Department of Midwifery, Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.
Department of Pharmaceutical Nanotechnology, School of Pharmacy, Zanjan University of Medical Sciences, Zanjan, Iran.
Cancer Control. 2024 Jan-Dec;31:10732748241249355. doi: 10.1177/10732748241249355.
Women with breast cancer usually face multiple short-term and long-term problems in dealing with their acute and chronic symptoms during and after cancer treatment. However, serious gaps remain in addressing these issues in clinical and public health practice.
According to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines, we conducted a systematic literature search from 2000-2021 in electronic databases, including Medline, PubMed, Embase, Scopus, Web of Knowledge, and Google Scholar databases using predefined keywords.
The review identified several significant and interconnected problems in breast cancer patient's treatment and supportive care. The results revealed that these issues are very common among breast cancer patients, and specific attention and serious measures are needed to address these problems. Despite implementing different protocols and programs for covering and addressing these problems, serious gaps still exist in supporting breast cancer patients during clinical and follow-up care.
Developing innovative and holistic approaches and programs based on the multifactorial assessment of symptoms are suggested for addressing and covering the multidimensional requirements of this population. Consequently, thorough evaluation, education, treatment, and referrals should be provided for the most common sequelae of these patients by including appropriate medication, exercise, counselling, occupational therapy, and complementary therapies. The present study provides a more comprehensive source of information about breast cancer patient's medical and supportive needs in comparison with individual studies on symptom experiences.
患有乳腺癌的女性在癌症治疗期间和之后应对急性和慢性症状时，通常会面临多个短期和长期问题。然而，在临床和公共卫生实践中，这些问题仍未得到妥善解决。
根据系统评价和荟萃分析的首选报告项目（PRISMA）指南，我们从 2000 年至 2021 年在电子数据库中进行了系统文献检索，包括 Medline、PubMed、Embase、Scopus、Web of Knowledge 和 Google Scholar 数据库，并使用了预定义的关键词。
综述确定了乳腺癌患者治疗和支持性护理中存在的几个重要且相互关联的问题。结果表明，这些问题在乳腺癌患者中非常常见，需要特别关注并采取严肃措施来解决这些问题。尽管实施了不同的协议和计划来覆盖和解决这些问题，但在临床和随访护理中，仍存在严重的差距。
建议基于症状的多因素评估，开发创新和整体的方法和计划，以满足这一人群的多维需求。因此，应通过提供适当的药物、运动、咨询、职业治疗和补充疗法，为这些患者最常见的后遗症提供全面的评估、教育、治疗和转诊。与关于症状体验的个别研究相比，本研究为乳腺癌患者的医疗和支持需求提供了更全面的信息来源。
