Patients with cancer and family caregivers: management of symptoms caused by cancer or cancer therapy at home.
Patients with cancer and family caregivers: management of symptoms caused by cancer or cancer therapy at home.
复制标题
癌症患者和家庭护理人员：在家中管理癌症或癌症治疗引起的症状。
DOI：
10.1007/s16024-012-0118-z
复制
发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Mayer,Hanna
中科院分区：
文献类型：
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作者：
Hazelwood,DanielaMaria;Koeck,Sabine;Wallner,Martin;Anderson,KathrynHoehn;Mayer,Hanna
由于意识的提高和癌症筛查的改进，现在人们被诊断出癌症的时间更早了。由于癌症治疗方案，患者能够活得更长；然而，他们遭受癌症和治疗相关症状的后果。症状管理对患者和家庭护理人员都具有挑战性。因此，家庭成员必须融入病人的护理计划中。在本综述中，我们进行了文献检索，以确定哪些类型的干预措施是可用的，这些干预措施涉及癌症患者的家庭成员对癌症和治疗相关症状的管理。研究发现，针对家庭照护者或患者与照护者共同设计的干预措施包括：疼痛干预方案、按摩治疗、电话干预、自我效能改善、应对增强和多维干预。所有的研究都指出了积极的影响，但有几个研究在患者干预组没有意义，但在护理者干预组有意义。然而，研究表明，各种症状的症状强度降低，患者和护理者的症状困扰减轻，家庭成员的自我效能提高，对某些干预措施的满意度提高。应该对现有的干预措施进行进一步的研究，以更好地确定其效果，并对癌症患者的家庭症状管理进行进一步的研究，因为他们也需要医疗保健专业人员的支持。
People are diagnosed with cancer sooner nowadays thanks to increased awareness and improvements in cancer screenings. Patients are able to live longer due to cancer treatment regimens; however, they suffer the consequences of living with cancer and therapy-related symptoms. Symptom management is challenging for both patients and family caregivers. Therefore, family members must be integrated in the patient’s care plan. For this review, a literature search was conducted to determine what types of interventions were available that involved family members of cancer patients with the management of cancer and therapy-related symptoms. The following interventions were found that were designed for the family caregivers or both the patient and caregiver to aide with symptom management: pain intervention program, massage therapy, telephone intervention, self-efficacy improvement, coping enhancement and a multidimensional intervention. A positive effect was noted in all the studies, but several had no significance in the patient intervention group but did in the caregiver intervention group. However, studies indicated decreased symptom intensity for various symptoms, decreased symptom distress for both the patient and caregiver, increased self-efficacy of the family member, and increased satisfaction with certain interventions. Further research should be conducted on both existing interventions to better determine their effect and on family symptom management of cancer patients as they need support from healthcare professionals as well.