以质量求发展，以服务铸品牌

护理学报 ›› 2022, Vol. 29 ›› Issue (3): 52-56.doi: 10.16460/j.issn1008-9969.2022.03.052

• 循证护理 • 上一篇    下一篇

癌症相关认知功能障碍评估和管理的证据总结

张营a, 孟英涛b, 尚美美b, 杨德艳a, 朱玉方c, 王倩d   

  1. 山东第一医科大学附属肿瘤医院 a.介入一病区; b.护理部; c.神经外病区; d.妇科肿瘤三病区,山东 济南 250117
  • 收稿日期:2021-07-05 发布日期:2022-03-04
  • 通讯作者: 王倩（1987-）,女,山东济南人,硕士研究生,科护士长。E-mail:568544668@qq.com
  • 作者简介:张营（1990-）,女,山东泰安人,硕士研究生,主管护师。
  • 基金资助:
    2019年山东省社会科学普及应用研究项目（2019-SKZZ-60）

Best Evidence Summary of Assessment and Management of Cancer-related Cognitive Impairment

ZHANG Yinga, MENG Ying-taob, SHANG mei-meib, YANG De-yana, ZHU Yu-fangc, WANG Qiand   

  1. a. 1st Ward Area of Intervention Therapy; b. Dept. of Nursing Administration; 3. Dept. of Neurosurgery; d. 3rd Ward Area of Gynecologic Oncology, Cancer Hospital Affiliated to Shandong First Medical University, Jinan 250117, China
  • Received:2021-07-05 Published:2022-03-04

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摘要： 目的 对癌症相关认知功能障碍评估及管理的最佳证据进行总结及评价。方法 检索JBI循证卫生保健国际合作中心图书馆、Cochrane、Up to Date、Web of Science、Embase、PubMed、美国国立指南数据库、美国国立综合癌症指南网、加拿大安大略注册护士协会、苏格兰学院指南网、国际指南协作组、英国国际临床优化研究所等数据库及指南网,汇总有关癌症相关认知功能障碍评估和管理的证据,文献类型包括系统评价、JBI证据总结、指南、专家共识及临床决策。由2名循证组成员独立对文献进行质量评价及证据提取。结果 本研究共纳入13篇文献,其中指南2篇,JBI证据总结2篇,系统评价9篇。最佳证据包括评估（评估相关知识及评估工具）和管理（非药物及药物管理）共21条证据。结论 本研究提供了癌症相关认知功能障碍预防及管理的实践参考,建议对在院患者进行癌症相关认知功能障碍的评估（评估相关知识及评估工具）和管理（非药物及药物管理）,并根据证据应用的可行性、适宜性、临床意义及有效性选择应用最佳证据,以提高患者生活质量。

关键词: 癌症相关认知功能障碍, CRCI, 癌症, 认知功能评估, 循证思维

Abstract: Objective To To summarize and evaluate the best evidence of the assessment and management of cancer-related cognitive dysfunction (CRCI or CRCD). Methods We searched databases including JBI Evidence-based Health Care International Cooperation Center Library, Cochrane, Up To Date, Web of Science, Embase, PubMed, National Guidelines Database, National Comprehensive Cancer Guidelines Network, Ontario Registered Nurses Association of Canada, Scottish College Guidelines Network, International Guidelines Collaboration Group, British International Institute of Clinical Optimization and other databases and guidelines networks, for evidence related to CRCI evaluation and management. Two researchers conducted independent quality evaluation, evidence extraction and summary of the literature. Results Thirteen articles were found in this study, including 2 guidelines, 2 JBI evidence summaries, and 9 systematic reviews. Twenty-one pieces of best evidence were summarized into two domains: assessment (assessment of related knowledge and assessment tools) and management (non-drug and drug management). Conclusion The evaluation and management of CRCI should be conducted with evidence-based thinking, and the relevant evidence of CRCI should be summarized to guide clinical medical staff to provide relevant guidance on CRCI.

Key words: cancer-related cognitive impairment, CRCI, cancer, assessment of cognitive function, evidence-based thinking

中图分类号: 

  • R473.5
[1] 张扬,罗太珍,林燕珊,等.妇科癌症患者癌症相关性认知功能损害的神经心理学研究[J].护理学报,2019,26(15):70-75.DOI:10.16460/j.issn1008-9969.2019.15.070.
[2] Lange M, Joly F, Vardy J, et al.Cancer-related Cognitive Impairment: An Update on State of the Art, Detection, and Management Strategies in Cancer Survivors[J]. Ann Oncol, 2019,30(12):1925-1940. DOI:10.1093/annonc/mdz410.
[3] Wefel JS, Kesler SR, Noll KR, et al.Clinical Characteristics, Pathophysiology, and Management of Noncentral Nervous System Cancer-related Cognitive Impairment in Adults[J]. CA Cancer J Clin, 2015,65(2):123-138. DOI:10.3322/caac.21258.
[4] Brouwers MC, Kho ME, Browman GP, et al.AGREE II: Advancing Guideline development, Reporting and Evaluation in Health Care[J]. J Clin Epidemiol, 2010,63(12):1308-1311.DOI:10.1016/j.jclinepi.2010.07.001.
[5] 熊俊,陈日新.系统评价/Meta分析方法学质量的评价工具AMSTAR[J].中国循证医学杂志, 2011,11(9):1084-1089.DOI:10.3969/j.issn.1672-2531.2011.09.017.
[6] Denlinger CS, Sanft T, Moslehi JJ, et al.NCCN Guidelines Insights: Survivorship,Version 2.2020[J]. J Natl Compr Canc Netw,2020,18(8):1016-1023.DOI:10.6004/jnccn.2020.0037.
[7] Mohile SG, Dale W, Somerfield MR, et al.Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Chemotherapy: ASCO Guideline for Geriatric Oncology[J]. J Clin Oncol,2018,36(22):2326-2347. DOI:10.1200/JCO.2018.78.8687.
[8] Fernandes HA, Richard NM, Edelstein K.Cognitive Rehabilitation for Cancer-related cognitive Dysfunction: A Systematic Review[J]. Support Care Cancer, 2019,27(9):3253-3279. DOI:10.1007/s00520-019-04866-2.
[9] Miladi N, Dossa R, Dogba MJ, et al.Psychostimulants for Cancer-related Cognitive Impairment in Adult Cancer Survivors: A Systematic Review and Meta-analysis[J]. Support Care Cancer,2019, 27(10):3717-3727.DOI:10.1007/s00520-019-04907-w.
[10] Cifu G, Power MC, Shomstein S, et al.Mindfulness-based interventions and Cognitive Function among Breast Cancer Survivors: A Systematic Review[J]. BMC Cancer,2018,18(1):1163.DOI:10.1186/s12885-018-5065-3.
[11] Treanor CJ, McMenamin UC, O'Neill RF, et al. Non-pharmacological Interventions for Cognitive Impairment Due to Systemic Cancer Treatment[J].Cochrane Database Syst Rev,2016,(8):CD011325.DOI:10.1002/14651858.CD011325.pub2.
[12] Bray VJ, Dhillon HM, Vardy JL.Systematic Review of Self-Reported Cognitive Function in Cancer Patients Following Chemotherapy Treatment[J]. J Cancer Surviv, 2018,12(4):537-559. DOI:10.1007/s11764-018-0692-x.
[13] Sun H, Zhang G, Ai B, et al. A Systematic Review: Comparative Analysis of the Effects of Propofol And Sevoflurane on Postoperative Cognitive Function in Elderly Patients with Lung Cancer[J]. BMC Cancer, 2019,19(1):1248. Published 2019 Dec 23. DOI:10.1186/s12885-019-6426-2.
[14] 侯丽娟,陈羽,蔡法勇,等.七氟烷、丙泊酚与老年肺癌手术患者术后早期认知功能障碍关系的Meta分析[J].湖北医药学院学报,2019, 38(2):109-117.DOI:10.13819/j.issn.1006-9674.2019.02.003.
[15] Hutchinson AD, Hosking JR, Kichenadasse G, et al.Objective and Subjective Cognitive Impairment Following Chemotherapy for Cancer: A Systematic Review[J].Cancer Treat Rev,2012,38(7):926-934. DOI:10.1016/j.ctrv.2012.05.002.
[16] Hines S, Ramis MA, Pike S, et al.The Effectiveness of Psychosocial Interventions for Cognitive Dysfunction in Cancer Patients Who Have Received Chemotherapy: A Systematic Review[J]. Worldviews Evid Based Nurs, 2014,11(3):187-193. DOI:10.1111/wvn.12042.
[17] Magtoto, Leaderlou S.Cancer Treatment Related Cognitive Impairment: Assessment[EB/OL](2021-03-24)[2021-11-27]. 2021; Cited in: JBI EBP Database at http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=jbi&NEWS=N&AN=JBI17575. Accessed November 07, 2021.
[18] Magtoto, Leaderlou S.Chemotherapy-Related Cognitive Impairment: Interventions to Improve Cognitive Function[EB/OL](2021-03-24)[2021-11-27]. 2021; Cited in: JBI EBP Database at http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=jbi&NEWS=N&AN=JBI993.Accessed Novem-ber07, 2021.
[19] 王春青,胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J]. 护士进修杂志, 2015, 30(11):964-967. DOI:10.16821/j.cnki.hsjx.2015.11.002.
[20] Von Ah D, Habermann B, Carpenter JS, et al.Impact of Perceived Cognitive Impairment in Breast Cancer Survivors[J]. Eur J Oncol Nurs,2013,17(2):236-241. DOI:10.1016/j.ejon.2012.06.002.
[21] Wefel JS, Vardy J, Ahles T, et al.International Cognition and Cancer Task Force Recommendations to harmonise Studies of Cognitive Function in Patients with Cancer[J]. Lancet Oncol,2011, 12(7):703-708. DOI:10.1016/S1470-2045(10)70294-1.
[22] 李洁,高蔚,孙丽美,等.中文版癌症治疗功能评估-认知功能量表应用于乳腺癌患者的信效度检验[J].中国实用护理杂志,2015, 31(33):2554-2556.DOI:10.3760/cma.j.issn.1672-7088.2015.33.017.
[23] 曾迎春,吕启圆,朱俊红,等.基于VR的老年癌症患者认知评估和沉浸式怀旧疗法康复系统的设计与应用探索[J].中国护理管理, 2021, 21(2):176-180.DOI:10.3969/j.issn.1672-1756.2021.02.004.
[24] 冯丽娜,贺瑾.癌症相关认知障碍非药物干预研究进展[J].中国护理管理,2020,20(12):1877-1880.DOI:10.3969/j.issn.1672-1756.2020.12.025.
[25] Karschnia P, Parsons MW, Dietrich J.Pharmacologic Management of Cognitive Impairment Induced by Cancer Therapy[J]. Lancet Oncol, 2019,20(2):e92-e102. DOI:10.1016/S1470-2045(18)30938-0.
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