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头颈癌患者坚持癌症治疗的障碍

Barriers to Adherence to Cancer Treatments Among Head and Neck Cancer Patients.

作者信息

Miller Jennifer Lynn, Evers Julianne

机构信息

Bellarmine University Department of Nursing, Louisville, Kentucky.

出版信息

J Adv Pract Oncol. 2022 Jul;13(5):515-523. doi: 10.6004/jadpro.2022.13.5.5. Epub 2022 Jul 27.

Abstract

Head and neck cancer patients often undergo a demanding treatment schedule requiring radiation and chemotherapy. Adherence to these treatment schedules is affected by several issues, including socioeconomic factors, characteristics of the disease and treatment plan, symptoms, and side effects. Oncology advanced practitioners (APs) work directly with patients with head and neck cancer (HNC) during active treatment, often screening for and managing side effects and providing referrals. Evidence-based interventions and innovative strategies for the oncology AP to improve HNC patients' quality of life and treatment adherence include frequent distress screening, AP-led educational interventions and symptom management clinics, and incorporating technology to allow for close contact with patients during treatment.

摘要

头颈癌患者通常要接受要求苛刻的治疗方案,包括放疗和化疗。对这些治疗方案的依从性受到多种因素的影响,包括社会经济因素、疾病特征和治疗方案、症状以及副作用。肿瘤学高级执业护师(APs)在积极治疗期间直接与头颈癌(HNC)患者合作,经常筛查和管理副作用并提供转诊服务。肿瘤学APs改善HNC患者生活质量和治疗依从性的循证干预措施和创新策略包括频繁的痛苦筛查、由APs主导的教育干预和症状管理诊所,以及在治疗期间利用技术与患者保持密切联系。

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