School of Nursing, Wuhan University, Wuhan, China.
Department of Neuro-Oncology Center, Taihe Hospital, Hubei University of Medicine, Shiyan, China.
Nurs Open. 2023 Aug;10(8):4892-4906. doi: 10.1002/nop2.1795. Epub 2023 Apr 30.
To review the literature related to symptom management, clinical significance and related theoretical framework systems in adult patients with brain tumours.
As understanding of symptoms or symptom clusters and underlying biologic mechanisms has grown, it is apparent that symptom science is moving forward. Although some progress has been made in the symptom science of solid tumours such as breast and lung neoplasms, insufficient attention has been paid to symptom management for patients suffering from brain tumours. Further research is needed to achieve effective symptom management for these patients.
A literature review with a systematic search of symptom management in adult brain tumours.
Electronic data bases were searched to obtain relevant published literature on symptom management in adults with brain tumours. This was then analysed and a synthesis of relevant findings is presented.
Four significant general themes relating to symptom management of brain tumours in adults were identified: (1) The potential theoretical foundation related to symptom management was revealed. (2) Widely accepted validated scales or questionnaires for the assessment of single symptoms or symptom clusters were recommended. (3) Several symptom clusters and the underlying biologic mechanisms have been reported. (4) Specific symptom interventions for adults with brain tumours were collected and classified as evidence-based or insufficient evidence.
There are still many challenges in the effective management of symptoms in adults with brain tumours. The guiding role of theoretical frameworks or models related to symptom management should be utilized in future research. Using the concept of symptom clustering for research into symptoms found in patients with brain tumours, exploring common biological mechanisms for specific symptom clusters and making full use of modern big data resources to build a strong evidence base for an effective intervention or management program may inform the management of symptoms among these patients leading to better results.
This is a literature review.
The ultimate goal is obviously not only improving the survival rate of patients with brain tumours, but also enhancing their quality of life. Several important findings from our review include the theoretical foundations, validated assessment tools, the assessment of symptom clusters and the underlying biologic mechanism, and the identification of the evidence base for symptom interventions. These are of relevance for managers, researchers and practitioners and may function as a reference to help the effective symptom management for adults with brain tumours.
综述成人脑瘤患者症状管理、临床意义及相关理论框架系统的相关文献。
随着对症状或症状群及潜在生物学机制的认识不断深入，症状科学正在向前发展。尽管在乳腺癌和肺癌等实体瘤的症状科学方面取得了一些进展，但对脑瘤患者的症状管理关注不足。需要进一步研究以实现对这些患者的有效症状管理。
成人脑瘤症状管理的文献综述，并进行系统检索。
检索电子数据库，获取成人脑瘤症状管理的相关文献，并进行分析，综合相关发现。
确定了与成人脑瘤症状管理相关的 4 个重要主题：（1）揭示了与症状管理相关的潜在理论基础；（2）推荐了广泛接受的用于评估单一症状或症状群的验证量表或问卷；（3）报道了几种症状群及其潜在的生物学机制；（4）收集了针对成人脑瘤患者的特定症状干预措施，并分为基于证据或证据不足。
成人脑瘤患者症状的有效管理仍面临诸多挑战。未来研究应利用与症状管理相关的理论框架或模型的指导作用。运用症状群的概念研究脑瘤患者的症状，探索特定症状群的共同生物学机制，并充分利用现代大数据资源，为有效的干预或管理方案建立强大的证据基础，可能会为这些患者的症状管理提供信息，从而获得更好的结果。
这是一项文献综述，无患者或公众参与。
最终目标显然不仅是提高脑瘤患者的生存率，还要提高他们的生活质量。我们的综述有几个重要发现，包括理论基础、验证评估工具、症状群评估及潜在生物学机制，以及症状干预的证据基础。这些发现与管理者、研究人员和从业者有关，可作为参考，帮助有效管理成人脑瘤患者的症状。
