晚期非小细胞肺癌患者接受二线标准治疗联合电场治疗的护理经验总结

    Summary of Nursing Experience of Patients With Advanced Non-Small Cell Lung Cancer Receiving Second-Line Standard Therapy Combined With Tumor Treating Fields

    • 摘要:
      目的 在铂类药物治疗失败后的晚期非小细胞肺癌(non-small cell lung cancer,NSCLC)患者中,肿瘤电场治疗(tumor treating fields,TTFields)适应证虽已在晚期NSCLC领域获批,但针对晚期NSCLC电场治疗的护理缺乏系统成熟范例总结。本研究旨在全国首次总结中山大学肿瘤防治中心参加LUNAR研究中NSCLC患者接受电场治疗的护理经验,为电场治疗在肺癌治疗领域的推广与应用提供范例支撑。
      方法 回顾并总结中山大学肿瘤防治中心参与LUNAR研究时,NSCLC患者接受电场治疗期间的护理工作,梳理出涵盖健康教育、病情观察、皮肤护理、心理护理及出院随访等的针对性护理措施。
      结果 通过实施上述护理措施,取得较为良好的效果,提升了患者的治疗依从性;在整个护理过程中,所有患者均未出现严重的不良反应,护理成效较为显著。
      结论 本研究总结的护理经验和方法,对电场治疗在肺癌治疗领域的推广和应用有着重要的示范作用,可为后续临床护理工作提供有效借鉴,助力晚期NSCLC电场治疗护理工作的规范化、标准化发展。

       

      Abstract:
      Purpose Although the indication for tumor treating fields (TTFields) has been approved in the field of advanced non-small cell lung cancer (NSCLC) among patients with advanced NSCLC after the failure of platinum-based drug treatment, there is a lack of systematically mature examples and summaries regarding the nursing care for advanced NSCLC patients receiving TTFields. This study aims to summarize the nursing experience of NSCLC patients receiving TTFields in the LUNAR study at the Sun Yat-sen University Cancer Center for the first time in China, so as to provide exemplary support for the promotion and application of TTFields in the field of lung cancer treatment.
      Methods Review and summarize the nursing work during the period when NSCLC patients received TTFields in the LUNAR study at the Sun Yat-sen University Cancer Center, and sort out the targeted nursing measures covering health education, condition observation, skin care, psychological care and discharge follow-up.
      Results By implementing the above nursing measures, relatively good results have been achieved. Specifically, the treatment compliance of patients has been improved. Throughout the entire nursing process, none of the patients had serious adverse reactions, and the nursing outcomes were quite remarkable.
      Conclusion The nursing experience and methods summarized in this study play an important exemplary role in the promotion and application of TTFields in the field of lung cancer treatment. They can provide effective references for subsequent clinical nursing work and facilitate the standardized and normalized development of the nursing work for advanced NSCLC patients receiving TTFields.

       

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