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Safety and Adverse Event Management of VEGFR-TKIs in Patients With Metastatic Renal Cell Carcinoma. VEGFR-TKIs在转移性肾癌患者中的安全性和不良事件管理。
IF 1.2 4区 医学 Q3 NURSING Pub Date : 2025-05-19 DOI: 10.1188/25.CJON.219-229
Laura S Wood, Zita D Lim

Background: Vascular endothelial growth factor receptor-tyrosine kinase inhibitors (VEGFR-TKIs), alone or in combination with immune checkpoint inhibitors, are part of the standard of care in treating metastatic renal cell carcinoma (mRCC). VEGFR-TKIs are associated with acute, chronic, and potentially dose-limiting toxicities requiring treatment modifications and discontinuations.

Objectives: This article summarizes evidence-based practices that oncology nurses may use to manage VEGFR-TKI adverse events and improve quality of life in patients with mRCC.

Methods: Pivotal clinical trial publications of VEGFR-TKIs in mRCC were reviewed to evaluate the adverse event profile of each drug and effective management strategies.

Findings: Patients with mRCC treated with VEGFR-TKIs can benefit from education about potential side effects, consistent monitoring, and early detection of adverse events, as well as appropriate interventions to improve treatment tolerability, adherence, outcomes, and quality of life.

背景:血管内皮生长因子受体酪氨酸激酶抑制剂(VEGFR-TKIs),单独或联合免疫检查点抑制剂,是治疗转移性肾细胞癌(mRCC)的标准护理的一部分。VEGFR-TKIs与急性、慢性和潜在的剂量限制性毒性相关,需要调整治疗和停药。目的:本文总结了肿瘤护士可用于管理VEGFR-TKI不良事件和改善mRCC患者生活质量的循证实践。方法:回顾了VEGFR-TKIs在mRCC中的关键临床试验出版物,以评估每种药物的不良事件概况和有效的管理策略。研究结果:接受VEGFR-TKIs治疗的mRCC患者可以从潜在副作用的教育、持续监测和早期发现不良事件以及适当的干预措施中获益,以提高治疗耐受性、依从性、结局和生活质量。
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引用次数: 0
We Advocate for Our Patients, but Can We Also Advocate for Ourselves? 我们为病人辩护,但我们也能为自己辩护吗?
IF 1.2 4区 医学 Q3 NURSING Pub Date : 2025-05-19 DOI: 10.1188/25.CJON.264
Monica Beck

As a nurse educator, scientist, and scholar, I am passionate about raising awareness of the importance of self-advocacy. Listen to your body. Do not dismiss your intuition. Take an active role in your health care, rather than.

作为一名护士教育家、科学家和学者,我热衷于提高人们对自我倡导重要性的认识。倾听你的身体。不要忽视你的直觉。在你的健康护理中发挥积极的作用,而不是。
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引用次数: 0
The Use of Plastic-Backed Pads to Reduce Hazardous Drug Contamination. 使用塑料衬垫以减少有害药物污染。
IF 1.2 4区 医学 Q3 NURSING Pub Date : 2025-05-19 DOI: 10.1188/25.CJON.244-249
AnnMarie L Walton, Melissa A Powell, Margaret A Bush, Susan G Silva, Haesu J Jin, Ivan Spasojevic, Anthony D Sung

Toilet plume aerosols are a source of hazardous drug (HD) contamination in patient bathrooms; however, using plastic-backed pads to reduce contamination has not been tested within the clinical setting. This study tested wheth.

厕所烟雾是病人浴室中有害药物(HD)污染的一个来源;然而,使用塑料衬垫来减少污染还没有在临床环境中进行过试验。这项研究测试了。
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引用次数: 0
Addressing Domestic Abuse Among Couples Experiencing Breast or Gynecologic Cancer in Africa. 解决非洲患有乳腺癌或妇科癌症的夫妇之间的家庭暴力问题。
IF 1.2 4区 医学 Q3 NURSING Pub Date : 2025-05-19 DOI: 10.1188/25.CJON.257-263
Chinomso Nwozichi, Omolabake Salako, Olamide Taiwo

This article discusses the intersection of domestic abuse and cancer, particularly in couples experiencing breast and gynecologic cancers, and its impact on patients in Africa. It aims to uncover the challenges faced in this.

本文讨论了家庭暴力和癌症的交集,特别是在患有乳腺癌和妇科癌症的夫妇中,以及它对非洲患者的影响。它旨在揭示在这方面面临的挑战。
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引用次数: 0
Performance Status as an Indicator for Palliative Care Referral. 作为姑息治疗转诊指标的表现状态。
IF 1.2 4区 医学 Q3 NURSING Pub Date : 2025-05-19 DOI: 10.1188/25.CJON.192-195
Tonya Ponder

Palliative care can lead to improved quality of life and often extends life, particularly when it begins early in the cancer care continuum. Even with these positive outcomes, many clinicians do not use palliative care early.

姑息治疗可以改善生活质量,通常可以延长生命,特别是在癌症治疗连续体的早期开始时。即使有了这些积极的结果,许多临床医生也没有尽早使用姑息治疗。
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引用次数: 0
Interprofessional Team-Based Whole-Course Enteral Nutrition in the Peri-Radiation Therapy Period for Esophageal Cancer. 食管癌围放疗期以团队为基础的全程肠内营养。
IF 1.2 4区 医学 Q3 NURSING Pub Date : 2025-05-19 DOI: 10.1188/25.CJON.E88-E96
Yuntian Shen, Yawen Zhu, Xiaoxiao Liu, Wenyi Lu, Xiaoli Wang, Xinan Shen, Qiliang Peng, Yuezhen Feng

Background: Radiation therapy is the main treatment method for esophageal cancer, but its side effects are not ideal. The interprofessional team (IPT) management model has been widely applied in clinical practice; however, there are few reports on nurse-led IPT-based enteral nutrition intervention strategies for patients with esophageal cancer.

Objectives: A nurse-led, IPT-based, whole-course enteral nutrition intervention was investigated to determine whether it could achieve better nutritional status, quality of life, and treatment efficacy for patients with esophageal cancer.

Methods: A total of 72 patients with esophageal cancer were randomized to control and IPT groups. Nutritional status, quality of life, and treatment efficacy were observed before and after radiation therapy.

Findings: Severe malnutrition and grade 3 or higher bone marrow suppression had significantly lower incidence, and the one-year progression-free and overall survival rates of patients were significantly higher in the IPT group than the control group.

背景:放疗是食管癌的主要治疗方法,但其副作用并不理想。跨专业团队(IPT)管理模式已广泛应用于临床实践;然而,关于护士主导的基于ipt的食管癌患者肠内营养干预策略的报道很少。目的:探讨以护士为主导、以ipt为基础的全程肠内营养干预是否能改善食管癌患者的营养状况、生活质量和治疗效果。方法:将72例食管癌患者随机分为对照组和IPT组。观察放疗前后患者的营养状况、生活质量及治疗效果。结果:重度营养不良和3级及以上骨髓抑制发生率显著降低,IPT组患者1年无进展生存率和总生存率显著高于对照组。
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引用次数: 0
A Patient-Specific, Goal-Oriented Exercise Algorithm for Men Receiving Androgen Deprivation Therapy. 接受雄激素剥夺治疗的男性患者特异性、目标导向的运动算法。
IF 1.2 4区 医学 Q3 NURSING Pub Date : 2025-05-19 DOI: 10.1188/25.CJON.207-211
Christine Liebertz

For men receiving androgen deprivation therapy for prostate cancer, exercise is essential to preserve lean muscle mass, body mass, and bone density, which may be lost as a side effect of treatment. This quality improvement pr.

对于接受前列腺癌雄激素剥夺治疗的男性来说,锻炼对于保持肌肉质量、体重和骨密度是必不可少的,而这些可能会因为治疗的副作用而失去。这种质量改进关系。
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引用次数: 0
A PRIMER for the Application and Implementation of an Antineoplastic Infusion-Related Reaction Algorithm in Adult Ambulatory Oncology Settings. 在成人门诊肿瘤设置抗肿瘤输液相关反应算法的应用和实施入门。
IF 1.2 4区 医学 Q3 NURSING Pub Date : 2025-05-19 DOI: 10.1188/25.CJON.E79-E87
Megan A Corbett, Marylou Nesbitt

Background: Although risk factors have been identified and certain treatment plans require premedications to prevent reactions, it remains uncertain which patient will have an antineoplastic infusion-related reaction (IRR), and there is no way to predict the severity of that reaction.

Objectives: This article highlights details of these risks and emphasizes interventions to identify, prevent, minimize, and manage IRRs in adult ambulatory cancer treatment settings.

Methods: Using the mnemonic PRIMER (prevention, recognition, intervention, management, evaluation, and recommendation), this article outlines key topics for infusion centers to ensure safe, high-quality care for high-risk patients.

Findings: Using a standardized, evidence-based IRR algorithm based on the PRIMER model can optimize outcomes for patients who experience antineoplastic IRRs.

背景:虽然已经确定了危险因素,并且某些治疗计划需要预先用药来预防反应,但仍然不确定哪些患者会发生抗肿瘤输液相关反应(IRR),并且没有办法预测该反应的严重程度。目的:本文重点介绍了这些风险的细节,并强调了在成人门诊癌症治疗环境中识别、预防、最小化和管理IRRs的干预措施。方法:利用易记PRIMER(预防、识别、干预、管理、评估和推荐),概述输液中心确保高危患者安全、高质量护理的关键问题。研究结果:使用基于PRIMER模型的标准化循证IRR算法可以优化经历抗肿瘤IRR的患者的预后。
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引用次数: 0
Omidubicel-Onlv: The First Commercially Available Alternative Allogeneic Hematopoietic Stem Cell Transplantation Donor Source. 奥米dubicel:第一个商业上可获得的异体造血干细胞移植供体来源。
IF 1.2 4区 医学 Q3 NURSING Pub Date : 2025-05-19 DOI: 10.1188/25.CJON.230-236
Martha Lassiter, Charlotte Lail

Background: Although allogeneic hematopoietic stem cell transplantation (alloHSCT) can be a lifesaving therapy for patients with hematologic malignancies, only 30% of patients in need of transplantation will have a human leukocyte antigen matched related donor available.

Objectives: This article introduces an approved alternative donor stem cell source that is shown to provide earlier engraftment and decreased infections compared to dual or single umbilical cord blood transplantation.

Methods: This article provides an overview of the pathophysiology, clinical trial results, and nursing management of the approved omidubicel-onlv cellular therapy product as an alternative donor source for patients undergoing alloHSCT.

Findings: Omidubicel provides an alternative donor source for patients undergoing alloHSCT for whom there is no matched donor available. This need may be particularly great in ethnic and racial minority populations who may be underrepresented in the NMDP BioTherapies database.

背景:虽然同种异体造血干细胞移植(allogeneic hematopoietic stem cell transplantation, alloHSCT)对血液恶性肿瘤患者来说是一种救命的治疗方法,但只有30%需要移植的患者能找到与人类白细胞抗原匹配的相关供体。目的:本文介绍了一种经批准的替代供体干细胞来源,与双脐带血或单脐带血移植相比,该来源可提供更早的移植和减少感染。方法:这篇文章提供了病理生理学,临床试验结果,和护理管理的批准奥米杜比赛尔细胞治疗产品作为替代供体来源的患者接受同种异体造血干细胞移植的概述。研究结果:奥米杜比尔为没有匹配供体的同种异体造血干细胞移植患者提供了另一种供体来源。在NMDP生物疗法数据库中代表性不足的少数民族和种族人群中,这种需求可能特别大。
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引用次数: 0
Deciphering TP53 Mosaic Variants on Germline Biomarker Testing: Implications for Oncology Nurses. 在种系生物标志物检测中破译TP53马赛克变体:对肿瘤护士的意义。
IF 1.2 4区 医学 Q3 NURSING Pub Date : 2025-05-19 DOI: 10.1188/25.CJON.201-206
Alyssa Grissom, Suzanne M Mahon

Germline biomarker testing of the TP53 gene can produce confusing results including mosaicism or clonal hematopoiesis of indeterminate potential (CHIP). When noninformative results are reported, additional testing is usually.

生殖系TP53基因的生物标志物检测可能会产生令人困惑的结果,包括嵌合体或不确定潜力的克隆造血(CHIP)。当报告的结果不具有信息性时,通常需要进行额外的测试。
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Clinical journal of oncology nursing
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