荷兰化疗引起周围神经病变的癌症幸存者的经历:症状、日常限制、医护人员的参与以及社会支持。

IF 3.1 2区 医学 Q2 ONCOLOGY Journal of Cancer Survivorship Pub Date : 2024-10-01 Epub Date: 2023-05-24 DOI:10.1007/s11764-023-01402-4
Daniëlle L van de Graaf, Vivian Engelen, Aize de Boer, Gerard Vreugdenhil, Tom Smeets, Marije L van der Lee, Hester R Trompetter, Floortje Mols
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引用次数: 0

摘要

目的:相当一部分癌症患者患有化疗引起的周围神经病变(CIPN)。这项描述性研究旨在考察患者对 CIPN 症状、日常限制、医护人员参与和社会支持的体验:方法:在荷兰通过全国性在线调查问卷(2021 年 2 月)收集横断面数据,问卷仅包含封闭项目:在 3752 名受访者中,1975 人仅接受了化疗(即未接受靶向治疗),因此被纳入调查范围。大多数受访者(71.2%)报告了手部和足部的症状(如刺痛、感觉丧失或感觉减退)。参与者在家务劳动、社交活动、业余爱好、运动、行走和睡眠方面受到的限制最多,而在家庭/(照顾)子女、骑自行车、驾驶、自我护理、饮食、性生活和亲密关系方面受到的限制最少。许多患者表示,他们的医护人员在治疗前告知了他们 CIPN 发生的可能性(58.4%),并且他们在治疗期间和治疗后关注了 CIPN(53.1%)。然而,许多患者(43%)表示缺乏有关出现 CIPN 时该怎么办的信息。很少有参与者(22%)因 CIPN 去看全科医生(GP)。总的来说,患者的社会环境有时会对患者表示同情,有时则总是如此:结论:CIPN 的症状经常被报告,并可能导致各种日常限制。来自专业人士和同伴的支持对控制 CIPN 至关重要,但有时却缺乏这种支持。应为患者提供适当的指导和支持,以减少 CIPN 对日常生活的影响。未来的研究应调查化疗药物的差异及其导致的症状和后果。
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Experiences of cancer survivors with chemotherapy-induced peripheral neuropathy in the Netherlands: symptoms, daily limitations, involvement of healthcare professionals, and social support.

Purpose: A significant proportion of cancer patients suffer from chemotherapy-induced peripheral neuropathy (CIPN). This descriptive study aimed to examine patients' experience of CIPN symptoms, daily limitations, involvement of healthcare professionals, and social support.

Methods: Cross-sectional data have been collected in the Netherlands via a national online questionnaire comprising closed items only (February 2021).

Results: Out of 3752 respondents, 1975 received chemotherapy only (i.e., without targeted therapy) and were therefore included. The majority (71.2%) reported symptoms in both hands and feet (e.g., tingling and loss of sensation or diminished sensation). Participants reported most limitations in household chores, social activities, hobbies, sports, walking, and sleeping and least in family/(taking care of) children, cycling, driving, self-care, eating and drinking, and sexuality and intimacy. Many patients indicated that their healthcare professionals informed them about the possibility of CIPN development before treatment (58.4%), and they paid attention to CIPN during and after treatment (53.1%). However, many patients (43%) reported a lack of information on what to do when CIPN develops. Few participants (22%) visited their general practitioner (GP) for CIPN. In general, patients' social environments sometimes to always showed empathy to patients.

Conclusions: Symptoms of CIPN are frequently reported and can result in various daily limitations. Support from professionals and peers is crucial in managing CIPN, which is sometimes lacking. Appropriate guidance and support should be provided to patients to decrease the impact of CIPN on daily life. Future research should investigate differences in chemotherapeutic agents and the resulting symptoms and consequences.

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来源期刊
CiteScore
7.00
自引率
10.80%
发文量
149
审稿时长
>12 weeks
期刊介绍: Cancer survivorship is a worldwide concern. The aim of this multidisciplinary journal is to provide a global forum for new knowledge related to cancer survivorship. The journal publishes peer-reviewed papers relevant to improving the understanding, prevention, and management of the multiple areas related to cancer survivorship that can affect quality of care, access to care, longevity, and quality of life. It is a forum for research on humans (both laboratory and clinical), clinical studies, systematic and meta-analytic literature reviews, policy studies, and in rare situations case studies as long as they provide a new observation that should be followed up on to improve outcomes related to cancer survivors. Published articles represent a broad range of fields including oncology, primary care, physical medicine and rehabilitation, many other medical and nursing specialties, nursing, health services research, physical and occupational therapy, public health, behavioral medicine, psychology, social work, evidence-based policy, health economics, biobehavioral mechanisms, and qualitative analyses. The journal focuses exclusively on adult cancer survivors, young adult cancer survivors, and childhood cancer survivors who are young adults. Submissions must target those diagnosed with and treated for cancer.
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