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转移性骨癌的护理:未来趋势。

Nursing Care for Metastatic Bone Cancer: Trends for the Future.

机构信息

Nursing, School of Health Sciences, Southern Illinois University, Carbondale, IL 62901, USA.

Radiological Sciences, School of Health Sciences, Southern Illinois University, Carbondale, IL 62920, USA.

出版信息

Int J Environ Res Public Health. 2023 Jul 31;20(15):6483. doi: 10.3390/ijerph20156483.

DOI:10.3390/ijerph20156483
PMID:37569024
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10418383/
Abstract

To effectively treat patients and minimize viral exposure, oncology nurses and radiology departments during COVID-19 had to re-examine the ability to offer palliative radiation treatments to people with metastatic bone cancer. Decreasing potential exposure to the virus resulted in extra measures to keep patients and personnel safe. Limiting radiotherapy treatments, social distancing, and limiting caregivers were a few of the ways that oncology patients were impacted by the pandemic. Hypofractionated radiation therapy (HFRT), or the delivery of fewer higher-dose treatments, was a method of providing care but also limiting exposure to infection for immunocompromised patients as well as healthcare staff. As oncology radiation centers measure the impact of patient care during the pandemic, a trend toward HFRT may occur in treating the painful symptoms of bone cancer. In anticipation that HFRT may be increasingly used in patient treatment plans, oncology nurses should consider patient perspectives and outcomes from the pandemic to further determine how to manage future trends in giving personalized care, and supportive care.

摘要

为了有效治疗患者并尽量减少病毒暴露,在 COVID-19 期间,肿瘤护士和放射科必须重新审视为转移性骨癌患者提供姑息性放射治疗的能力。减少潜在的病毒暴露导致需要采取额外措施来确保患者和人员的安全。限制放射治疗、保持社交距离和限制护理人员是肿瘤患者受到大流行影响的几种方式。少分次放射治疗(HFRT),即提供较少的高剂量治疗,是一种提供护理的方法,但也限制了免疫功能低下患者以及医护人员感染的风险。随着肿瘤放射治疗中心衡量大流行期间患者护理的影响,HFRT 可能会成为治疗骨癌疼痛症状的一种趋势。预计 HFRT 将越来越多地用于患者的治疗计划,肿瘤护士应考虑大流行期间的患者观点和结果,以进一步确定如何管理提供个性化护理和支持性护理的未来趋势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b324/10418383/236ee41503f9/ijerph-20-06483-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b324/10418383/26de350a7eae/ijerph-20-06483-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b324/10418383/236ee41503f9/ijerph-20-06483-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b324/10418383/26de350a7eae/ijerph-20-06483-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b324/10418383/236ee41503f9/ijerph-20-06483-g002.jpg

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本文引用的文献

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Good clinical practice and the use of hypofractionation radiation schedules as weapons to reduce the risk of COVID-19 infections in radiation oncology unit: A mono-institutional experience.良好临床实践及采用大分割放疗方案作为降低放射肿瘤学科室新冠病毒感染风险的手段:单机构经验
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Addressing Pain Associated with Bone Metastases: Oncology Nursing Roles in a Multidisciplinary Rapid-Access Palliative Radiotherapy Clinic.解决骨转移相关疼痛:多学科快速通道姑息性放疗诊所中的肿瘤护理角色。
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Metastatic bone cancer: Consideration for optimal dose fractionation in radiation therapy.转移性骨癌:放射治疗中最佳剂量分割的考量
J Med Imaging Radiat Sci. 2022 Jun;53(2 Suppl):S39-S43. doi: 10.1016/j.jmir.2022.03.009. Epub 2022 Apr 7.
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: A qualitative study of living with treatable but not curable cancer during the COVID-19 pandemic.: 在 COVID-19 大流行期间患有可治疗但不可治愈的癌症的定性研究。
Palliat Med. 2022 Jan;36(1):152-160. doi: 10.1177/02692163211049497. Epub 2021 Oct 19.
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