Faculty of Nursing, Edmonton Clinic Health Academy (ECHA), Edmonton, AB, Canada.
Department of Biomedical Engineering, University of Alberta, Edmonton, AB, Canada.
Semin Oncol Nurs. 2020 Feb;36(1):150986. doi: 10.1016/j.soncn.2020.150986. Epub 2020 Jan 24.
To examine and summarize current international guidelines regarding cardiovascular risk reduction before and during cancer therapy, and to discuss the emerging role of cardio-oncology as a subspecialty in cancer care and the role of cardio-oncology rehabilitation.
Published articles and guidelines.
With improvements in cancer detection and the use of novel adjuvant therapies, an increasing number of individuals now survive a cancer diagnosis. However, for some the cost is high - many survivors are now at higher risk of death from cardiovascular disease than from recurrent cancer. Cardiovascular morbidity and mortality are common and associated with common cancer therapies serially administered in adult oncology care.
Timely risk-reduction interventions hold promise in reducing cardiovascular morbidity and mortality. Oncology nurses are the key providers to identify baseline risks, perform necessary referrals, provide individualized teaching, and support the patient within the family and community.
检查和总结当前国际关于癌症治疗前后心血管风险降低的指南，并讨论肿瘤心脏病学作为癌症治疗亚专科的新兴作用以及肿瘤心脏病学康复的作用。
已发表的文章和指南。
随着癌症检测的改进和新型辅助疗法的应用，越来越多的人现在能够在癌症诊断后存活下来。然而，对于某些人来说，代价是高昂的——许多幸存者死于心血管疾病的风险高于癌症复发的风险。心血管发病率和死亡率很常见，与成人肿瘤学护理中连续使用的常见癌症治疗方法有关。
及时的降低风险干预措施有望降低心血管发病率和死亡率。肿瘤护士是识别基线风险、进行必要转诊、提供个性化教学以及在家庭和社区中支持患者的关键提供者。
