 26;28(17):S24-S29. doi: 10.12968/bjon.2019.28.17.S24.
metastatic spinal cord compression (MSCC) is an oncology emergency. Prevalence is increasing. Treatment and care are complex and those diagnosed may be faced with life-changing challenges.
to review the impact and management of MSCC in patients with cancer, in order to analyse nursing considerations for supporting patients.
a literature review and thematic analysis of five primary research papers, published between 2009 and 2014.
two themes of prognosis/survival time and independence versus dependence were discovered.
the onset of MSCC may result in paralysis and associated loss of independence, impacting on a patient's quality of life. Understanding individuals' prognosis and treatment/care preferences is fundamental for the sensitive, individualised support of patients with MSCC. The findings reinforce the nurses' role in health education, in order to raise awareness of MSCC and promote early diagnosis so that patients maintain function and independence as long as possible. The findings support the need for nurses to be equipped with appropriate communication skills to initiate and engage in sensitive, difficult and proactive conversations with patients and their families, supporting the delivery of humanised care.
转移性脊髓压迫症（MSCC）是一种肿瘤急症。其患病率正在上升。治疗和护理复杂，被诊断出的患者可能面临改变生活的挑战。
回顾癌症患者中MSCC的影响及管理，以分析支持患者的护理要点。
对2009年至2014年间发表的五篇主要研究论文进行文献综述和主题分析。
发现了预后/生存时间以及独立与依赖两个主题。
MSCC的发作可能导致瘫痪及相关的独立性丧失，影响患者的生活质量。了解个体的预后以及治疗/护理偏好对于为MSCC患者提供敏感的个性化支持至关重要。研究结果强化了护士在健康教育中的作用，以提高对MSCC的认识并促进早期诊断，从而使患者尽可能长时间地保持功能和独立性。研究结果支持护士需要具备适当的沟通技巧，以便与患者及其家人展开并参与敏感、困难且积极主动的对话，支持提供人性化护理。
