[Intensive care nursing for oncological patients].

IF 1.5 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Medizinische Klinik-Intensivmedizin Und Notfallmedizin Pub Date : 2025-10-01 Epub Date: 2025-08-05 DOI:10.1007/s00063-025-01312-6

Andreas Jurkscheit, Carsten Hermes, Daniel Marqueses, David Wittkamp

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引用次数: 0

Abstract

Background: With the rising incidence of cancer, the number of oncological patients in intensive care units (ICUs) is steadily increasing. Treatment-related complications, multiorgan failure, and age-related comorbidities contribute to this trend, requiring highly specialized intensive nursing care.

Objectives: How can intensive care nursing for oncological patients be optimized while considering clinical, ethical, and psychosocial aspects?

Methods: This work is based on a structured literature review of current studies, guidelines, and nursing science publications related to the care of cancer patients in critical care settings.

Results: Common reasons for ICU admission include respiratory insufficiency, infections, gastrointestinal complications, and treatment-induced side effects. Intensive care nurses play a central role in infection prevention, respiratory support, nutritional management, and skin integrity care. In addition to clinical expertise, they are key in communication, psychosocial support, and ethical decision-making processes.

Conclusion: The intensive care of oncological patients is complex and requires interdisciplinary collaboration. Not only technical competence but also ethical awareness, structured communication, and emotional support are essential for delivering high-quality, patient-centered care in the ICU.

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【肿瘤患者重症监护护理】。

背景：随着癌症发病率的上升，重症监护病房（icu）的肿瘤患者数量稳步增加。与治疗相关的并发症、多器官衰竭和与年龄相关的合并症助长了这一趋势，需要高度专业化的重症护理。目的：在考虑临床、伦理和社会心理因素的同时，如何优化肿瘤患者的重症监护护理？方法：这项工作是基于对当前研究、指南和护理科学出版物的结构化文献综述，这些文献与危重监护环境中癌症患者的护理有关。结果：ICU住院的常见原因包括呼吸功能不全、感染、胃肠道并发症和治疗引起的副作用。重症监护护士在感染预防、呼吸支持、营养管理和皮肤完整性护理方面发挥着核心作用。除了临床专业知识外，他们在沟通、社会心理支持和道德决策过程中也发挥着关键作用。结论：肿瘤患者的重症监护工作复杂，需要多学科合作。在ICU中，提供高质量、以患者为中心的护理不仅需要技术能力，还需要道德意识、结构化沟通和情感支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medizinische Klinik-Intensivmedizin Und Notfallmedizin MEDICINE, GENERAL & INTERNAL-

CiteScore

2.60

自引率

9.10%

发文量

审稿时长

6-12 weeks

期刊介绍： Medizinische Klinik – Intensivmedizin und Notfallmedizin is an internationally respected interdisciplinary journal. It is intended for physicians, nurses, respiratory and physical therapists active in intensive care and accident/emergency units, but also for internists, anesthesiologists, surgeons, neurologists, and pediatricians with special interest in intensive care medicine. Comprehensive reviews describe the most recent advances in the field of internal medicine with special focus on intensive care problems. Freely submitted original articles present important studies in this discipline and promote scientific exchange, while articles in the category Photo essay feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. In the rubric journal club well-respected experts comment on outstanding international publications. Review articles under the rubric "Continuing Medical Education" present verified results of scientific research and their integration into daily practice. The rubrics "Nursing practice" and "Physical therapy" round out the information.