建立成人癌因性疲憊非藥物處置之臨床照護指引

癌因性疲憊（Cancer-related fatigue, CRF）是癌症病人普遍存在的症狀，國內護理人員即使敏銳查覺到病人的疲憊感，卻缺乏CRF相關的照護標準。本篇指引分三階段進行，第一階段進行系統性文獻搜尋135篇文獻，嚴謹評析，收錄9篇系統性文獻回顧，2篇臨床照護指引，1篇整合性文獻及1篇隨機分派實驗研究，並萃取實證證據；第二階段以專家焦點團體座談進行指引草案之效度檢定；第三階段以問卷調查臨床護理人員照護指引實施之可行性，最後形成本土性實證臨床照護指引，其中指引建議強度Grade A 31項（88.57%），Grade B 4項（11.43%）。期望藉由此本土化指引之建立，統一全國癌因性疲憊之教育訓練與照護標準，緩解癌症病人之疲憊症狀困擾，提升癌症病人之生活品質。

關鍵字

癌因性疲憊；臨床照護指引；非藥物處置

並列摘要

Background: Cancer-Related Fatigue(CRF) is cancer patients' subjective feeling which has significant adverse impact on their physical, metnal symptoms and quality of life. Taiwan people rarely express or pay attention to CRF, while patients and medical members focused so much on the effectiveness of cancer treatment that CRF-related knowledge was less studied. Purpose: This study aims to set up a local CRF clinical care guideline for Taiwan cancer patients via systemic review and focus group method. Method: Articles of SR or clinical guidelines about CRF published between 2000 to 2010, and articles of meta-analysis or RCT about CRF published between 2009 to 2010, were searched using Medline and medical databases. According to the articles appraisal tools by JBI and AGREE, 13 articles ( 9 SR, 2 Guidelines, 1 meta-analysis and 1 RCT) were chosen for evaluation and analysis. The evidences were combined with the experiences from health care experts of focus groups in Taiwan. Results and Conclusion: By using data analysis and quantitative research results from clinical nurse questionnaire survey, a local CRF clinical care guideline for Taiwan cancer patients was set up. This guideline is divided into assessment and non-pharmacological care strategies, with a total of 35 subdivided guidelines. According to each guideline level, local patient-centered and evidence-based clinical care standards of CRF are constructed. Through educational training and nursing guidance activities, the medical staffs, patients and their families are encouraged to attach importance to CRF, and the care quality of cancer patients are also improved.

並列關鍵字

cancer-related fatigue ； clinical guideline ； non-pharmacological management

被引用紀錄

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陳瑜芳、李麗紅（2018）。照顧一位胃癌末期臨終病患之護理經驗。彰化護理，25(1)，47-59。https://doi.org/10.6647/CN.201803_25(1).0009

林維君、賴世烱、陳建信（2018）。不同治療期程之大腸直腸癌術後患者疲憊認知因素探討。台灣醫學，22(1)，11-23。https://doi.org/10.6320/FJM.201801_22(1).0002

洪世欣、郭鳳霞、樊君儀、詹明珊、劉曉君、莊紫雲（2022）。成人癌因性疲憊非藥物處置之臨床照護指引。榮總護理，39(2)，112-134。https://doi.org/10.6142/VGHN.202206_39(2).0001

郭蓁蓁、王秀紅、周汎澔（2018）。癌因性疲憊之概念分析。腫瘤護理雜誌，18(1)，91-105。https://doi.org/10.3966/168395442018061801008

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建立成人癌因性疲憊非藥物處置之臨床照護指引

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