Houston D
Department of Patient Care Information Systems, University of Texas, M.D. Anderson Cancer Center, Houston 77030, USA.
Cancer Nurs. 1997 Dec;20(6):409-13. doi: 10.1097/00002820-199712000-00004.
Cancer chemotherapy often causes severe side effects, such as neutropenia, nausea and vomiting, and oral complications, which adversely affect patients' quality of life and may interfere with treatment success. A number of supportive therapies, such as colony stimulating-growth factors and antiemetics, have been developed to ameliorate these side effects, however, but often are underutilized. Oncology nurses, who serve as liaisons between oncologists and patients, can have a positive effect on patients' quality of life by educating them about potential side effects and the availability of supportive therapies, and by bringing patients' quality of life concerns and priorities to the attention of physicians. This article reviews the side effects of chemotherapy and the supportive therapies currently available to treat them and explores the role of oncology nurses as advocates for improved quality of life for chemotherapy patients.
癌症化疗常常会引发严重的副作用,诸如中性粒细胞减少、恶心呕吐以及口腔并发症等,这些副作用会对患者的生活质量产生不利影响,并且可能干扰治疗的成功。然而,已经研发出了一些支持性疗法,比如集落刺激生长因子和止吐药,用以改善这些副作用,但这些疗法常常未得到充分利用。肿瘤学护士作为肿瘤学家与患者之间的联络人,通过向患者宣传潜在的副作用以及支持性疗法的可获得性,并且将患者对生活质量的关切和优先事项提请医生注意,能够对患者的生活质量产生积极影响。本文回顾了化疗的副作用以及目前可用于治疗这些副作用的支持性疗法,并探讨了肿瘤学护士作为化疗患者生活质量改善倡导者的作用。