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[接受免疫治疗的癌症患者及其家庭照顾者的身体和心理影响以及支持性护理需求]

[The Physical and Psychological Impacts and Supportive Care Needs of Patients With Cancer Undergoing Immunotherapy and Their Family Caregivers].

作者信息

Lee Yun-Hsiang, Chan Jui-Chun, Fang Yuan-Yuan

机构信息

PhD, RN, Assistant Professor, School of Nursing, College of Medicine, National Taiwan University, Taiwan, ROC.

MSN, RN, Lecturer, Department of Nursing, Mackay Medical College, and Doctoral Student, Department of Nursing, National Yang Ming Chiao Tung University, Taiwan, ROC.

出版信息

Hu Li Za Zhi. 2022 Aug;69(4):27-32. doi: 10.6224/JN.202208_69(4).05.

Abstract

New, science-based cancer treatments have proliferated in recent years. Immunotherapy provides new hope for prolonging survival in patients with advanced-stage cancers. However, patients with cancer must not only face their disease progression, physical, and psychological symptoms, but also deal with the side effects and efficacy of immunotherapy. Patients with cancer may experience complex emotions such as fear, anxiety, depression, or uncertainty relatively frequently and may have many unmet care needs specific to immunotherapy. However, articles on the physical and psychological impacts and supportive care needs experienced by patients with advanced-stage cancers undergoing immunotherapy and their family caregivers are limited in the literature. Thus, this paper was developed to present (1) a brief introduction to cancer immunotherapy; (2) the physical and psychological impacts experienced by patients with cancer undergoing immunotherapy and their caregivers; (3) the status of the supportive care needs of patients and family caregivers during the immunotherapy process; and (4) an assessment of and intervention to address the supportive care needs of these patients with cancer and their caregivers. We hope this article will help clinical healthcare providers understand the physical and psychological impacts and supportive care needs of advanced patients with cancer and their family caregivers during the immunotherapy process. Furthermore, we suggest that appropriate medical care be provided or developed in the future to improve their quality of life during the immunotherapy process and to enhance clinical practices.

摘要

近年来,基于科学的新型癌症治疗方法不断涌现。免疫疗法为晚期癌症患者延长生存期带来了新的希望。然而,癌症患者不仅要面对疾病进展、身体和心理症状,还要应对免疫疗法的副作用和疗效问题。癌症患者可能相对频繁地经历恐惧、焦虑、抑郁或不确定等复杂情绪,并且可能有许多针对免疫疗法的未满足的护理需求。然而,关于接受免疫疗法的晚期癌症患者及其家庭照顾者所经历的身体和心理影响以及支持性护理需求的文章在文献中较为有限。因此,本文旨在介绍:(1)癌症免疫疗法的简要概述;(2)接受免疫疗法的癌症患者及其照顾者所经历的身体和心理影响;(3)免疫疗法过程中患者及其家庭照顾者支持性护理需求的现状;(4)对这些癌症患者及其照顾者支持性护理需求的评估与干预。我们希望本文能帮助临床医疗服务提供者了解晚期癌症患者及其家庭照顾者在免疫疗法过程中的身体和心理影响以及支持性护理需求。此外,我们建议未来提供或开发适当的医疗护理,以改善他们在免疫疗法过程中的生活质量并加强临床实践。

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