《临床肿瘤科护理杂志》2016年10月总第20卷第5期
Clinical Journal of Oncology Nursing
October 2016 Vol. 20, No. 5
Article
Addressing Disparities: The Alliance Breast Cancer Community-Based Program for Hispanic Women
差异的处理：基于乳腺癌联盟社区的西班牙裔妇女计划
The Alliance Breast Cancer (ABC) program is a community-based initiative developed and implemented to address the needs of Hispanic women faced with a cancer diagnosis or cancer survivorship issues.
Journal Club Article
Open Access Article
Evaluation of Employee Vaccination Policies in Outpatient Oncology Clinics: A Pilot Study
对肿瘤门诊诊所员工疫苗接种政策的评价：初步研究
All major hospital facilities in the state of Utah have employee vaccination policies. However, the presence of healthcare worker vaccination policies in outpatient oncology clinics was unknown.
Computer-Based Cognitive Training for Chemotherapy-Related Cognitive Impairment in Breast Cancer Survivors
基于计算机的化疗相关认知受损乳腺癌存活者的认知训练
Advancements in chemotherapy have greatly increased breast cancer survival, leading to an increased focus on the management of long-term effects of treatment. Chemotherapy-related cognitive impairment, one such long-term effect, is experienced by as many as 90% of breast cancer survivors (BCS) and negatively affects employment, daily function, and quality of life. Chemotherapy-related cognitive impairment is a top research and clinical practice priority.
Comparing Self-Injection Teaching Strategies for Patients With Breast Cancer and Their Caregivers: A Pilot Study
对乳腺癌患者及其照护者自我注射教育策略的比较：初步研究
A prospective, quasiexperimental pilot study with a sequential design was performed to compare two methods of teaching self-injection: verbal and written instruction versus verbal and written instruction plus simulation.
Significance of Nonphysical Predictors of Distress in Cancer Survivors
癌症存活者非身体性痛苦预测因子的意义
The Distress Thermometer (DT) is a well-validated tool that is frequently used in patients with cancer to screen for general distress and to generate referrals. However, a majority of the DT problem list items relate to physical concerns; this may lead to psychosocial issues being overshadowed.
Impact of an Alert System on Quality Indicators in Patients With Acute Promyelocytic Leukemia
警醒系统对急性早幼粒细胞白血病患者质量指标的影响
Acute promyelocytic leukemia (APL), once the most lethal form of adult acute leukemia, has become the most curable. The goal of early and well-managed treatment induction is to reduce the malignant burden of promyelocytes to below the cytologically detectable level.
Quality of Life, Psychological Burden, and Sleep Quality in Patients With Brain Metastasis Undergoing Whole Brain Radiation Therapy
脑转移患者行全脑放射疗法时的生活质量、心理负担及睡眠质量
Patients with brain metastasis (BM) usually suffer from poor quality of life (QOL), anxiety, depression, and sleep disorders in their reduced lifespan.
Nursing Management of Cutaneous Toxicities From Epidermal Growth Factor Receptor Inhibitors
表皮生长因子受体抑制剂皮肤毒性的护理管理
Personalized targeted therapies have become an emerging paradigm in cancer treatment. Although generally more tolerable than other chemotherapeutic agents, one therapy, epidermal growth factor receptor inhibitors (EGFRIs), commonly results in the formation of cutaneous toxicities, which can negatively affect patients’ treatment adherence and quality of life.
Genomic Variants Associated With Cancer-Related Fatigue: A Systematic Review
与癌症相关疲劳相关的基因变种：系统综述
Cancer-related fatigue (CRF) is the most common stressful side effect caused by cancer and cancer treatments. Although CRF causes a significant burden to quality of life, no pharmacologic interventions are available because the mechanism remains unknown.
CJON Writing Mentorship Article
Using Relaxation and Guided Imagery to Address Pain, Fatigue, and Sleep Disturbances: A Pilot Study
利用放松和引导成像处理疼痛、疲劳及睡眠障碍：初步研究
Few studies have been conducted on the use of patient-controlled relaxation and guided imagery interventions for the symptom cluster of pain, fatigue, and sleep disturbance during cancer treatment.
Validation of Predictors of Fall Events in Hospitalized Patients With Cancer
癌症住院患者摔倒事件预测因子的验证
A seven-item cancer-specific fall risk tool (Cleveland Clinic Capone-Albert [CC-CA] Fall Risk Score) was shown to have a strong concordance index for predicting falls; however, validation of the model is needed.
Improving Awareness, Identification, and Management of Sarcopenic Obesity in Cancer Survivors: An Evidence-Based Toolbox
改善癌症患者肌萎缩无力性肥胖症的认识、鉴别和管理：循证基工具箱
Sarcopenic obesity, the dual condition of decreased muscle mass with increased fat mass, can affect morbidity, mortality, and quality of life in adult cancer survivors.
Guest Editorial
After the Bell: Lifestyle Transformation After Cancer Treatment
收盘铃后：癌症治疗后的生活方式转化
There are many traditions on the last day of chemotherapy. It is often a happy time when patients have pictures taken with their oncology nurses and ring the bell as they leave the infusion area. For many, the bell is symbolic of the completion of cancer treatment and the beginning of the rest of their lives as cancer survivors. After the bell, survivors often go home wondering what they can do to be healthier and reduce their risk of recurrence.
Letter to the Editor
Response to “The Evidence Behind Integrating Palliative Care Into Oncology Practice”
对“支持将姑息护理与肿瘤学实践相结合的证据”的回应
I am writing in response to “The Evidence Behind Integrating Palliative Care Into Oncology Practice” (Dailey, 2016). I have 16 years of oncology experience and work at the University Health Systems in San Antonio, Texas. Our facility’s palliative care program holds the Advanced Certification awarded by the Joint Commission, and we have dedicated inpatient beds for palliative care patients.
Supportive Care
Potential Benefits of Oral Cryotherapy for Chemotherapy-Induced Mucositis
口腔冷冻疗法对化疗诱导性粘膜炎的潜在好处
Mucositis is a common side effect of cancer therapies that causes painful, erythematous lesions to develop in the gastrointestinal tract. These lesions can lead to malnutrition, increased risk for serious infection, prolonged hospital stays, and reduced quality of life. Oral cryotherapy, or the use of ice chips to cool the mucous membranes during bolus chemotherapy infusions (e.g., 5-fluorouracil [Adrucil®] and melphalan [Alkeran®]), is the most readily accessible and cost-effective intervention available. Although many factors may contribute to the development of mucositis during cancer treatment, studies have found a reduction in the incidence and the severity of mucositis with the use of oral cryotherapy.
Quality
A Multidisciplinary Approach to Standardizing Processes for Blinatumomab Administration
兰妥莫单抗给药标准程序的多学科联合施行
Blinatumomab (Blincyto®) has received accelerated approval for treatment of relapsed or refractory acute lymphoblastic leukemia. This article describes the authors’ experience with a multidisciplinary collaboration among nursing, pharmacy, prescribers, and support staff, which has proven to be key for safe administration. The approach can be applied to other institutions planning to use blinatumomab.
Novel Approaches
Using Technology to Give Patients a Voice After Surgery for Head and Neck Cancer
通过技术应用使头颈癌患者在手术后讲出话来
For patients with head and neck cancer, altered communication is a frequently occurring and highly upsetting issue that has been associated with psychological distress, fear, and anger among those with temporary or permanent speech impairment postsurgery. Many postoperative patients express that the most terrifying situation is to wake up from surgery and not be able to speak. Mobile devices have become part of everyday life, and augmentative and alternative communication mobile applications have the potential to enhance the healthcare journey of the patient and provider.
Safety
Big Data and Pharmacovigilance: The Role of Oncology Nurses
大数据与药物警戒性：肿瘤科护士的作用
When new anticancer medications are approved, their safety profiles are often not fully understood. Oncology nurses have a responsibility to file reports of adverse drug events with safety registries such as MedWatch. If these registries receive prompt, complete, and accurate data from clinicians, agencies such as the U.S. Food and Drug Administration will have a stronger ability to detect hazards and to issue safety recommendations.
Oncology Essentials
Benefits and Risks of Fosaprepitant in Patients Receiving Emetogenic Regimens
高致吐性疗法治疗患者使用福沙匹坦的好处与风险
Fosaprepitant dimeglumine (Emend IV®) is an IV antiemetic that may be beneficial to patients receiving highly emetogenic regimens. Aprepitant (Emend®) is an oral medication that is administered for three consecutive days, whereas fosaprepitant is a single-dose IV medication that is administered on the day of chemotherapy for 20–30 minutes (depending on the IV access type). Fosaprepitant may be useful, yet it can also present a risk for hypersensitivity reactions and phlebitis. Oncology nurses must be aware of the signs and symptoms of these potential adverse events to properly care for their patients.
Advanced Practice Nursing Issues
Development and Evaluation of a Lung Cancer Screening Decision Aid
肺部筛查决策辅助工具的开发与评价
Lung cancer is the second most common cancer; however, it often is not diagnosed until the advanced stages. Early-stage lung cancer is curable, but screening tools are not usually implemented in practice because of a lack of provider awareness. A lung cancer screening decision aid may increase screening use and, ultimately, reduce lung cancer deaths.
Professional Issues
Oncology Nursing and Shared Decision Making for Cancer Treatment
肿瘤科护理与癌症治疗决策的共享
This study aimed to describe the contemporary role of the oncology nurse throughout the entire cancer shared decision-making (SDM) process. Study participants consisted of 30 nurses and nurse practitioners who are actively involved in direct care of patients with cancer in the inpatient or outpatient setting. The major themes that emerged from the content analysis are: oncology nurses have various roles at different time points and settings of cancer SDM processes; patient education, advocacy, and treatment side effects management are among the top nursing roles; oncology nurses value their participation in the cancer SDM process; oncology nurses believe they have a voice, but with various degrees of influence in actual treatment decisions; nurses’ level of disease knowledge influences the degree of participation in cancer SDM; and the nursing role during cancer SDM can be complicated and requires flexibility.
Patient & Family Perspectives
Healing My Whole Self
身心自疗
Surviving cancer was the beginning of a long journey to healing my whole self. When I was first diagnosed with breast cancer, I was 39 years old. I had spent most of my life working in a number of high-stress communications positions in Massachusetts and had recently become the press secretary for Boston’s mayor, the Honorable Thomas M. Menino. On day one, I had to tell my new boss that I would need to step down and help him find a replacement because I had cancer. It was an extremely difficult time personally and professionally, but the mayor insisted that I stay. He was gracious and positive, telling me I would get through this and not to give up. On the outside, I did my best to keep it together, but my internal voice said otherwise.
Heart of Oncology Nursing
When “No” Is Not an Acceptable Answer for Treatment
当“不”不再是可接受的治疗答案
The focus of health care has moved toward prevention, and insurance companies are supporting preventive practices that enable their members to remain healthy. Many insurance companies have recorded healthy tips delivered by phone, employed case managers to assist patients in keeping physician appointments, created dedicated hot lines staffed by nurses, and developed resource centers. However, specific instances arise when insurance companies do not allow patients to have certain procedures because of contract language that was previously negotiated between the employer or individual and the insurance company. This was the case for my patient.
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