以质量求发展，以服务铸品牌

护理学报 ›› 2020, Vol. 27 ›› Issue (14): 20-25.doi: 10.16460/j.issn1008-9969.2020.14.020

• 循证护理 • 上一篇    下一篇

成年肿瘤患者癌因性疲乏筛查与评估的证据总结

陈伟娟a, 赵海燕b, 孔冬c, 崔新c, 杨丽娟c   

  1. 山东大学附属省立医院 a.东院呼吸与危重症医学科; b.东院重症医学科; c.护理部,山东 济南 250014
  • 收稿日期:2020-02-13 出版日期:2020-07-25 发布日期:2020-08-11
  • 通讯作者: 杨丽娟（1966-）,女,山东菏泽人,硕士研究生,主任护师,护理部主任。
  • 作者简介:陈伟娟（1978-）,女,山东淄博人,硕士研究生,主管护师,护士长。

Evidence Summary of Screening and Assessment of Cancer-related Fatigue in Adult Cancer Patients

CHEN Wei-juana, ZHAO Hai-yanb, KONG Dongc, CUI Xinc, YANG Li-juanc   

  1. a.Dept. of Respiratory and Critical Care Medicine, East Branch; b. Dept. of Intensive Care Unit, East Branch; c. Dept. of Nursing Administration, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250014, China
  • Received:2020-02-13 Online:2020-07-25 Published:2020-08-11

PDF (PC)

124

赞

摘要： 目的 评价总结成年肿瘤患者癌因性疲乏筛查与评估的最佳证据,为临床护理人员实施癌因性疲乏的管理提供参考。方法 采用PICO的方法确定科学问题,明确检索策略和纳排标准,计算机检索建库至2019年3月Up To Date、苏格兰院际指南网、英国国家卫生与临床优化研究所、加拿大安大略注册护士协会、美国国立指南网、中国医脉通指南网、美国国家综合癌症网络、美国临床肿瘤协会、加拿大心理社会肿瘤协会、肿瘤护理协会、安大略省癌症护理中心、Cochrane Library、JBI图书馆、PubMed、中国知网、万方、维普及中国生物医学文献数据库关于成年肿瘤患者癌因性疲乏筛查和评估的证据,包括临床决策、临床指南、证据总结。由2名研究者对文献进行质量评价、证据提取与综合。结果 共纳入文献6篇,包括临床决策1篇、指南4篇、证据总结1篇,最终总结出筛查时机、筛查工具、筛查者、评估时机、评估内容、评估者、筛查评估方法及培训8个方面12条最佳证据。结论 成年肿瘤患者癌因性疲乏筛查与评估的最佳证据可为临床应用提供循证依据,护理人员可根据证据进行临床护理实践。

关键词: 肿瘤, 癌因性疲乏, 筛查, 评估, 证据总结

Abstract: Objective To evaluate and summarize the best evidence of screening and assessment of cancer-related fatigue in adult cancer patients. Methods We searched the Up to Date, Scottish Intercollegiate Guidelines Network, National Institute for Health and Care Excellence, Registered Nurses Association of Ontario, National Guideline Clearinghouse, Chinese Medicine Guideline, National Comprehensive Cancer Network, American Society of Clinical Oncology, Canadian Society for Psychosocial Oncology, Oncology Nursing Society, Ontario Cancer Care Center, Cochrane Library, JBI library, PubMed, CNKI, Wanfang,VIP and CBM from the inception to March 2019, to collect literatures including guideline, evidence summary, recommended practice, system review about the best evidence of screening and assessment of cancer-related fatigue in adult cancer patients. Two researchers assessed the quality of literatures and extracted evidence from qualified literatures. Results Six articles were selected, including one clinical decision, four guidelines and one evidence summary. Eight categories（screening time, screening tools, screening practitioners, assessment time, assessment practitioners, assessment contents, screening and assessment methods and training）and totally 12 items of best evidence were summarized. Conclusion The best evidence for screening and evaluation of cancer-related fatigue in adult cancer patients can provide evidence-based basis for clinical application, and nursing staff can conduct clinical nursing practice based on the evidence.

Key words: cancer, cancer-related fatigue, screening, assessment, evidence summary

中图分类号: 

  • R473.73
[1] Berger AM, Mooney K, Banerjee C, et al. NCCN Clinical Practice Guideline in Oncology Cancer-related Fatigue Version 1.2019. Fort Washington Pa: National Comprehensive Cancer Network 2019[EB/OL].[2019-03-12].https://www.nccn.org/professionals/physician_gls/pdf/fatigue.pdf.
[2] Glaus A.Cancer-related Fatigue: New Theories[J].Support Care Cancer,2008,16(3):215-216.DOI:10.1007/s00520-007-0382-0.
[3] Andrykowski MA, Donovan KA, Laronga C, et al.Prevalence, Predictors, and Characteristics of Off-treatment Fatigue in Breast Cancer Survivors[J].Cancer, 2010, 116(24):5740-5748.DOI:10.1002/cncr.25294.
[4] Curt GA, Bteithart W, Cella D, et al.Impact of Cancer Related Fatigue on the Lives of Patients New Findings from the Fatigue Coalition[J]. Oncol, 2000, 5(5):353-360. DOI:10.1634/theoncologist.5-5-353.
[5] Berger AM, Abernethy AP, Atkinson A, et al.NCCN Clinical Practice Guidelines Cancer-related Fatigue[J]. J Natl Compr Canc Netw, 2010, 8(8):904-931.DOI:10.6004/jnccn.2010.0067.
[6] Olson K, Krawchuk A, Quddusi T.Fatigue in Individuals with Advanced Cancer in Active Treatment and Palliative Settings[J]. Cancer Nurs, 2007, 30(4):1-10.DOI:10.1097/01.NCC.0000281736.25609.74.
[7] Mock V.Clinical Excellence Through Evidence-based Practice: Fatigue Management as a Model[J]. Oncol Nurs Forum, 2003, 30(5):787-796. DOI:10.1188/03.ONF.787-796.
[8] 刘玉萍,张静,王蕊.大肠癌化疗患者癌因性疲乏及其影响因素分析[J].护理学报,2014,21(15):39-42.
[9] Mallinson T, Cella D, Cashy J, et al.Giving Meaning to Measure: linking Self-reported Fatigue and Function to Performance of Everyday Activities[J]. J Pain Symptom Manage, 2006, 31(3):229-241.DOI:10.1016/j.jpainsymman.2005.07.012.
[10] 蒋超南,李振炎,袁秀红,等.胃癌术后患者化疗期间癌因性疲乏与其缓解方式的相关性分析[J].护理学报,2016,23(8):64-67. DOI:10.16460/j.issn1008-9969.2016.08.064.
[11] Reinertsen KV, Cvancarova M, Loge JH, et al.Predictors and Course of Chronic Fatigue in Long-term Breast Cancer Survivors[J]. J Cancer Surviv, 2010, 4(4):405-414.DOI: 10.1007/s11764-010-0145-7.
[12] 刘华玉. 肿瘤科护士癌因性疲乏知信行调查研究[D].杭州:浙江中医药大学,2012.
[13] Miller M, Kearney N.Nurses, Knowledge and Attitudes Towards Cancer-related Fatigue[J]. Eur J Oncol Nurs, 2001,5(4):208-217. DOI:10.1054/ejon.2001.0133.
[14] Sandra L, Deborah D.Johns Hopkins Nursing Evidence-based Practice Model and Guidelines[M]. Indiana: Sigma ThetaTau International,2007:204-207.
[15] Brouwers MC, Kho ME, Browman GP, et al.Development of the AGREE Ⅱ, Part 1: Performance, Usefulness and Are as for Improvement[J]. CAMJ, 2010, 182(10):1045-1052.DOI:10.1503/cmaj.091714.
[16] Carmen P.Cancer-related Fatigue: Prevalence, Screening and Clinical Assessment [EB/OL].[2019-03-12].https://www.uptodate.com/contents/cancer-related-fatigue-prevalence-screening- and-clinical-assessment?search=%E7%99%8C%E7%97%87%E7%9B%B8%E5%85%B3%E6%80%A7%E7%96%B2%E5%8A%B3&source=Out%20of%20date%20-%20zh-Hans&selectedTitle=2~25.
[17] Porritt K. Cancer Related Fatigue: Assessment [EB/OL]. [2017-07-27].http://ovidsp.dc2.ovid.com/sp-4.02.1a/ovidweb.cgi?&S=KJMPFPPLHDEBODEJJPCKBHBFIPBOAA00&Link+Set=S.sh.21%7c2%7csl_190.
[18] Minton O,Stone P.A Systematic Review of the Scales Used for the Measurement of Cancer Related Fatigue(CRF)[J]. Ann Oncol,2009,20(1):17-25.DOI:10.1093/annonc/mdn537.
[19] Bower JE, Bak K, Berger A, et al.Screening, Assessment, and Management of Fatigue in Adult Survivors of Cancer: An American Society of Clinical Oncology Clinical Practice Guideline Adaptation[J]. J Clin Oncol ,2014, 32(17):1840-1851.DOI:10.1200/JCO.2013.53.4495.
[20] Howell D, Keller-Olaman S, Oliver TK, et al.A Pan-canadian Practice Guideline and Algorithm: Screening, Assessment, and Supportive Care of Adults with Cancer-related Fatigue[J]. Curr Oncol, 2013, 20(3):e233-246. DOI:10.3747/co.20.1302.
[21] Seyidova-Khoshknabi D, Davis M, Walsh D.A Systematic Review of Cancer Related Fatigue Measurement Questionnaires[J]. Am J Hosp Palliat Care, 2011, 28(2):119-129.DOI:10.1177/1049909110381590.
[22] Berger AM, Mooney K, Alvarez-Perez A, et al.Cancer-related Fatigue, Version 2.2015[J]. J Natl Compr Canc Netw,2015, 13(8):1012-1039. DOI:10.6004/jnccn.2015.0122.
[23] Berger AM, Mooney K, Banerjee CB, et al. NCCN Clinical Practice Guideline in Oncology Cancer-Related Fatigue Version 2.2017. Fort Washington Pa:National Comprehensive Cancer Network.2017[EB/OL]. [2017-04-10].https://www.nccn.org/professionals/physician_gls/pdf/fatigue.pdf.
[24] Howell D, Keshavarz H, Broadfield L, et al. A Pan Canadian Practice Guideline for Screening, Assessment, and Management of Cancer-related Fatigue in Adults Version 2-2015,Toronto: Canadian Partnership Against Cancer (Cancer Journey Advisory Group) and the Canadian Association of Psychosocial Oncology[EB/OL].[2015-04-31].http://www.capo.ca/pdf/CRF_Guideline.pdf.
[25] 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.
[26] 胡雁,郝玉芳. 循证护理学[M]. 2版. 北京:人民卫生出版社. 2018.
[27] Servaes P, Verhagen S, Bleijenberg G.Determinants of Chronic Fatigue in Disease-free Breast Cancer Patients: A Cross-sectional Study[J]. Ann Oncol,2002 ,13(4):589-598. DOI:10.1093/annonc/mdf082.
[28] Bower JE, Ganz PA, Desmond KA, et al.Fatigue in Breast Cancer Survivors: Occurrence, Correlates, and Impact on Quality of Life[J].J Clin Oncol, 2000, 18(4):743-753.DOI:10.1200/JCO.2000.18.4.743.
[29] Mitchell SA, Beck SL, Hood LE, et al.Putting Evidence into Practice: Evidence-based Interventions for Fatigue During and Following Cancer and Its Treatment[J]. Clin J Oncol Nurs 2007, 11(1):99-113.DOI:10.1188/07.CJON.99-113.
[30] 彭云辉,唐华英,张硕,等.鼻咽癌放疗病人癌因性疲乏、社会支持与生存质量的相关性研究[J].护理研究,2019,33(14):2514-2517.DOI:10.12102/j.issn.1009-6493.2019.14.036.
[1] 刘颖, 黎丹, 黄燕波, 王倩, 贯华. 优化术前肠道准备方案对根治性膀胱全切加回肠通道术患者的影响[J]. 护理学报, 2020, 27(9): 68-70.
[2] 吴瑾文, 李定丽, 周丹, 任红, 廖丽萍. CT筛查新型冠状病毒肺炎过程医院感染预防控制[J]. 护理学报, 2020, 27(8): 42-46.
[3] 邓惠玲, 陈玉琼, 刘桂媚, 梁金凤, 吴静芝, 周丹, 冯惠庆. 鱼尾尺测量评估法对降低初产妇会阴损伤的效果观察[J]. 护理学报, 2020, 27(8): 59-61.
[4] 储亚琴, 江志伟, 邵明月, 章程, 彭南海. 回馈教学对胃肠肿瘤术后出院患者口服营养补充剂的效果观察[J]. 护理学报, 2020, 27(7): 69-72.
[5] 卢婷, 应燕萍, 赵慧涵, 李倩, 徐谊, 凌瑛. 恶性肿瘤患者握力的影响因素分析[J]. 护理学报, 2020, 27(6): 1-4.
[6] 章明阳, 杜李百合, 罗小平, 章文军, 梁爱群, 常后婵. 术前患者预保温的最佳证据总结[J]. 护理学报, 2020, 27(6): 17-22.
[7] 刘明慧, 覃惠英. 210名肿瘤科护士专业生活品质现状及影响因素分析[J]. 护理学报, 2020, 27(5): 28-34.
[8] 徐绍莲, 臧谋红, 唐瑭, 霍丽萍, 朱贞祥. 肿瘤化疗患者植入式静脉输液港与PICC并发症发生情况Meta分析[J]. 护理学报, 2020, 27(3): 37-42.
[9] 侯庆梅, 杨丽华, 修闽宁. 155例肿瘤化疗患者中医传统功法锻炼知行现状及影响因素分析[J]. 护理学报, 2020, 27(3): 49-53.
[10] 陈莹, 张国龙, 李平东, 阮亮, 卢玉娴, 原少清, 孙妃娥, 牟晓玲, 黄丹霞, 李润, 宫玉翠. 胸外科肿瘤手术患者新型冠状病毒肺炎疫情期间的防控管理与体会[J]. 护理学报, 2020, 27(12): 50-53.
[11] 刘幸, 万丽. 对分娩中产妇应用会阴评估量表指导会阴切开的效果观察[J]. 护理学报, 2020, 27(12): 60-64.
[12] 肖兴米, 石英, 马燕, 胡铖曦, 鲁彦君. 家庭尊严干预在晚期癌症患者家庭主要照顾者中的应用研究[J]. 护理学报, 2020, 27(12): 68-72.
[13] 郭晓宇, 史冬立, 张振美, 李娜, 张佩凤, 杨丽娟. 全麻腰椎术后男性患者早期拔除尿管的最佳证据总结[J]. 护理学报, 2020, 27(11): 46-51.
[14] 王鹏程, 孟爱凤, 智晓旭, 汤琳, 路莉静, 浦亚楼. 青少年癌症患者生活体验质性研究的Meta整合[J]. 护理学报, 2020, 27(10): 43-48.
[15] 冯蓓, 梁亚红, 贺婷婷, 魏丹, 谢小敏. 2种营养不良风险筛查工具对儿科住院患儿营养不良风险预测作用的比较[J]. 护理学报, 2020, 27(10): 65-68.
Viewed
Full text


Abstract

Cited
  Shared   
[1] 徐慧娜, 桂意华. ICU护士血液净化技术培训应用PBL教学法结合能力进阶模式的效果观察[J]. 护理学报, 2020, 27(12): 1 -5 .
[2] 汤琳, 孟爱凤, 智晓旭, 邾萍, 浦亚楼, 路莉静. 癌症青年患者社会心理干预的研究进展[J]. 护理学报, 2020, 27(12): 10 -13 .
[3] 严晓晶, 陈璐, 陈雁. 社区专科护士培训现状及研究进展[J]. 护理学报, 2020, 27(12): 14 -17 .
[4] 卢舒颖, 刘宁, 魏璐华, 梁冬梅, 李妍. 产后出血预防及管理的最佳证据总结[J]. 护理学报, 2020, 27(12): 18 -22 .
[5] 刘小成, 应文娟, 刘智利, 郑锐华, 许诺, 刘慧. 生命末期患者性与亲密关系评估的最佳证据总结[J]. 护理学报, 2020, 27(12): 23 -27 .
[6] 林慧菁, 倪平. 932名武汉市民对生命维持治疗的态度现状及影响因素分析[J]. 护理学报, 2020, 27(12): 28 -32 .
[7] 朱一凡, 陈芷谦, 郭巧红, 苏娅丽. 196例乳腺癌化疗患者尊严现状及影响因素分析[J]. 护理学报, 2020, 27(12): 33 -37 .
[8] 潘国翠, 李梅. 决策疲劳量表的汉化及其应用于ICU患者家属的信度效度评价[J]. 护理学报, 2020, 27(12): 38 -41 .
[9] 贺芳, 温秀兰, 林艳, 刘会, 郭晓萍, 张喆. 新生儿重症监护病房噪音水平调查与对策[J]. 护理学报, 2020, 27(12): 42 -45 .
[10] 田凡立, 李惠玲, 杜美兰, 蒋芳琴, 张新梅, 殷雪群. 新型冠状病毒肺炎下援鄂男护士情绪体验的质性研究[J]. 护理学报, 2020, 27(12): 46 -49 .