护理学报 ›› 2019, Vol. 26 ›› Issue (1): 32-35.doi: 10.16460/j.issn1008-9969.2019.01.032
翟莹莹a, 杨姮a, 周文琴b
摘要: 目的 通过对癌症患者症状群相关概念及管理措施的综述,旨在为以后针对癌症患者不同症状群采用不同干预措施的有效性研究提供思路和依据。方法 检索国内外有关癌症症状群研究的文献,从症状群的定义、构成数量、前哨症状、核心症状及目前的非药物管理措施等方面进行综述。认为当前癌症患者症状群的管理措施主要有:认知行为疗法、心理教育干预、运动干预、中医技术及综合管理。结果 症状群的定义和构成数量尚未统一标准,前哨症状与核心症状是症状群研究的创新点;目前国内对于症状群的干预效果尚缺少高质量的研究。结论 对癌症患者症状群的干预效果研究仍是今后研究的热点和趋势,应总结现有研究方法的不足,积极探索适合癌症患者各症状群的干预措施,达到更好地改善癌症患者预后、提高生活质量的目标。
中图分类号:
[1] Stapleton S J, Holden J, Epstein J, et al.Symptom Clusters in Patients with Cancer in the Hospice/Palliative Care Setting[J]. Support Care Cancer, 2016, 24(9):3863-3871.DOI:10.1007/s00520-016-3210-6. [2] Tsai J S, Wu C H, Chiu T Y, et al.Significance of Symptom Clustering in Palliative Care of Advanced Cancer Patients[J].J Pain Symptom Manage,2010,39(4):655-662.DOI:10.1016/j.jpainsymman.2009.09.005. [3] Husain A, Myers J, Selby D, et al.Subgroups of Advanced Cancer Patients Clustered by Their Symptom Profiles: Quality-of-life Outcomes[J]. J Palliat Med, 2011, 14(11):1246.DOI:10.1089/jpm.2011.0112. [4] Barsevick A M, Aktas A.Cancer Symptom Cluster Research: New Perspectives And Tools[J]. Curr Opin Support Palliat Care, 2013,7(1):36-37.DOI:10.1097/SPC.0b013e32835defac. [5] 林双兰,周建荣. 癌症症状群的发展历程[J]. 中国老年学,2013,33(10):2470-2474. [6] Miaskowski C, Dodd M, Lee K.Symptom Clusters: The New Frontier in Symptom Management Research[J]. J Natl Cancer Inst Monogr,2004,32(32):17-21.DOI:10.1093/jncimonographs/lgh023. [7] Jacobs J M, Pensak N A, Sporn N J.Treatment Satisfaction and Adherence to Oral Chemotherapy in Patients with Cancer[J]. J Oncol Pract, 2017, 13(5):e474-e485. DOI:10.1200/JOP.2016.019729. [8] Dodd M J, Miaskowski C, Paul S M.Symptom Clusters and Their Effect on the Functional Status of Patients with Cancer[J]. Oncol Nurs Forum, 2001, 28(3):465-470. [9] Kim H J, Mcguire D B, Tulman L, et al.Symptom Clusters: Concept Analysis and Clinical Implications for Cancer Nursing[J]. Cancer Nurs, 2005, 28(4):270-282. [10] Molassiotis A, Wengström Y, Kearney N.Symptom Cluster Patterns During the First Year after Diagnosis with Cancer[J]. J Pain Symptom Manage, 2010, 39(5):847-858.DOI:10.1016/j.jpainsymman.2009.09.012. [11] Dong S T, Costa D S J, Butow P N, et al. Symptom Clusters in Advanced Cancer Patients: An Empirical Comparison of Statistical Methods and the Impact on Quality of Life[J]. J Pain Symptom Manage, 2016, 51(1):88-98.DOI:10.1016/j.jpainsymman.2015.07.013. [12] Craft L L, Vaniterson E H, Helenowski I B, et al.Exercise Effects on Depressive Symptoms in Cancer Survivors: A Systematic Review and Meta-analysis[J]. Cancer Epidemiol Biomarkers Prev, 2012, 21(1):3-19. [13] Chen E, Nguyen J, Cramarossa G, et al.Symptom Clusters in Patients with Lung Cancer: A Literature Review[J]. Expert Rev Pharmacoecon Outcomes Res,2011, 11(4):433-439.DOI:10.1586/erp.11.56. [14] Skerman H M, Battistutta D.Cancer-related Symptom Clusters for Symptom Management in Outpatients after Commencing Adjuvant Chemotherapy, at 6 Months, and 12 Months[J]. Support Care Cancer, 2012, 20(1):95-105.DOI:10.1007/s00520-010-1070-z. [15] Kirkova J, Aktas A, Walsh D, et al.Consistency of Symptom Clusters in Advanced Cancer[J]. Am J Hosp Palliat Care,2010,27(5):342-346.DOI:10.1177/1049909110369869. [16] Brown J K, Cooley M E, Chernecky C, et al.A Symptom Cluster and Sentinel Symptom Experienced by Women with Lung Cancer[J]. Oncol Nurs Forum, 2011, 38(6):E425-E435.DOI:10.1188/11.ONF.E425-E435. [17] Aktas A.Cancer Symptom Clusters: Current Concepts And Controversies[J]. Curr Opin Support Palliat Care,2013,7(1): 38-44.DOI:10.1097/SPC.0b013e32835def5b. [18] Nguyen L T, Yates P, Annoussamy L C, et al.The Effectiveness of Non-pharmacological Interventions in the Management of Symptom Clusters in Adult Cancer Patients: A Systematic Review Protocol[J]. JBI Database System Rev Implementat Rep, 2016, 14(4):49-59.DOI:10.11124/JBISRIR-2016-2476. [19] Cuijpers P, Straten A V, Andersson G.Internet-administered Cognitive Behavior Therapy For Health Problems: A Systematic Review[J]. J Behav Med, 2008, 31(2):169-177.DOI:10.1007/s10865-007-9144-1. [20] Tatrow K, Montgomery G H.Cognitive Behavioral Therapy Techniques for Distress and Pain in Breast Cancer Patients: A Meta-analysis[J]. J Behav Med, 2006, 29(1):17-27.DOI:10.1007/s10865-005-9036-1. [21] Kwekkeboom K L, Abbottanderson K, Cherwin C, et al.Pilot Randomized Controlled Trial of a Patient-controlled Cognitive-behavioral Intervention for the Pain, Fatigue, Sleep Disturbance Symptom Cluster in Cancer[J]. J Pain Symptom Manage, 2012, 44(6):810-822. DOI:10.1016/j.jpainsymman.2011.12.281. [22] Sikorskii A, Given C W, Given B, et al.Differential Symptom Reporting by Mode of Administration of the Assessment: Automated Voice Response System Versus a Live Telephone Interview[J]. Medi Care, 2009, 47(8):866-874.DOI:10.1097/MLR.0b013e3181a31d00. [23] Given B, Given C W, Mccorkle R, et al.Pain and Fatigue Management: Results of a Nursing Randomized Clinical Trial[J]. Oncol Nurs Forum, 2002, 29(6):949-956.DOI:10.1188/02.ONF.949-956. [24] Kurtz M E, Kurtz J C, Given C W, et al.Effects of Symptom Control Intervention on Utilization of Health Care Services Among Cancer Patients[J]. Med Sci Monit, 2006, 12(7):319-324. [25] Nguyen L T, Yates P, Annoussamy L C, et al.The Effectiveness of Non-pharmacological Interventions in The Management of Symptom Clusters in Adult Cancer Patients: A Systematic Review Protocol[J]. JBI Database System Review Implementat Rep, 2016, 14(4):49-59.DOI:10.11124/JBISRIR-2016-2476. [26] Nguyen L T, Alexander K, Yates P.Psychoeducational Intervention for Symptom Management of Fatigue, Pain and Sleep Disturbance Cluster among Cancer Patients: A Pilot Quasi-experimental Study[J]. J Pain Symptom Manage, 2018, 55(6):1459-1472.DOI:10.1016/j.jpainsymman.2018.02.019. [27] Jing L.Exercise Interventions on Health-Related Quality of Life For Patients with Cancer During Active Treatment[J]. Clin J Oncol Nurs, 2013, 17(5):559-560.DOI:10.1188/13.CJON.559-560. [28] Mishra S I, Scherer R W, Geigle P M, et al. Exercise Interventions on Health-related Quality of Life for Cancer Survivors[J].Cochrane Database Syst Rev,2012,15(8):CD007566.DOI:10.1002/14651858.CD007566.pub2. [29] Jones J M, Olson K, Catton P, et al.Cancer-related Fatigue and Associated Disability in Post-treatment Cancer Survivors[J]. J Cancer Surviv, 2016, 10(1):51-61.DOI:10.1007/s11764-015-0450-2. [30] Cramer H, Lauche R, Klose P, et al. Yoga for Improving Health-related Quality of Life, Mental Health and Cancer-Related Symptoms in Women Diagnosed with Breast Cancer[J]. Cochrane Database Syst Rev, 2017, 1(1):CD010802. DOI:10.1002/14651858.CD010802.pub2. [31] 黎治平,郑智,王丽君,等. 热敏灸治疗改善大肠癌化疗患者症状群疗效评价[J]. 中国针灸,2015,35(10):1010-1013. [32] 焦杰,罗志芹,强万敏. 穴位按摩在晚期癌症患者症状群中的应用效果研究[J]. 护士进修杂志,2015, 30(24): 2221-2223. [33] Jarden M, Nelausen K, Hovgaard D, et al.The Effect of a Multimodal Intervention on Treatment-related Symptoms in Patients Undergoing Hematopoietic Stem Cell Transplantation: A Randomized Controlled Trial[J]. J Pain Symptom Manage, 2009, 38(2):174-190.DOI:10.1016/j.jpainsymman.2008.09.005. [34] Matzka M, Mayer H, Köck-Hódi S, et al.Relationship Between Resilience, Psychological Distress and Physical Activity in Cancer Patients: A Cross-sectional Observation Study[J]. PLoS One,2016,11(4):e0154496. |
[1] | 刘丽欢, 刘春香. 经皮肾镜取石术日间手术患者的规范化流程管理[J]. 护理学报, 2020, 27(9): 14-18. |
[2] | 程维, 程蕾, 唐鹰, 黎红英, 谭荣欢, 申利华, 王灵晓. 老年专科护士主导的吞咽障碍患者转介模式的建立与效果评价[J]. 护理学报, 2020, 27(9): 48-51. |
[3] | 季学丽, 李玫, 张丽, 张阳春, 姜丽丽, 张劲松. 急诊负压室在疑似新型冠状病毒肺炎危重型患者救治中的应用及管理[J]. 护理学报, 2020, 27(9): 55-58. |
[4] | 刘丽萍, 周春兰, 吴艳妮, 从维莲, 胡明钰, 李晓霞. 情绪抑制量表的汉化及信效度检验[J]. 护理学报, 2020, 27(8): 6-10. |
[5] | 陈丽鸥, 应波, 闫素英, 韩斌如. 多学科管理模式下口服给药流程再造效果评价[J]. 护理学报, 2020, 27(8): 16-19. |
[6] | 蔡国旗, 汪晖, 张梦霞, 尹世玉, 胡凯利, 王冰花, 杨纯子. 2 291名护士工作环境感知与对护士长领导行为评价的相关性分析[J]. 护理学报, 2020, 27(8): 30-33. |
[7] | 张小雪, 何朝珠, 吴洁华, 何亮, 刘海佳. 基于口渴管理安全策略饮少量冰水对经口气管插管患者口渴影响的研究[J]. 护理学报, 2020, 27(8): 47-50. |
[8] | 王艳, 朱桂玲. 肠造口术后患者基于行为改变理论的护理干预效果观察[J]. 护理学报, 2020, 27(8): 54-58. |
[9] | 樊艳华, 邬要芬, 幸敏清. PICC带管出院患者基于ADOPT模式健康教育的效果观察[J]. 护理学报, 2020, 27(8): 73-76. |
[10] | 刘丽萍, 吴艳妮, 从维莲, 胡明钰, 李晓霞, 周春兰. 癌症患者化疗期自我护理体验质性研究的系统评价[J]. 护理学报, 2020, 27(7): 1-6. |
[11] | 刘淑正, 杨立娜. 基于4 R危机管理与多学科协作理论的监护室多重耐药院内感染防控效果观察[J]. 护理学报, 2020, 27(7): 30-33. |
[12] | 王随琴, 关云, 李小妹. 社区护士主导多学科管理模式对糖尿病患者自我管理水平的影响[J]. 护理学报, 2020, 27(6): 9-11. |
[13] | 张文艳, 刘于, 张梦. 低收入人群高血压患病现状与自我管理的研究进展[J]. 护理学报, 2020, 27(6): 12-16. |
[14] | 陈梦云, 林淡珠, 许金微, 谢漫. 发热门诊新型冠状病毒感染预检分诊与疫情防控策略[J]. 护理学报, 2020, 27(6): 39-43. |
[15] | 马新莉, 胡志琴. 182例晚期癌症患者主要照顾者预感性悲伤现状及影响因素分析[J]. 护理学报, 2020, 27(5): 42-46. |
|