葡萄牙关于预防和治疗癌症治疗引起的恶心和呕吐的共识。

Porto biomedical journal Pub Date : 2023-10-16 eCollection Date: 2023-09-01 DOI:10.1097/j.pbj.0000000000000234
Cláudia Vieira, Rui Bergantim, Elsa Madureira, Juan C M Barroso, Miguel Labareda, Sara T Parreira, Ana Castro, Ana Macedo, Sandra Custódio
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引用次数: 0

摘要

化疗引起的恶心呕吐(CINV)和放射治疗引起的恶心和呕吐(RINV)强烈影响癌症患者的生活质量。止吐控制不足会导致患者生活质量下降,增加抢救干预,甚至可能影响对癌症治疗的坚持。尽管有控制CINV和RINV的国际建议,但这些建议主要集中在药物管理上,很少有关于患者可能采取的额外措施的信息。此外,CINV/RINV的预防和管理并不总是适用的。因此,我们确定需要系统化预防和管理CINV/RINV及其相关风险因素的策略,以在癌症患者中实施和促进有效的预防性止吐方案治疗。本综述旨在根据目前国际上关于止吐治疗的建议和主要风险因素,为管理和控制CINV/RINV制定一套实用的建议。总之,我们打算为卫生保健专业人员编制一份以患者为中心的指导文件,重点关注CINV/RINV的意识、监测和治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Portuguese consensus on the prevention and treatment of nausea and vomiting induced by cancer treatments.

Portuguese consensus on the prevention and treatment of nausea and vomiting induced by cancer treatments.

Chemotherapy-induced nausea and vomiting (CINV) and radiotherapy-induced nausea and vomiting (RINV) strongly affect the quality of life of patients with cancer. Inadequate antiemetic control leads to the decline of patients' quality of life, increases rescue interventions, and may even compromise adherence to cancer treatment. Although there are international recommendations for controlling CINV and RINV, these recommendations focus mainly on pharmacological management, with scarce information on additional measures that patients may adopt. Moreover, the prophylaxis and management of CINV/RINV are not always applied. Thus, we identified the need to systematize the strategies for preventing and managing CINV/RINV and the associated risk factors to implement and promote effective prophylactic antiemetic regimens therapy in patients with cancer. This review sought to create a set of practical recommendations for managing and controlling CINV/RINV, according to the current international recommendations for antiemetic therapy and the main risk factors. Conclusively, we intended to produce a patient-centered guidance document for health care professionals focused on the awareness, monitoring, and treatment of CINV/RINV.

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