White L N, Spitz M R
Cancer Prevention and Detection Programs for Nurses, University of Texas M.D. Anderson Cancer Center, Huoston 77030.
Semin Oncol Nurs. 1993 Aug;9(3):188-97. doi: 10.1016/s0749-2081(05)80035-x.
Nurses and physicians form an ideal corps for implementing cancer prevention and early detection efforts: providing health education, promoting health enrichment, defining high-risk groups and identifying patients who belong to them, and providing screening to ensure early diagnosis and prompt treatment. A personal medical history, a history of exposures in life-style, and a family history form the foundation for cancer risk assessment. The physical examination that follows takes into account the incidence and indications of cancer at various sites and the patient's risk profile. Health professionals can incorporate screening techniques into everyday practice by gathering information in the medical history, incorporating cancer detection in the physical examination, following up with more frequent screenings or referrals for those needing them, and becoming cancer detection advocates among patients and professional peers.
提供健康教育、促进健康强化、界定高危人群并识别属于这些人群的患者,以及提供筛查以确保早期诊断和及时治疗。个人病史、生活方式中的接触史和家族病史构成了癌症风险评估的基础。随后的体格检查会考虑到不同部位癌症的发病率和指征以及患者的风险状况。卫生专业人员可以通过在病史中收集信息、在体格检查中纳入癌症检测、对那些需要的人进行更频繁的筛查或转诊随访,以及在患者和同行中成为癌症检测的倡导者,将筛查技术融入日常实践中。