中国护理管理2024,Vol.24Issue(7) :1053-1058.DOI:10.3969/j.issn.1672-1756.2024.07.018

癌症患者免疫相关皮肤不良反应预防及管理的证据总结

Evidence summary for the prevention and management of immune-related cutaneous adverse events in cancer patients

张婷婷 彭娜娜 张晓菊 陆箴琦 陈凤珍
中国护理管理2024,Vol.24Issue(7) :1053-1058.DOI:10.3969/j.issn.1672-1756.2024.07.018

癌症患者免疫相关皮肤不良反应预防及管理的证据总结

Evidence summary for the prevention and management of immune-related cutaneous adverse events in cancer patients

张婷婷 1彭娜娜 1张晓菊 1陆箴琦 1陈凤珍1
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作者信息

  • 1. 复旦大学附属肿瘤医院护理部/复旦大学上海医学院肿瘤学系,200032 上海市
  • 折叠

摘要

目的:系统检索、评价并提取总结国内外关于癌症患者免疫相关皮肤不良反应预防及管理的相关证据.方法:依据"6S"金字塔模型,自上而下系统检索相关网站和数据库中关于癌症患者免疫相关皮肤不良反应预防及管理的文献,检索时限为 2013 年1月1日至 2023 年12月31日.对纳入的文献进行质量评价后提取证据并整合.结果:共纳入16 篇文献,其中指南 7 篇、临床决策 1篇、专家共识 6 篇、系统评价 2 篇,从多学科团队、基线评估、皮肤日常管理、早期诊断、症状处理、随访监测、健康教育 7个方面形成了28 条证据.结论:本研究总结了癌症患者免疫相关皮肤不良反应预防及管理的相关证据,可以为临床医护人员制定皮肤不良反应管理策略提供参考,但对患者开展临床实践时仍需要结合临床实际情况和患者个体需求选择适宜的证据.

Abstract

Objective:To retrieve,evaluate and summarize the latest evidence on the prevention and management for immune-related cutaneous adverse events in cancer patients.Methods:Based on the 6S pyramid model,literatures on the prevention and management of immune-related cutaneous adverse events in cancer patients were systematically searched.The retrieval period was from January 1,2013 to December 31,2023.Evidence was extracted and integrated after quality evaluation of the included studies.Results:A total of 16 articles were finally included,containing 7 guidelines,1 clinical decision,6 expert consensuses and 2 systematic reviews.In total,28 pieces of evidence including 7 aspects were summarized,namely multidisciplinary team,baseline assessment,daily cutaneous management,early diagnosis,symptom management,follow-up monitoring,and health education.Conclusion:The study summarized the evidence for the prevention and management of immune-related cutaneous adverse events in cancer patients,which can provide a reference for clinicians to formulate reasonable management strategies.However,it is still necessary to choose appropriate evidence based on the actual clinical situation and patients'individual needs in clinical practice.

关键词

癌症免疫治疗/免疫检查点抑制剂/皮肤不良反应/症状管理/证据总结/循证护理

Key words

immunotherapy for cancer/immune checkpoint inhibitors/cutaneous adverse events/symptom management/evidence summary/evidence-based nursing

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基金项目

国家自然科学基金青年科学基金项目(72004031)

出版年

2024
中国护理管理
卫生部医院管理研究所

中国护理管理

CSTPCDCSCD北大核心
影响因子:2.545
ISSN:1672-1756
参考文献量36
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