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青少年和青年癌症患者如何在家管理化疗相关症状?

How Do Adolescent and Young Adult Patients with Cancer Manage Their Chemotherapy-Related Symptoms at Home?

机构信息

Center for Healthcare Policy and Research, University of California Davis, Sacramento, California, USA.

Betty Irene Moore School of Nursing, University of California Davis, Sacramento, California, USA.

出版信息

J Adolesc Young Adult Oncol. 2023 Dec;12(6):923-928. doi: 10.1089/jayao.2022.0153. Epub 2023 Sep 12.

Abstract

Chemotherapy can cause many distressing side effects, potentially impacting treatment completion and quality of life in adolescent and young adult (AYA) patients with cancer. To identify ways to help mitigate chemotherapy-related symptoms, we sought to elicit barriers and facilitators to managing symptoms experienced by AYAs with cancer through interviews. Qualitative thematic analysis identified three main domains: (1) managing chemotherapy symptoms (e.g., medication, home remedies), (2) anticipating and mitigating symptoms (e.g., management of symptoms at home, anticipatory guidance), and (3) knowing when to seek care (e.g., unexpected and unusual symptoms). This study elucidated that AYAs can successfully manage symptoms at home when given the proper guidance and this could be a focus of future efforts to improve outcomes in this population. The Clinical Trial Registration number is NCT04594096.

摘要

化疗可能会引起许多令人痛苦的副作用,这可能会影响青少年和年轻成人(AYA)癌症患者的治疗完成情况和生活质量。为了找到帮助减轻化疗相关症状的方法,我们通过访谈,试图找出管理 AYA 癌症患者所经历症状的障碍和促进因素。定性主题分析确定了三个主要领域:(1)管理化疗症状(例如,药物,家庭疗法),(2)预测和减轻症状(例如,在家中管理症状,预期指导),以及(3)何时寻求治疗(例如,意外和不寻常的症状)。这项研究表明,当 AYA 患者获得适当的指导时,他们可以在家中成功地管理症状,这可能是未来努力改善该人群治疗结果的重点。临床试验注册号为 NCT04594096。

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