护理学杂志2024,Vol.39Issue(20) :46-50.DOI:10.3870/j.issn.1001-4152.2024.20.046

肿瘤免疫检查点抑制剂相关皮肤毒性管理的证据总结

Evidence-based summary of the management for immune checkpoint inhibitor-rela-ted cutaneous toxicity

杨智慧 罗园园 卢睿琦 刘欣琪 柳涵钰 张丰翼 黄琛 张立力
护理学杂志2024,Vol.39Issue(20) :46-50.DOI:10.3870/j.issn.1001-4152.2024.20.046

肿瘤免疫检查点抑制剂相关皮肤毒性管理的证据总结

Evidence-based summary of the management for immune checkpoint inhibitor-rela-ted cutaneous toxicity

杨智慧 1罗园园 1卢睿琦 1刘欣琪 1柳涵钰 1张丰翼 1黄琛 1张立力1
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作者信息

  • 1. 南方医科大学护理学院,南方医科大学护理与助产循证中心(广东,广州,510515)
  • 折叠

摘要

目的 评价并总结免疫检查点抑制剂相关皮肤毒性管理的相关证据,为医护人员对肿瘤免疫检查点抑制剂相关皮肤毒性患者进行管理提供依据.方法 系统检索国内外相关网站和数据库,查询关于肿瘤免疫检查点抑制剂相关皮肤毒性管理方面的指南、专家共识、证据总结、系统评价等证据.检索时间为建库至2024年4月30日,由2名具有循证护理知识的研究人员独立对文献进行质量评价和证据级别评定.结果 共纳入19篇文献,包括指南7篇、专家共识10篇、系统评价1篇、临床决策1篇,从预防、评估、检查、治疗与护理、监测5个方面形成19条最佳证据.结论 有效管理免疫检查点抑制剂相关皮肤毒性可改善皮肤症状,提高患者的生活质量.医护人员需考虑患者的意见,结合临床情境,为肿瘤免疫检查点抑制剂相关皮肤毒性患者提供个性化的指导.

Abstract

Objective To evaluate and summarize the evidence regarding the management of immune checkpoint inhibitor-related cu-taneous toxicity,and to provide a basis for healthcare professionals to manage cancer patients developing immune checkpoint inhib-itor-related cutaneous toxicity.Methods A systematic search was conducted in relevant domestic and international websites and da-tabases.Guidelines,expert consensus reports,evidence summary reports,systematic reviews,and other evidence on the manage-ment of immune checkpoint inhibitor-related cutaneous toxicity in cancer patients were included.The search timeframe was from database inception to April 30,2024.Two researchers with expertise in evidence-based nursing independently assessed the quality and level of evidence of the literature.Results A total of 19 articles were included,comprising 7 guidelines,10 expert consensus statement reports,1 systematic review,and 1 clinical decision-making report.Nineteen pieces of best-evidence were formulated from five aspects:prevention,assessment,examination,treatment and care,and monitoring.Conclusion Effective management of immune checkpoint inhibitor-related cutaneous toxicity can alleviate cutaneous symptoms and improve patients'quality of life.Healthcare professionals should consider patients'preferences and tailor personalized guidance based on clinical circumstances for patients with immune checkpoint inhibitor-related cutaneous toxicity in cancer treatment.

关键词

肿瘤/免疫治疗/免疫检查点抑制剂/皮肤毒性/药物不良反应/循证护理/皮肤护理

Key words

tumor/immunotherapy/immune checkpoint inhibitor/cutaneous toxicity/adverse drug reactions/evidence-based nursing/skin care

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基金项目

国家自然科学基金青年项目(72204106)

广东省医学科研基金项目(A202282)

出版年

2024
护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCDCSCD北大核心
影响因子:2.062
ISSN:1001-4152
参考文献量37
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