Amano Koji, Hopkinson Jane B, Baracos Vickie E, Mori Naoharu
Palliative and Supportive Care Center, Osaka University Hospital, Osaka, Japan.
Department of Psycho-Oncology and Palliative Medicine, Osaka International Cancer Institute, Osaka, Japan.
Asia Pac J Oncol Nurs. 2023 Aug 6;10(Suppl 1):100290. doi: 10.1016/j.apjon.2023.100290. eCollection 2023 Nov.
Patients with cancer cachexia frequently suffer from physical symptoms and psychological symptoms of illness, which can lead to emotional distress in patients and family caregivers. Although there is no standard care to manage cancer cachexia despite its high prevalence and negative impact on quality of life in patients and family caregivers, there is accumulating evidence showing the importance of holistic multimodal care for cancer cachexia. However, there is no agreement on the essential components of holistic multimodal care. Therefore, the aims of this review are to give an overview of what is known about the holistic multimodal care and to suggest the composition of a multidisciplinary team to achieve holistic interventions. Holistic multimodal care for cancer cachexia is defined as an approach that addresses physical health through medical, pharmacological, nutritional, and rehabilitative interventions as well as psychological, emotional, and social well-being issues according to the needs of patients and family caregivers. Moreover, an ideal multidisciplinary team is proposed to achieve holistic interventions based on patient- and family-centered care. However, the development of educational programs on cancer cachexia for both clinicians and patients and family caregivers is needed. Furthermore, measurements to assess the benefits of holistic multimodal care also need to be established.
癌症恶病质患者经常遭受身体症状和疾病的心理症状折磨，这会给患者及其家庭照顾者带来情绪困扰。尽管癌症恶病质患病率高且对患者及其家庭照顾者的生活质量有负面影响，但目前尚无标准的治疗方法。不过，越来越多的证据表明，整体多模式护理对癌症恶病质至关重要。然而，对于整体多模式护理的基本组成部分尚无定论。因此，本综述的目的是概述关于整体多模式护理的已知情况，并提出一个多学科团队的组成结构，以实现整体干预。癌症恶病质的整体多模式护理被定义为一种通过医疗、药物、营养和康复干预来解决身体健康问题，并根据患者及其家庭照顾者的需求解决心理、情感和社会福祉问题的方法。此外，还提出了一个理想的多学科团队，以基于以患者和家庭为中心的护理实现整体干预。然而，需要为临床医生以及患者及其家庭照顾者制定关于癌症恶病质的教育计划。此外，还需要建立评估整体多模式护理益处的衡量标准。
