食道癌患者於治療期間面臨的困境與其照護策略

食道癌的治療過程相當艱辛與漫長，多科治療使得病患的營養、身體活動功能急遽惡化，進而影響生活品質與情緒安適。然而，目前探討食道癌病患之困境與照護的文章仍十分缺乏。本文的目的在回顧過去的文獻，介紹食道癌病患在治療期間面臨的困境，如營養不良、身體活動功能惡化與術後肺部合併症等，並提出相對應的照護策略，以期增加臨床照護人員對食道癌病患困境之了解，進而提升照護能力與照護品質。

關鍵字

食道癌；營養；身體活動功能；術後肺部合併症

並列摘要

Esophageal cancer is a devastating disease with prolonged treatment course. Patients' nutritional status and physical function are substantially deteriorated during treatment, which often led to declines in quality of life and emotional well-being. Little is known regarding the management of problems during cancer treatment in esophageal cancer patients. This article briefly overviews the problems during cancer treatment for patients with esophageal cancer, including malnutrition, physical function declines, and postoperative pulmonary complications. The main management strategies involved nutritional maintenance, increasing physical activity and improve pulmonary functions before surgery. We hope by increasing the awareness among professionals, early detection and timely intervention could be taken to improve the ability and quality of care.

並列關鍵字

esophageal cancer ； nutrition ； physical function ； postoperative pulmonary complication

參考文獻

Ferguson MK, Durkin AE: Preoperative prediction of the risk of pulmonary complications after esophagectomy for cancer. J Thorac Cardiovasc Surg 2002;123:661-9.

Bergquist H, Ruth M, Hammerlid E: Psychiatric morbidity among patients with cancer of the esophagus or the gastro- esophageal junction: a prospective, longitudinal evaluation. Dis Esophagus 2007;20:523-9.

Hellstadius Y, Lagergren J, Zylstra J, et al: Prevalence and predictors of anxiety and depression among esophageal cancer patients prior to surgery. Dis Esophagus 2015 Nov 6. doi: 10.1111/dote.12437.

Awad S, Tan BH, Cui H, et al: Marked changes in body composition following neoadjuvant chemotherapy for oesophagogastric cancer. Clin Nutr 2012;31:74-7.

Xu YJ, Cheng JC, Lee JM, et al: A Walk-and-Eat intervention improves outcomes for patients with esophageal cancer undergoing neoadjuvant chemoradiotherapy. Oncologist 2015;20:1216-22.

被引用紀錄

王夢筑、鄭幸蓉、李紫綺（2022）。結合安寧共同照護一位食道癌末期病人護理經驗。腫瘤護理雜誌，22(2)，89-102。https://doi.org/10.6880/TJON.202212_22(2).07

鍾雅亘、鄭惠蘭（2021）。照顧一位食道癌病人面對死亡焦慮之護理經驗。腫瘤護理雜誌，21()，95-106。https://doi.org/10.6880/TJON.202112/SP_21.08

王郁臻、林玉茹、李美樺（2020）。照顧一位罹患食道癌病人接受食道重建手術之護理經驗。腫瘤護理雜誌，20(1)，87-96。https://doi.org/10.6880/TJON.202006_20(1).07

楊秀霞、姚美惠、吳素綿、何秀玉（2021）。一位初次診斷食道癌第四期患者之護理經驗。彰化護理，28(3)，115-127。https://doi.org/10.6647/CN.202109_28(3).0013

李佩珊、李美樺（2022）。照護一位食道癌術後患者之護理經驗。長庚護理，33(2)，96-105。https://doi.org/10.6386/CGN.202206_33(2).0009

國際替代計量

食道癌患者於治療期間面臨的困境與其照護策略

全文下載

主題瀏覽