Alberta Blood and Marrow Transplant Program, Tom Baker Cancer Centre, Calgary, Canada.
Clin J Oncol Nurs. 2022 Nov 18;26(6):628-635. doi: 10.1188/22.CJON.628-635.
Radiation therapy (RT) remains one of the main pillars of cancer treatment, alongside systemic therapy and surgery. More than half of people with cancer will receive RT at some point during their treatment trajectory. Although RT contributes to cure in a substantial number of patients, more than half of patients treated with RT are treated with palliative intent. RT plays an integral role in alleviating symptoms, preserving function, and improving quality of life for patients with cancer.
The aim of this article is to provide information on the role of RT in palliative and end-of-life care.
A review of the literature and professional guidelines on palliative RT was performed.
This article provides foundational information for nurses on indications for palliative RT, possible side effects and toxicities associated with palliative RT, and challenges and barriers that may be encountered when considering palliative RT. Nursing implications, including the importance of a palliative approach to care, are discussed.
放射治疗(RT)仍是癌症治疗的主要手段之一,与系统治疗和手术并列。超过一半的癌症患者在治疗过程中的某个阶段将接受 RT。尽管 RT 为数以千计的患者带来了治愈的希望,但仍有超过一半接受 RT 治疗的患者是出于姑息治疗的目的。RT 在缓解症状、保留功能和提高癌症患者的生活质量方面发挥着重要作用。
本文旨在提供关于 RT 在姑息治疗和临终关怀中的作用的信息。
对姑息性 RT 的文献和专业指南进行了回顾。
本文为护士提供了姑息性 RT 的适应证、姑息性 RT 相关的可能副作用和毒性、以及在考虑姑息性 RT 时可能遇到的挑战和障碍等方面的基础知识。讨论了护理意义,包括姑息治疗方法的重要性。